富勒顿高级平衡尺度在中风患者中的心理测量特性
Ertan Kızılkaya1, Nezire Köse2, Sibel Ünsal Delialioğlu3
1Vocational School of Health Services, Yüksek İ̇htisas University, Ankara, Turkey.
Topics in stroke rehabilitation
|July 18, 2023
概括
富勒顿高级平衡尺度土耳其版 (FAB-T) 是评估中风患者平衡的可靠和有效工具. 它还在预测跌倒方面表现出很好的准确性,有助于改善患者的独立性.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 跌倒是中风幸存者的常见和严重问题,影响了他们的独立性.
- 有效的平衡评估对于降低跌倒风险和增强功能恢复至关重要.
- 富勒顿高级平衡量 (FAB) 已经在其他神经疾病中证明了可行性,但尚未在中风患者中.
研究的目的:
- 评估富勒顿高级平衡量表 (FAB-T) 的土耳其版本的可靠性和有效性.
- 评估FAB-T作为中风 (PwS) 患者平衡评估工具的适用性.
主要方法:
- 进行了一项涉及51名中风患者的横截面研究.
- 使用克朗巴赫的α和类内相关系数 (ICC) 来评估内部一致性和评级者协议的可靠性.
- 通过将FAB-T分数与STREAM,BRS,BI,SF-36,BBS和Mini-BEST等既定措施相关联,检查了融合和并发有效性.
主要成果:
- FAB-T表现出优异的内部评价者 (ICC=0.998) 和评价者之间的可靠性 (ICCs=0.984-0.990),具有很高的内部一致性 (克朗巴赫α=0.930).
- 该尺度与其他平衡和功能指标的相关性很好或很好,包括STREAM (ρ=0.677),BI (ρ=0.628),BBS (ρ=0.942) 和Mini-BESTest (ρ=0.928).
- FAB-T的切割值为21.5分,表明在预测跌倒方面具有可接受的准确性 (灵敏度为84%,特异性为61%,AUC=0.749).
结论:
- 土耳其版的富勒顿高级平衡量 (FAB-T) 是可靠和有效的工具,用于评估中风患者的平衡.
- 在这个人群中,FAB-T 作为预测跌倒风险的有价值工具.
- 它的使用可以有助于更有针对性的康复策略和改善患者的治疗结果.
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