2015 04 v.50 519-522
中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究
基金项目(Foundation):
安徽省级“质量工程”项目(编号:2013tszy011)
邮箱(Email):
DOI:
10.19405/j.cnki.issn1000-1492.2015.04.025
中文作者单位:
安徽医科大学第二附属医院康复医学科;
摘要(Abstract):
目的建立中文版Fugl-Meyer(FM)运动功能评定量表(上肢部分、下肢部分和总分)用于脑卒中患者运动功能评定的最小临床意义变化值(MCID)。方法同时使用校标法和分布法来确定中文版FM运动功能评定量表的MCID。结果中文版FM运动功能评定量表(上肢部分、下肢部分、总分)的组内重测信度分别为0.997、0.989和0.997,组间重测信度分别为0.993、0.952和0.990,MCID分别为4.58、3.31和6.0。结论通过本研究获得了中文版FM运动功能评定量表的MCID,有助于临床和科研工作人员识别中文版FM运动功能评定量表用于脑卒中患者运动功能疗效评定的变化值的真实性,能够确定是否符合临床意义的变化。
关键词(KeyWords):
最小临床意义变化值;;Fugl-Meyer运动功能评定量表;;脑卒中
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参考文献
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[2]Wright A,Hannon J,Hegedus E J,et al.Clinimetrics corner:a closer look at the minimal clinically important difference(MCID)[J].J Man Manip Ther,2012,20(3):160-6.
[3]Fulk G D,Ludwig M,Dunning K,et al.How much change in the stroke impact scale-16 is important to people who have experienced a stroke?[J].Top Stroke Rehabil,2010,17(6):477-83.
[4]沈显山,吴建贤.建立脑卒中康复运动功能评定量表的最小可测变化值[J].安徽医药,2012,16(7):982-7.
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[6]Hsieh Y W,Wang C H,Wu S C,et al.Establishing the minimal clinically important difference of the Barthel Index in stroke patients[J].Neurorehabil Neural Repair,2007,21(3):233-8.
[7]鲍文,陈和木,高晓平.脑卒中患者运动功能评定方法的研究现状及发展趋势[J].安徽医药,2011,15(4):502-4.
[8]Hsieh Y W,Hsueh I P,Chou Y T,et al.Development and validation of a short form of the Fugl-Meyer motor scale in patients with stroke[J].Stroke,2007,38(11):3052-4.
[9]Page S J,Levine P,Hade E.Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer assessment in minimally impaired upper extremity hemiparesis in stroke[J].Arch Phys Med Rehabil,2012,93(12):2373-6.
[10]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29:379-80.
[11]单春雷,余滨宾,励建安.建立规范化的卒中三级康复治疗体系[J].中国脑血管病杂志,2012,9(6):281-3.
[12]胡国清,黄琼峰,黄镇南,等.临床研究中最小临床意义变化值确定方法[J].中南大学学报(医学版),2009,34(11):1058-61.
[13]许光旭,高晓阳,陈文红.Fugl-Meyer运动功能评分的敏感性及实用性[J].中国康复,2001,16(1):18-9.
[14]Hsueh I P,Hsu M J,Sheu C F,et al.Psychometric comparisons of 2 versions of the Fugl-Meyer motor scale and 2 versions of the stroke rehabilitation assessment of movement[J].Neurorehabil Neural Repair,2008,22(6):737-44.
[15]Page S J,Fulk G D,Boyne P.Clinically important differences for the upper-extremity Fugl-Meyer scale in people with minimal to moderate impairment due to chronic stroke[J].Phys Ther,2012,92(6):791-8.
基本信息:
DOI：10.19405/j.cnki.issn1000-1492.2015.04.025
中图分类号:R743.3
引用信息:
[1]陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(04):519-522.DOI:10.19405/j.cnki.issn1000-1492.2015.04.025.
基金信息:
安徽省级“质量工程”项目(编号:2013tszy011)