Yoo Yeun Jie, Lim Seong Hoon
Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Brain Neurorehabil. 2022 Jul 13;15(2):e17. doi: 10.12786/bn.2022.15.e17. eCollection 2022 Jul.
Restoration of ambulation is important for stroke patients. Valid and reliable methods are required for the assessment of lower limb functional status. We reviewed the psychometric properties of methods employed to assess lower extremity motor function, ambulation, and balance, with a focus on stroke patients. We define "motor function" as the ability to produce bodily movements when the brain, motor neurons, and muscles interact. "Ambulation" is defined as the ability to walk with or without a personal assistive device, and "balance" as the ability to maintain stability (without falling) during various physical activities. The Motricity Index and Fugl-Meyer Assessment of Lower Extremities assess the motor function of the lower limbs. The Functional Ambulation Category, 10-m Walk Test, and 6-minute Walk Test assess ambulation. The Berg Balance Scale, Timed Up and Go Test, Functional Reach Test, and Trunk Impairment Scale explore balance. All these tests exhibit high-level validity and have good inter-rater and test-retest reliabilities. However, only 3 methods have been formally translated into Korean. The methods discussed here can be used for standardized assessment, personalized goal setting, rehabilitation planning, and estimation of therapeutic efficacy.
恢复行走能力对中风患者很重要。评估下肢功能状态需要有效且可靠的方法。我们回顾了用于评估下肢运动功能、行走能力和平衡能力的方法的心理测量特性，重点关注中风患者。我们将“运动功能”定义为大脑、运动神经元和肌肉相互作用时产生身体运动的能力。“行走能力”定义为使用或不使用个人辅助设备行走的能力，“平衡能力”定义为在各种身体活动中保持稳定（不摔倒）的能力。下肢运动能力指数和Fugl-Meyer下肢评估用于评估下肢的运动功能。功能性行走分类、10米步行测试和6分钟步行测试用于评估行走能力。伯格平衡量表、定时起立行走测试、功能性伸展测试和躯干损伤量表用于探究平衡能力。所有这些测试都具有较高的效度，并且具有良好的评分者间信度和重测信度。然而，只有3种方法被正式翻译成韩语。这里讨论的方法可用于标准化评估、个性化目标设定、康复计划制定以及治疗效果评估。
