《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 549-551.

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两种步态量表在脑卒中偏瘫步行评定中的评测者间信度

胡楠，卢茜，李军，邓思宇，毕胜   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Inter-rater Reliability of Wisconsin Gait Scale and Gait Abnormality Rating Scale in Hemiplegic Patients after Stroke

HU Nan, LU Xi, LI Jun, DENG Si-yu, BI Sheng   

  1. Center of Rehebilitation Medicine, the Chinese PLA General Hospital, Beijing 100853, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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被引次数

4

摘要： 目的研究威斯康辛步态量表(WGS)、异常步态分级量表(GARS)在脑卒中异常步态评价中的评测者间信度。方法2名物理治疗师对20 例脑卒中后偏瘫患者前、后、左、右方向上的步行视频根据WGS、GARS 进行评价。采用等级间相关系数(ICC)评价WGS 和GARS 的评测者间信度。结果WGS 评测者间信度ICC=0.327~1，GARS 评测者间信度ICC=0~0.875。结论WGS具有较好的评测者间信度，较GARS更适用于脑卒中偏瘫患者的步态评定。

关键词: 脑卒中, 步态, 威斯康辛步态量表, 异常步态分级量表, 评测者间信度

Abstract: Objective To study the inter-rater reliability of Wisconsin Gait Scale (WGS) and Gait Abnormality Rating Scale (GARS) in patients with stroke. Methods 20 hemiplegic patients were required to walk on their comfortable speed and videotaped from frontal, backward and lateral. The video recordings were scored with WGS and GARS by 2 experienced physical therapists. Intraclass correlation coefficient (ICC) was calculated for the scores in each category and the total score. Results ICC for the WGS were 0.372~1, and were 0~0.875 for the GARS. Conclusion WGS is more appropriater to assess the gait of hemiplegic stroke patients than GARS.

Key words: stroke, gait, Wisconison Gait Scale, Gait Abnormality Rating Scale, inter-rater reliability