在患有多发性硬化症的患者中,背靠站测试的可靠性和有效性
Hakan Polat1, Tuba Maden2, Emine Kiliçparlar Cengiz3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, SANKO University, Gaziantep, Turkey.
NeuroRehabilitation
|January 21, 2026
概括
卧卧站测试 (SST) 可靠地测量了多发性硬化症 (pwMS) 患者的功能运动. 这项测试与平衡和流动性有很强的相关性,有助于评估跌倒风险并预测行走能力.
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:
- 仰卧到站立测试 (SST) 评估肌肉力量,灵活性和动态平衡.
- 它具有作为多发性硬化症 (pwMS) 患者功能运动的综合测量潜力.
研究的目的:
- 为了确定 pwMS 中 SST 的有效性和可靠性.
- 探索pwMS中SST性能与其他功能评估之间的相关性.
主要方法:
- 这是一项涉及34个pwMS的横截面观测研究 (EDSS平均值:4.80±1.13).
- 评估了脚肌肉的强度,手动的灵巧性 (9洞杆测试),平衡 (伯格平衡量级),耐力 (6分钟步行测试) 和功能性移动性 (定时和去测试).
- 评估了对跌倒的恐惧 (特定活动平衡自信度表) 和生活质量 (MSQOL-54). 使用类内相关系数 (ICC) 测量了测试重复测试的可靠性.
主要成果:
- 在SST证明了优异的测试重复测试可靠性 (ICC = 0.984).
- SST的表现与伯格平衡量级 (r = -0.547),定时并进行测试 (r = 0.619) 和6分钟步行测试 (r = -0.642) 显示了中等相关性.
- 观察到主导的脚部屈曲器强度和SST (r = 0.349) 之间的中等相关性;没有发现与其他强度测量,9-Hole Peg Test或MSQOL-54的显著相关性.
结论:
- 在pwMS中,SST是评估功能运动能力的可靠和有效工具.
- 它与已建立的平衡和移动性测量措施的相关性表明,它在临床决策中对中度残疾患者的跌倒风险和行走独立性预测具有实用性 (EDSS 4-6).
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