Bohannon R W, Leary K M
Department of Rehabilitation, Hartford Hospital, CT, USA.
Arch Phys Med Rehabil. 1995 Nov;76(11):994-6. doi: 10.1016/s0003-9993(95)81035-8.
The purpose of this study of 52 acute rehabilitation patients was to describe the reliability and responsiveness of measurements of standing balance and function and to establish the relationships between the measurements over the course of rehabilitation. Standing balance was measured with a seven-level (0 through 6) ordinal scale. Three functional activities (chair to mat transfer, locomotion, and stair climbing) were measured using Functional Independence Measure (FIM) scores. Balance and FIM scores were found to be reliable (weighted kappa > .85). Balance and FIM scores increased significantly (p < .000) between initial and final assessments (mean interval = 17.5 days). All FIM scores were correlated significantly, both cross-sectionally (rs = .444 to .774) and longitudinally (rs = .279 to .616), with balance. Moreover, changes in FIM scores were correlated significantly with changes in balance (rs = .413 to .595). The results of this study support the use of the ordinal balance scale described herein in an acute rehabilitation setting.
这项针对52名急性康复患者的研究目的在于描述站立平衡和功能测量的可靠性及反应性，并确立康复过程中这些测量指标之间的关系。站立平衡采用七级（0至6级）有序量表进行测量。三项功能活动（从椅子到垫子的转移、移动和爬楼梯）使用功能独立性测量（FIM）评分进行测量。平衡和FIM评分被发现具有可靠性（加权kappa>.85）。在初始评估和最终评估之间（平均间隔=17.5天），平衡和FIM评分显著提高（p<.000）。所有FIM评分在横断面（rs=.444至.774）和纵向（rs=.279至.616）上均与平衡显著相关。此外，FIM评分的变化与平衡的变化显著相关（rs=.413至.595）。本研究结果支持在急性康复环境中使用本文所述的有序平衡量表。
