为患有中风后半症的患者开发并进行综合性手动肌肉测试的心理评估
Linyu Chen1, Yajing Yang1, Sijie Chen2
1Department of Neurology and Neurological Rehabilitation, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Shanghai, China.
European journal of physical and rehabilitation medicine
|December 9, 2025
概括
一种新的综合手动肌肉测试 (iMMT) 为中风幸存者提供了可靠和有效的肌肉力量评估,克服了传统方法的局限性. 这个工具有助于精确评估和有针对性的康复策略.
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.
- 生物医学工程 生物医学工程
背景情况:
- 肌肉力量对于中风后的功能恢复至关重要.
- 现有的肌肉强度评估 (手动肌肉测试,动力测量) 对中风患者有局限性,包括协同运动干扰和操作复杂性.
- 需要一个经过验证的工具来准确地测量肌肉力量在中风恢复阶段,解决这些限制.
研究的目的:
- 开发一种整合性手动肌肉测试 (iMMT),专门用于测量中风患者的肌肉功能,特别是那些有异常协同运动的患者.
- 评估开发的IMMT的心理测量特性.
主要方法:
- 在一家康复医院的住院环境中,对中风患者进行了一项观察性研究.
- iMMT是通过一个多阶段的过程来开发的:最初的项目创建,分级系统,专家小组对内容有效性的审查,以及与104名中风患者的试点测试.
- 用因子分析,可靠性 (内部一致性,测试-复试,测试者间) 和有效性 (融合和标准) 分析来评估心理测量属性.
主要成果:
- 最后的17项iMMT包括活跃运动范围 (A分) 和强度 (B分) 的双重分级系统,集成到总分 (C分).
- iMMT表现出卓越的心理测量特性:令人满意的内容有效性,优异的内部一致性 (α=0.949),高的测试-重新测试和测试者之间的可靠性 (ICC:0.829-0.992),以及9.69.95的最小可检测变化 (MDC
95 ). - iMMT显示出优异的融合和标准有效性,与已建立的措施如Fugl-Meyer评估,Berg平衡量级和10米步行测试有很强的相关性.
结论:
- iMMT是第一个专门设计用于克服中风患者协同运动干扰的肌肉力量评估工具.
- iMMT提供了一种可靠且有效的方法,用于评估中风恢复的所有阶段的肌肉力量.
- 该工具为半患者提供精确,可访问的肌肉评估,指导向干预,改善康复结果预测.
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