Bernspång B, Asplund K, Eriksson S, Fugl-Meyer A R
Department of Physical Medicine, University Hospital, Umeå, Sweden.
Stroke. 1987 Nov-Dec;18(6):1081-6. doi: 10.1161/01.str.18.6.1081.
The relative importance of motor, perceptual, and some cognitive functions for self-care ability was analyzed in a representative sample of 109 subjects within 2 weeks of acute stroke. Forty-nine patients (45%) were dependent or partly dependent in self-care. Profound motor dysfunction was present in 39%, low-order perceptual deficits in 10%, high-order perceptual deficits in 60%, and disorientation in time and space in 13% of the patients. There was a significant covariation between motor function and self-care ability and between low-order perception and orientation function. Low-order and high-order perception covaried only weakly. Discriminant analyses showed that the actual level of self-care proficiency could be correctly predicted in 70% of the cases by the 4 indexes of motor function, low-order perception, high-order perception, and orientation. The dominating predictor was motor function, and the next highest was high-order perception. When a program for early training is designed with the aim to alleviate long-term self-care disability after stroke, correct assessment of motor and perceptual functions in the individual stroke patient is essential.
在急性中风后2周内，对109名受试者的代表性样本进行分析，以探讨运动、感知和某些认知功能对自理能力的相对重要性。49名患者（45%）在自理方面存在依赖或部分依赖。39%的患者存在严重运动功能障碍，10%的患者存在低阶感知缺陷，60%的患者存在高阶感知缺陷，13%的患者存在时间和空间定向障碍。运动功能与自理能力之间以及低阶感知与定向功能之间存在显著的协变关系。低阶和高阶感知之间的协变关系较弱。判别分析表明，通过运动功能、低阶感知、高阶感知和定向这4项指标，可以在70%的病例中正确预测自理熟练程度的实际水平。主要预测指标是运动功能，其次是高阶感知。当设计早期训练计划以减轻中风后的长期自理残疾时，对个体中风患者的运动和感知功能进行正确评估至关重要。
