基于基本运动量表 II 评分预测偏瘫急性脑卒中患者的独立行走能力。
Prediction of Independent Gait in Acute Stroke Patients with Hemiplegia Using the Ability for Basic Movement Scale II Score.
机构信息
Department of Rehabilitation, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Department of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan,
出版信息
Eur Neurol. 2020;83(1):49-55. doi: 10.1159/000506421. Epub 2020 Mar 25.
INTRODUCTION
Since independent gait is an important factor for home discharge, early prediction of independent gait after stroke is essential. The revised version of the Ability for Basic Movement Scale II (ABMS II) has been developed and validated for assessment of basic movements poststroke.
OBJECTIVE
The purpose of this study was to investigate the predictive value of the ABMS II score for independent gait in acute stroke patients with hemiplegia.
METHODS
We included 67 patients with first stroke and a unilateral lesion who were admitted to the stroke care unit. We evaluated the gait on the 14th and 90th days from admission.
RESULTS
The ABMS II score was significantly higher in patients with independent gait on both the 14th and 90th days from admission. On receiver operating characteristic curve analysis, a minimum score of 26 points was predictive of independent gait on the 14th day from admission. Similarly, a score of 15 points was predictive of independent gait on the 90th day from admission.
CONCLUSIONS
The ABMS II score is a useful predictor of independent gait in acute stroke patients with hemiplegia.
简介
独立行走是出院回家的重要因素，因此早期预测中风后能否独立行走至关重要。改良版基本运动能力量表 II（ABMS II）已被开发并验证用于评估中风后基本运动能力。
目的
本研究旨在探讨 ABMS II 评分对偏瘫急性中风患者独立行走的预测价值。
方法
我们纳入了 67 名首次中风且单侧病变的患者，他们均被收入中风护理病房。我们在入院后第 14 天和第 90 天评估步态。
结果
入院后第 14 天和第 90 天，独立行走的患者的 ABMS II 评分显著更高。在受试者工作特征曲线分析中，入院后第 14 天，ABMS II 评分达到 26 分预测独立行走的效果最佳。同样，入院后第 90 天，ABMS II 评分达到 15 分预测独立行走的效果最佳。
结论
ABMS II 评分是偏瘫急性中风患者独立行走的有用预测指标。
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