《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (1): 8-10.

• 论文 • 上一篇    下一篇

用Berg平衡量表和最大步行速度评价脑卒中患者的户外步行自立性

赵宏1a，瓮长水1b，高丽萍1a   

  1. 1.解放军总医院，a. 中医科；b. 南楼康复医学科，北京市 100853。
  • 收稿日期:2009-09-25 修回日期:1900-01-01 出版日期:2010-01-25 发布日期:2010-01-25
  • 通讯作者: 瓮长水

Identifying the Probability for Outdoor Walking Independency in Stroke Patients Using Berg Balance Scale and Maximum Walking Speed

ZHAO Hong， WENG Chang-shui, GAO Li-ping.   

  1. Department of Rehabilitation Medicine, Chinese PLA General Hospital, Beijing 100853，China
  • Received:2009-09-25 Revised:1900-01-01 Published:2010-01-25 Online:2010-01-25

PDF (PC)

被引次数

29

摘要： 目的用Berg平衡量表（BBS）和步行速度作为评价工具，来判别脑卒中患者的户外步行自立性。方法80例脑卒中患者依据户外步行自立性评价分为两组：步行自立组与步行非自立组。用BBS、10 m最大步行速度（MWS）对每位患者进行评定。结果BBS和MWS预测户外步行自立性正确率为88.8%。受试者工作特征（ROC）曲线分析提示判断户外步行自立性的最佳BBS临界值为49.5分，其相应的敏感性为86.2%，特异性为78.4%，ROC曲线下面积为0.905；判断户外步行自立性的最佳MWS临界值为1.0 m/s，其相应的敏感性为93.1%，特异性为90.2%，ROC曲线下面积为0.961。结论BBS和MWS作为筛查工具可以较好地评价脑卒中患者的户外步行自立性。

关键词: 脑卒中, 步行自立性, 步行速度, Berg平衡量表

Abstract: ObjectiveTo identify the probability for outdoor walking independency using the Berg Balance Scale (BBS) and the maximum walking speed （MWS） in stroke patients. Methods80 hemiparetic stroke patients were classified into 2 groups: the independency group and the non-independency group. They were assessed with the BBS and the 10 m MWS. ResultsWith the discriminant analysis, the BBS and the 10 m MWS could identify the independency and non-independency group，hit rate 88.8%. Receiver operating characteristic (ROC) curves suggested the cut-off point 49.5, sensitivity 86.2%; specificity 78.4%, area under ROC curve 0.905 in BBS; while cut-off point 1.0 m/s, sensitivity 93.1%, specificity 90.2%, area under ROC curve 0.961 in MWS. ConclusionBBS and the MWS can identify the outdoor walking independency sensitively and specifically in stroke patients.

Key words: stroke, walking independency, walking speed, Berg Balance Scale