《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (3): 341-346.doi: 10.3969/j.issn.1006-9771.2019.03.017

• 临床研究 • 上一篇    下一篇

移动康复评定在脊髓损伤患者水中康复评定中的应用

崔尧1,2, 丛芳1,2, 李建军1,2,3, 曾明4, 李东洋5, 金龙1,2, 司凤山1,2, 姚斌1,2, 贾威1,2, 萧敦武1,2, 张凯1,2   

  1. 1.首都医科大学康复医学院，北京市 100068
    2.中国康复研究中心北京博爱医院，北京市 100068
    3.中国康复科学所，北京市 100068
    4.嘉兴市第二医院，浙江嘉兴市 314000
    5.淄博万杰康复医院，山东淄博市 255200
  • 收稿日期:2018-09-13 修回日期:2018-10-15 出版日期:2019-03-25 发布日期:2019-04-02
  • 通讯作者: 李建军,E-mail: crrc100@163.com
  • 作者简介:崔尧(1988-)，男，汉族，陕西西安市人，硕士研究生，主管治疗师，主要研究方向：康复治疗。通讯作者：李建军(1962-)，男，山东威海市人，教授、主任医师，博士生导师，主要研究方向：脊柱脊髓损伤临床治疗与康复、康复管理。
  • 基金资助:
    1.首都医科大学校长基金项目(No. 2018JYJX083)；2.财政部中央国家单位科研项目基金项目(No. 2016ZX-01)；3.中央级公益性科研院所基本科研业务费专项资金项目(No. 2013CZ-50)

Application of Mobile Assessment in Aquatic Rehabilitation Assessment for Patients with Spinal Cord Injury

CUI Yao1,2, CONG Fang1,2, LI Jian-jun1,2,3, ZENG Ming4, LI Dong-yang5, JIN Long1,2, SI Feng-shan1,2, YAO Bin1,2, JIA Wei1,2, XIAO Dun-wu1,2, ZHANG Kai1,2   

  1. 1.Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
    2.Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
    3.Chinese Institute of Rehabilitation Science, Beijing 100068, China
    4.The Second Hospital of Jiaxing City, Jiaxing, Zhejiang 314000, China
    5.Zibo Wan-jie Rehabilitation Hospital, Zibo, Shandong 255200, China
  • Received:2018-09-13 Revised:2018-10-15 Published:2019-03-25 Online:2019-04-02
  • Contact: LI Jian-jun, E-mail: crrc100@163.com
  • Supported by:
    Capital Medical University Principal Fund (No. 2018JYJX083), Ministry of Finance Funds for Research Projects in Central State Units (No. 2016ZX-01) and National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (No. 2013CZ-50)

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摘要： 目的 探索移动医疗技术在脊髓损伤患者水中康复评定中的应用价值。方法 2017年11月至2018年4月，接受水中运动治疗的脊髓损伤患者72例随机分为对照组(n = 36)和实验组(n = 36)，采用Alyn水中适应性评定量表进行评定。对照组采用纸质评定法，实验组采用移动应用程序法，评定2次。记录评定耗时和查询评定结果耗时，统计算分正确率，计算两次评分的变化值和变化率。结果 实验组评定耗时和查询评定结果耗时均显著小于对照组(t > 10.492, P < 0.001)，百分制总分、总分变化率、百分制总分变化率的正确率均高于对照组(χ2 > 4.545, P < 0.05)。结论 与传统纸质量表评定法相比，基于移动技术的电子化康复评定有助于提高工作效率。

关键词: 脊髓损伤, 水中运动治疗, 移动医疗, 康复, 评定

Abstract: Objective To explore the application of mobile medical technology in aquatic rehabilitation assessment for patients with spinal cord injury. Methods From November, 2017 to April, 2018, 72 patients with spinal cord injury accepted aquatic exercise were randomly divided into control group (n = 36) and experimental group (n = 36). All the patients were assessed with Water Orientation Assessment of Alyn (WOTA), using paper scale for the control group, mobile scale for the experimental group, twice. The time for assessment and for recall was recorded. The accuracy of results and variety between assessment was compared. Results The time for assessment and for recall was less in the experimental group than in the control group (t > 10.492, P < 0.001), with more accuracy of standard total score, the variety of total score and standard total score (χ2 > 4.545, P < 0.05). Conclusion Compared with the paper-based assessment, the assessment based on mobile technology may improve work efficiency.

Key words: spinal cord injury, aquatic exercise, mobile health, rehabilitation, assessment

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