Adams S A, Ashburn A, Pickering R M, Taylor D
University Rehabilitation Research Unit, Southampton, UK.
Clin Rehabil. 1997 Feb;11(1):42-51. doi: 10.1177/026921559701100107.
To examine the scalability of the Rivermead Motor Assessment with hospitalized acute stroke patients.
This was a prospective study of hospitalized stroke patients.
Fifty-one selected stroke patients, including those over the age of 65, were assessed at one, three and six weeks post-stroke using the Rivermead Motor Assessment. Coefficients of scalability and reproducibility were calculated for each of the three sections of the Rivermead Motor Assessment at each assessment.
The items in the gross function and arm sections met scaling criteria at all three assessments which meant that they were in appropriate order of difficulty. There was an overall increase in the proportion of subjects passing each item at successive assessments, suggesting that patients in the study were recovering. The leg and trunk section did not meet scale criteria with these acute stroke patients.
We recommend that only the gross function and arm sections should be used as hierarchical scales with selected acute stroke patients. The leg and trunk section should only be used as an assessment checklist.
研究里弗米德运动评估量表（Rivermead Motor Assessment）对住院急性脑卒中患者的适用性。
这是一项针对住院脑卒中患者的前瞻性研究。
选取51例脑卒中患者，包括65岁以上患者，在脑卒中后1周、3周和6周使用里弗米德运动评估量表进行评估。在每次评估时，计算里弗米德运动评估量表三个部分各自的适用性系数和可重复性系数。
在所有三次评估中，总体功能和上肢部分的项目均符合适用性标准，这意味着它们的难度顺序合适。在连续评估中，通过每个项目的受试者比例总体呈上升趋势，表明研究中的患者正在康复。腿部和躯干部分不符合这些急性脑卒中患者的量表标准。
我们建议，对于选定的急性脑卒中患者，仅应将总体功能和上肢部分用作分层量表。腿部和躯干部分仅应用作评估清单。
