《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (4): 371-374.

• 临床研究 • 上一篇    下一篇

三种上肢运动功能评定量表的标准效度及其相关性研究

寇程,刘小燮,毕胜   

  1. 中国人民解放军总医院康复医学中心,北京市100853
  • 收稿日期:2013-01-05 修回日期:2013-03-20 出版日期:2013-04-25 发布日期:2013-04-25
  • 通讯作者: 毕胜

Criterion Validity and Correlation of 3 Motor Function Tests on Assessing the Upper Extremities

KOU Cheng, LIU Xiao-xie, BI Sheng   

  1. Rehabilitation Medicine Center, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2013-01-05 Revised:2013-03-20 Published:2013-04-25 Online:2013-04-25

摘要: 目的分别研究脑卒中偏瘫患者Wolf 运动功能测试(WMFT)、BOX-BLOCK 测试(BBT)和九孔柱测试这3 种量表与Fugl-Meyer 上肢运动功能测试(U-FMA)比较的标准效度以及它们之间的相关性。方法由1 名经过训练的评定员对21 例脑卒中受试者进行WMFT、BBT、九孔柱测试和U-FMA 4 种评价,每一受试的该4 种评价在同一天完成。以U-FMA为标准,用Spearman相关分析分别对WMFT计时、WMFT得分、BBT计数、九孔柱计时进行标准效度检验;并用Spearman 相关分析来研究WMFT计时与WMFT得分,BBT 计数与WMFT得分、九孔柱计时与WMFT计时之间的相关性。结果与结论3 种量表的标准效度结果:WMFT得分、BBT计数与U-FMA评分相关(P<0.01);九孔柱计时、WMFT计时与U-FMA评分不相关(P>0.05)。3 种量表间相关性的检测结果:WMFT计时与WMFT得分不相关(P>0.05);BBT计数与WMFT得分相关(P<0.01);九孔柱计时与WMFT计时相关(P<0.01)。

关键词: Fugl-Meyer评定法, Wolf运动功能测试, BOX-BLOCK测试, 九孔柱测试, 上肢, 效度

Abstract:

Objective To investigate the criterion validity of Wolf motor function test (WMFT), BOX-BLOCK TEST (BBT), Nine-Hole Peg Test for assessing upper limb motor function in stroke patients with hemiplegia, as well as the correlation between them. Methods 21 stroke patients participated in the study. 21 stroke patients were assessed once with WMFT, BBT, Nine-Hole Peg Test and U-FMA by one rater. All the 4 tests were assessed on the same day for each patient. The total time of WMFT, the total score of WMFT, the counts of BBT, the time of Nine-Hole Peg Test and the sore of U-FMA were recorded. The Spearman correlation was used to analyze the criterion validity and the correlation. Results and Conclusion Both the total score of WMFT and the BBT counts correlated with U-FMA score (P<0.01). The time of Nine-Hole Peg Test and the total time of the WMFT were not correlated with U-FMA score (P>0.05). The total time of the WMFT and the total score of the WMFT were not correlated (P>0.05). The BBT counts and the total score of the WMFT were correlated (P<0.01). The time of Nine-Hole Peg Test and the total time of WMFT were correlated (P<0.01).

Key words: Fugl-Meyer assessment, Wolf motor function test, BOX-BLOCK TEST, Nine-Hole Peg Test, upper extremity, validity