The Gaps between Capability ADL and Performance ADL of Stroke Patients in a Convalescent Rehabilitation Ward -Based on the Functional Independence Measure-
The Gaps between Capability ADL and Performance ADL of Stroke Patients in a Convalescent Rehabilitation Ward -Based on the Functional Independence Measure-
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DOI：
10.1589/jpts.23.333
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发表时间：
2011-04-01
影响因子：
--
通讯作者：
Shimada, Tomoaki
中科院分区：
文献类型：
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作者：
Iwai, Nobuhiko;Aoyagi, Yoichiro;Shimada, Tomoaki
[目的]本研究的目的是根据日常生活活动的难度水平和日常生活中实际活动水平（表现ADL）与监督下可以进行的潜在活动水平（能力ADL）之间的差距，阐明日常生活活动的结构及其特征。[对象]本研究的对象为255例脑卒中患者。[方法]采用功能独立性量表评定操作性ADL和能力性ADL，并通过Rasch分析将其转换为区间量表，比较项目难度和差距。[结果]操作性ADL得分低于能力性ADL得分。能力ADL和性能ADL之间的差距入院时并没有减少在出院时。日常生活能力测验项目按时间间隔分为高、中、低三个难度等级。一些ADL项目倾向于发展差距，而另一些则没有。难度水平与差距的相关性极低，且难度越高的ADL项目的差距并不总是越大。[结论]在ADL改善过程中，能力型ADL的改善先于表现型ADL的改善。
[Purpose] The purpose of this study was to clarify the structure of activities of daily living and their characteristics based on the relationship with their difficulty levels and the gaps between the actual activity level achieved in daily living (performance ADL) and the potential activity level that can be performed under supervision (capability ADL). [Subjects] The subjects of this study were 255 stroke patients. [Methods] Performance ADL and capability ADL were evaluated using the functional independence measure, and the scores were converted to an interval scale by Rasch analysis to compare item difficulty and gaps. [Results] Scores of performance ADL were lower than those of capability ADL. The gaps between capability ADL and performance ADL on admission had not decreased at the time of discharge. ADL items could be categorized into three difficulty levels of high, moderate and low by interval scales. Some ADL items tended to develop gaps, while others did not. The correlation between difficulty level and the gap was extremely low, and ADL items of higher difficulty did not always have greater gaps. [Conclusion] We confirmed that the improvement of capability ADL precedes that of performance ADL in the process of ADL improvement.