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修改的阿什沃思和修改的塔迪尤尺度在它们对下肢性的分类上有所不同

J Beard^1,2, G Williams^1,2, M Kahn^1,2

¹Physiotherapy Department, Epworth Healthcare, Richmond VIC, Australia.

Clinical rehabilitation

|April 29, 2025

概括

修改的阿什沃思尺度 (MAS) 和修改的塔迪尤尺度 (MTS) 在分类神经损伤患者的下肢性方面存在差异. 协议在肌肉之间有所不同,近邻群体显示出更多的差异.

科学领域:

神经学神经学
康复医学康复医学康复医学
临床评估临床评估

背景情况:

是神经损伤后常见的损伤,影响运动功能.
准确的性分类对于指导康复策略至关重要.
修改的阿什沃思尺度 (MAS) 和修改的塔迪尤尺度 (MTS) 是常用的临床工具来评估性.

研究的目的:

为了比较修改后的阿什沃思尺度 (MAS) 和修改后的塔迪尤尺度 (MTS) 在分类下肢性之间的一致性.
评估神经损伤的成年人四个特定的下肢肌肉的性分类的一致性.

主要方法:

一项观察性试验涉及90名患有下肢的成年人.
使用MAS和MTS对腿筋 (40°和90°的部曲),四头骨,腹肌和足部进行评估.
对每个尺度的发现进行二分化,分为性或非性类别.
使用2x2应急表和费舍尔的精确测试计算协议.

主要成果:

在所有评估的肌肉中,MAS比MTS更频繁地发现了性.
根据肌肉群,MAS和MTS之间的一致性因肌肉群而异:腿筋在90° (17.6%),四头骨 (67.1%),单肢 (67.8%),腿筋在40° (75.0%) 和腹肌 (77.9%).
统计学上显著的分类差异在90°的腿筋和四头四之间被发现.

结论:

修改的阿什沃思尺度和修改的塔迪欧尺度在分类下肢性方面表现出显著的差异.
对于更近距离的肌肉群,例如腿筋,这种协议特别不一致.
这些发现凸显了在临床实践和研究中解释这些尺度结果时需要仔细考虑的必要性.

关键词:

的情况是Spasticity.脑损伤是因为脑损伤.高血压症 (hypertonia) 是一种高血压.神经学评估神经学评估

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