CAJ | 학술논문

目的探讨静态平衡仪及平衡功能量表在评定脑卒中偏瘫患者平衡功能时的特点及相关性.方法共选取脑卒中偏瘫患者70例,将其纳入病例组,同期选取36例健康志愿者纳入对照组.由专人采用Berg平衡量表(BBS)、Fugl-Meyer平衡量表(FM-B)及Tetrax静态平衡仪对每位受试者平衡功能进行评定.结果 2组对象BBS、FM-B各项测试指标组间差异均有统计学意义(P＜0.05);对各组对象静态平衡仪检测数据分析后发现,病例组稳定性系数(SI)、体重分布系数(WDI)与对照组间差异具有统计学意义(P＜0.05);量表评定结果与静态平衡仪检测结果间具有显著相关性,其中BBS的静态总分与SI、WDI具有高度相关性.结论量表评定及静态平衡仪检测均可真实反映偏瘫患者平衡功能,其中静态平衡仪能量化反映患者站立位平衡功能,而量表法简单、易行,在临床使用时应注意合理选择.
목적 탐토정태평형의급평형공능량표재평정뇌졸중편탄환자평형공능시적특점급상관성.방법 공선취뇌졸중편탄환자70례,장기납입병례조,동기선취36례건강지원자납입대조조.유전인채용Berg평형량표(BBS)、Fugl-Meyer평형량표(FM-B)급Tetrax정태평형의대매위수시자평형공능진행평정.결과 2조대상BBS、FM-B각항측시지표조간차이균유통계학의의(P＜0.05);대각조대상정태평형의검측수거분석후발현,병례조은정성계수(SI)、체중분포계수(WDI)여대조조간차이구유통계학의의(P＜0.05);량표평정결과여정태평형의검측결과간구유현저상관성,기중BBS적정태총분여SI、WDI구유고도상관성.결론 량표평정급정태평형의검측균가진실반영편탄환자평형공능,기중정태평형의능양화반영환자참립위평형공능,이량표법간단、역행,재림상사용시응주의합리선택.
Objective To compare balance assessment with static balance measuring equipment and clinical balance measuring scales. Methods Seventy hemiplegic stroke patients ( the patient group) and 36 healthy volunteers (the controls) were recruited. Each subject's equilibrium was measured using the Berg Balance Scale (BBS) ,the Fugl-Meyer Balance Scale (FM-B) and tetra-ataxiametry, all by the same therapist. Results The BBS and FM-B results both showed significant differences between the patient group and the control group. The data obtained through tetra-ataxiametric assessment showed that the average weight distribution index ( WDI ) and stability index (SI) were significantly lower in the patient group than among the controls. There was a strong correlation between the tetra-ataxiametric assessment results and the clinical balance test outcomes. The WDI and SI from tetra-ataxiametry were strongly correlated with Berg total static scores. Conclusions Tetra-ataxiametry and the BBS and FM-B tests can all effectively reflect the equilibrium of stroke patients. Tetra-ataxiametry can measure balance ability quantitatively, while the clinical balance tests ( BBS, FM-B) are easier to conduct.