Novack T A, Haban G, Graham K, Satterfield W T
Department of Rehabilitation Medicine, University of Alabama at Birmingham 35294.
Arch Phys Med Rehabil. 1987 Oct;68(10):729-34.
A psychologic screening battery, including assessment of perceptuomotor, attentional, memory, and emotional functioning, was presented to 134 patients at initiation of stroke rehabilitation. Significant differences in performance on tests based on side of involvement of stroke were noted. Poorer performance on sensory suppression errors and motor persistence score was found for individuals with left-side involvement and the opposite for word fluency score. Examining subjects with left- and right-side involvement separately using stepwise multiple regression, psychologic tests were able to account for 55% and 42%, respectively, of the variance in discharge outcome, as measured by the Barthel Index. Accounting for variance associated with change in Barthel Index score during rehabilitation proved more difficult, with R2 values of 0.14 and 0.07, respectively. Motor persistence score and half-hour recall proved to be the strongest of the psychologic tests in predicting rehabilitation outcome.
在中风康复开始时，对134名患者进行了一套心理筛查测试，包括感知运动、注意力、记忆和情绪功能评估。结果发现，根据中风受累侧进行的测试成绩存在显著差异。左侧受累的个体在感觉抑制错误和运动持续性评分上表现较差，而在语言流畅性评分上则相反。使用逐步多元回归分别对左侧和右侧受累的受试者进行检查，心理测试分别能够解释Barthel指数所衡量的出院结果差异的55%和42%。事实证明，要解释与康复期间Barthel指数评分变化相关的差异更为困难，R²值分别为0.14和0.07。运动持续性评分和半小时回忆测试被证明是预测康复结果最有效的心理测试。
