中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
4期
269-272
,共4页
Fugl-Meyer上肢部分%Wolf运动功能测试%组块测试%九孔柱测试%信度
Fugl-Meyer上肢部分%Wolf運動功能測試%組塊測試%九孔柱測試%信度
Fugl-Meyer상지부분%Wolf운동공능측시%조괴측시%구공주측시%신도
Fugl-Meyer assessment%Wolf's motor function test%Box-block test%Nine-hole peg test%Upper extremities%Reliability
目的 探讨脑卒中偏瘫患者Fugl-Meyer量表上肢运动功能测试部分(U-FMA)、Wolf运动功能测试量表(WMFT)、组块测试(BBT)及九孔柱测试(NHPT)间不同评定次数的重测信度和不同评价者间的组间信度.方法 选取18例脑卒中患者,2h内应用上述4种量表对每例患者进行2次评定,每次评定均由2名受过专业训练的评定员分别进行.结果 U-FMA的重测信度组内相关系数(ICC)为0.988,组间信度ICC为0.959；WMFT的计时均数和计时中位数重测信度ICC分别为0.996和0.393,组间信度ICC均为1.000；WMFT的动作质量等级评分均数重测信度ICC为0.989,组间信度ICC为0.977；BBT患手计数及患手与健手差值的重测信度ICC分别为0.975和0.982;NHPT患手计时及患手与健手计时差值的重测信度ICC分别为0.937和0.936,组间信度ICC均为1.000.结论 U-FMA、WMFT、BBT及九孔柱测试均具有良好的重测信度和组间信度,适用于脑卒中患者手部功能的临床评价.
目的 探討腦卒中偏癱患者Fugl-Meyer量錶上肢運動功能測試部分(U-FMA)、Wolf運動功能測試量錶(WMFT)、組塊測試(BBT)及九孔柱測試(NHPT)間不同評定次數的重測信度和不同評價者間的組間信度.方法 選取18例腦卒中患者,2h內應用上述4種量錶對每例患者進行2次評定,每次評定均由2名受過專業訓練的評定員分彆進行.結果 U-FMA的重測信度組內相關繫數(ICC)為0.988,組間信度ICC為0.959；WMFT的計時均數和計時中位數重測信度ICC分彆為0.996和0.393,組間信度ICC均為1.000；WMFT的動作質量等級評分均數重測信度ICC為0.989,組間信度ICC為0.977；BBT患手計數及患手與健手差值的重測信度ICC分彆為0.975和0.982;NHPT患手計時及患手與健手計時差值的重測信度ICC分彆為0.937和0.936,組間信度ICC均為1.000.結論 U-FMA、WMFT、BBT及九孔柱測試均具有良好的重測信度和組間信度,適用于腦卒中患者手部功能的臨床評價.
목적 탐토뇌졸중편탄환자Fugl-Meyer량표상지운동공능측시부분(U-FMA)、Wolf운동공능측시량표(WMFT)、조괴측시(BBT)급구공주측시(NHPT)간불동평정차수적중측신도화불동평개자간적조간신도.방법 선취18례뇌졸중환자,2h내응용상술4충량표대매례환자진행2차평정,매차평정균유2명수과전업훈련적평정원분별진행.결과 U-FMA적중측신도조내상관계수(ICC)위0.988,조간신도ICC위0.959；WMFT적계시균수화계시중위수중측신도ICC분별위0.996화0.393,조간신도ICC균위1.000；WMFT적동작질량등급평분균수중측신도ICC위0.989,조간신도ICC위0.977；BBT환수계수급환수여건수차치적중측신도ICC분별위0.975화0.982;NHPT환수계시급환수여건수계시차치적중측신도ICC분별위0.937화0.936,조간신도ICC균위1.000.결론 U-FMA、WMFT、BBT급구공주측시균구유량호적중측신도화조간신도,괄용우뇌졸중환자수부공능적림상평개.
Objective To investigate the test-retest reliability and inter-rater reliability of the Fugl-Meyer assessment (FMA),Wolf's motor function test (WMFT),the box-block test (BBT) and the nine-hole peg test (NHPT) in assessing the upper limb motor function of stroke patients.Methods Eighteen stroke patients participated in the study.Each patient was assessed twice within 2 hours with the U-FMA,WMFT,the BBT and the NHPT.Two raters recorded each session separately.Test-retest reliability was investigated by comparing the assessment results of different sessions; interrater reliability was identified by analyzing the assessment results of different raters.Results The intraclass correlation coefficients (ICC) for the U-FMA were 0.988 on test-retest reliability and 0.959 on inter-rater reliability.The ICC of WMFT by mean and median time were respectively 0.996 and 0.393 on test-retest reliability and both 1.000 on inter-rater reliability.The ICC of WMFT by score mean was O.989 for test-retest reliability and 0.977 for inter-rater reliability.The ICC for test-retest reliability of the BBT using affected hand counts and the difference in counts between the affected and un-affected hand were respectively 0.975 and 0.982.The ICC of the NHPT using affected hand times and the difference between the affected hand and unaffected hand times were respectively 0.937 and 0.936 for test-retest reliability,and both 1.000 for inter-rater reliability.Conclusion The U-FMA,WMFT,the BBT and the NHPT are all measurements with good test-retest reliability and inter-rater reliability.They are reliable for assessing the upper extremity motor function of stroke patients.
