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Katrak手部运动量表与上肢Fugl Meyer评估的初步比较显示,中风后两者具有很强的相关性。

A Preliminary Comparison of the Katrak Hand Movement Scale With the Upper Extremity Fugl Meyer Assessment Shows a Strong Correlation After Stroke.

作者信息

Winkler Ann, Sunderland Paul, Major Brendan, Lannin Natasha A

机构信息

Prince of Wales Hospital, Sydney, Australia.

University of New South Wales, Sydney, Australia.

出版信息

Arch Rehabil Res Clin Transl. 2023 Dec 23;6(1):100317. doi: 10.1016/j.arrct.2023.100317. eCollection 2024 Mar.

Abstract

OBJECTIVE

To investigate the concurrent validity of the KHMS with the FMA-UE.

DESIGN

The FMA-UE and the KHMS were administered to 50 adults with stroke to evaluate their concurrent validity.

SETTING

Three tertiary rehabilitation hospitals.

PARTICIPANTS

Participants were aged ≥18 years, receiving stroke or rehabilitation services from a participating hospital, and had a confirmed diagnosis of stroke (ischemic or hemorrhagic) with upper limb involvement. Fifty patients were recruited to the study (20 women, 30 men, N=50) with a mean age of 71 (SD 13.4, range 35-90) years. Time since stroke varied from 2 days to 187 months, with a median of 0.8 months.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Concurrent validity of the KHMS with the FMA-UE.

RESULTS

A correlation of =0.948 was found between the 2 scales (=.0001). Moderate floor effects were noted in our sample (16%); however, significant ceiling effects were recorded (44%).

CONCLUSION

The KHMS demonstrated a statistically strong correlation with the FMA-UE and holds promise for use, particularly in the clinical setting, to evaluate upper limb motor impairment after stroke.

摘要

目的

探讨韩国上肢运动量表(KHMS)与上肢 Fugl-Meyer 评估量表(FMA-UE)的同时效度。

设计

对 50 名成年卒中患者进行 FMA-UE 和 KHMS 评估,以评价其同时效度。

地点

三家三级康复医院。

参与者

参与者年龄≥18 岁,在参与研究的医院接受卒中或康复服务,且确诊为伴有上肢受累的卒中(缺血性或出血性)。共招募 50 名患者(20 名女性,30 名男性,N = 50),平均年龄 71(标准差 13.4,范围 35 - 90)岁。卒中后时间从 2 天至 187 个月不等,中位数为 0.8 个月。

干预措施

不适用。

主要观察指标

KHMS 与 FMA-UE 的同时效度。

结果

两个量表之间的相关性为 r = 0.948(P = 0.0001)。样本中观察到中度的地板效应(16%);然而,出现了显著的天花板效应(44%)。

结论

KHMS 与 FMA-UE 显示出统计学上的强相关性,有望用于评估卒中后上肢运动功能障碍,尤其是在临床环境中。

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Functional recovery following stroke: capturing changes in upper-extremity function.中风后的功能恢复:捕捉上肢功能的变化。
Neurorehabil Neural Repair. 2013 Mar-Apr;27(3):240-50. doi: 10.1177/1545968312461719. Epub 2012 Oct 16.

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