在急性住院中风康复中,中风上肢容量尺度的有效性
Michael Wayne O'Dell1,2, George Ghafari1, Marc Campo1,3
1Department of Rehabilitation Medicine, Weill Cornell Medicine.
概括
脑卒中上肢容量尺度 (SULCS) 在住院康复期间有效测量中风幸存者的上肢功能. 它证明了强大的有效性和可接受的可靠性,用于评估中风后的康复.
科学领域:
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
- 临床评估工具 临床评估工具
背景情况:
- 卒中康复需要经过验证的工具来测量上肢 (UE) 容量.
- 脑中风上肢容量尺度 (SULCS) 是对中风后的UE功能的一种潜在测量方法.
- 评估UE能力对于指导康复和预测结果至关重要.
研究的目的:
- 为了确定中风上肢容量尺度 (SULCS) 在急性住院中风康复中的有效性和可靠性.
- 为了评估SULCS的三个手类别来评估UE能力.
- 将SULCS得分与功能独立度量 (FIM) 和上肢运动度指数 (UE-MI) 等已建立的指标进行比较.
主要方法:
- 评估了312个人的队列,大约在中风后10天,NIHSS平均值为7.3.
- 参与者完成了SULCS,FIM,UE-MI,查尔森并发症指数,并收集了家庭出院的数据.
- 使用斯皮尔曼等级相关系数 (rho) 来分析SULCS与其他指标之间的关系.
主要成果:
- 总SULCS分数和FIM自我护理 (rho=0.72) 和UE-MI (rho=0.82) 在入院时之间发现了强烈的相关性.
- 在SULCS中,与"较少"的ADL类项目 (行走,排便,表情) 相比,与"更多"的ADL类FIM项目 (饮食,美容,洗) 相比,相关性更强.
- 较高的SULCS手类与更好的入院/出院FIM分数,较低的NIHSS和增加的家庭出院相关;克伦巴赫的α为0.92.2.
结论:
- 在住院中风康复治疗的患者中,SULCS是评估上肢容量的有效措施.
- SULCS显示出良好的内部一致性和与功能结果的相关性.
- 建议进行进一步的研究,以探索在这种环境下SULCS的上限效应和响应能力.
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