Lindmark B, Hamrin E
Department of Clinical Physiology, University Hospital, Uppsala, Sweden.
Scand J Rehabil Med. 1988;20(3):111-5.
A chart for assessing motor capacity after acute stroke modified after Fugl-Meyer et al. (3) has been constructed. Construct validity was investigated by factor analysis performed on admission values of 231 patients with acute stroke. Three factors representing upper and lower extremity function and standing leg movements, respectively, explained 90-92% of the variance of the variables. On estimation of the convergent/concurrent validity by the Spearman's rank-difference correlation method, high coefficients were found between the modified chart and the other main instruments used in the study. The predictive validity of the motor scoring on admission was significant. In addition, functional group on admission gave some information concerning what type of care the patients might need after discharge. The modified chart for assessment of motor capacity has proved to be a valid tool with a satisfactory predictive capacity for survival and the outcome of the motor function.
构建了一份基于Fugl-Meyer等人（3）的方法改良的急性中风后运动能力评估表。通过对231例急性中风患者入院时的数据进行因子分析来研究结构效度。分别代表上肢和下肢功能以及站立时腿部运动的三个因子解释了变量方差的90-92%。通过Spearman等级差异相关法评估收敛效度/同时效度时，发现改良评估表与研究中使用的其他主要工具之间具有高系数。入院时运动评分的预测效度显著。此外，入院时的功能分组提供了一些关于患者出院后可能需要何种护理类型的信息。事实证明，改良的运动能力评估表是一种有效的工具，对生存和运动功能结果具有令人满意的预测能力。
