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在透析过程中进行手持式动力测量测试:内和间可靠性研究
Eva Segura-Ortí1, Anna Junqué-Jiménez2, Valentin Dubuis1
1Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
在血液透析患者下肢肌肉强度测试的手持动力测量是可靠的,特别是对于部肌肉. 规范化数据提高了这些力量评估的准确性.
科学领域:
- 腎病學和康復醫學 腎病學和康復醫學
- 肌肉骨生物力学 肌肉骨生物力学
- 临床测量科学 临床测量科学
背景情况:
- 血液透析患者经常经历肌肉衰弱,影响功能能力和生活质量.
- 准确可靠的肌肉强度评估对于监测这种患者的疾病进展和治疗效果至关重要.
- 手持式动力计为肌肉力量评估提供了一种便携且易于使用的方法.
研究的目的:
- 为了确定手持式动力测量仪在接受血液透析的患者下肢肌肉力量评估的内部和内部可靠性.
- 评估这些测量的绝对和相对可靠性.
- 在透析期间探索这种评估方法的安全性和可行性.
主要方法:
- 一项涉及56名参与者的横截面研究,他们接受了至少3个月的血液透析.
- 两个独立的评分员四次通过手持式动力表测量部和脚肌肉力量.
- 计算了类内相关系数 (ICC) 和最小可检测变化 (MDC) 来评估可靠性. 布兰德-阿尔特曼图片被用来分析协议.
主要成果:
- 在下肢肌肉强度测量中观察到高至非常高的相对可靠性 (ICCs 0.75-0.98).
- 对于部肌肉的绝对可靠性 (MDC) 很好,但对于脚肌肉来说不那么好.
- 评分器间的可靠性显示了比内部的可靠性更广泛的值,在一个评分器的脚足部屈曲中发现了系统偏差.
结论:
- 手持动力计是可靠且安全的工具,用于评估血液透析患者的部曲和绑架强度.
- 与原始测量相比,规范化的强度数据显示出更好的可靠性.
- 由于较广泛的interrater可变性,关节肌肉强度评估可能需要进一步细化.
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