基本运动能力量表 II 的能力在预测髋部骨折手术后患者步行能力方面的作用。

Utility of the ability for basic movement scale II as a prediction method of ambulation ability in patients after the hip fracture surgery.

机构信息

Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan; Department of Orthopaedic and Orthopaedic Rehabilitation, Beijing Bo Ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing, China.

Division of Rehabilitation Medicine, International University of Health and Welfare, Ichikawa Hospital, Chiba, Japan; Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.

出版信息

J Orthop Sci. 2021 Nov;26(6):1025-1028. doi: 10.1016/j.jos.2020.09.013. Epub 2020 Dec 4.

DOI:10.1016/j.jos.2020.09.013

PMID:33288394

Abstract

BACKGROUND

This study was to investigate whether the Ability for Basic Movement Scale II (ABMS II) at admission of the convalescent rehabilitation ward (CRW) could predict the ambulation ability in patients after hip fracture surgery.

METHODS

The data of the ABMS II and Functional Ambulation Category (FAC) of 118 postsurgical patients with hip fracture who were transferred to the CRW were retrospectively analyzed (mean age 82.7 ± 7.9, female/male: 89/29). Binary logistic regression analysis and receiver operating characteristic (ROC) analysis were used to investigate the predictive value of ABMS II for walking ability at discharge.

RESULTS

Spearman's correlation analysis showed that there were significantly positive correlations between the ABMS II score at admission and FAC score at discharge (ρ = 0.70, P < 0.05). Logistic regression analysis showed that ABMS II and BMI can be the predictor in both FAC <4 or ≥4 groups. ROC analysis indicated that an optimal cutoff of 24.5 points of ABMS II score predicted independent walking ability (area under the Curve (AUC) 0.87, P < 0.05).

CONCLUSIONS

The ABMS II at admission in CRW can be a prediction method of ambulation recovery for the patients after hip fracture surgery.

STUDY DESIGN

Retrospective clinical study.

摘要

背景

本研究旨在探讨康復病房（CRW）入院时的基本运动能力量表 II（ABMS II）是否能预测髋部骨折手术后患者的步行能力。

方法

回顾性分析了 118 例髋部骨折术后转至 CRW 的患者的 ABMS II 和功能步行类别（FAC）数据（平均年龄 82.7±7.9，女性/男性：89/29）。采用二元逻辑回归分析和受试者工作特征（ROC）分析来探讨 ABMS II 对出院时步行能力的预测价值。

结果

Spearman 相关分析显示，入院时 ABMS II 评分与出院时 FAC 评分之间存在显著正相关（ρ=0.70，P<0.05）。Logistic 回归分析显示，ABMS II 和 BMI 可作为 FAC<4 或≥4 组的预测因子。ROC 分析表明，ABMS II 评分 24.5 分为最佳截断值，可预测独立步行能力（曲线下面积（AUC）0.87，P<0.05）。