Minimal Detectable Changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed "Up & Go" Test, Gait Speeds, and 2-Minute Walk Test in Individuals With Chronic Stroke With Different Degrees of Ankle Plantarflexor Tone
Minimal Detectable Changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed "Up & Go" Test, Gait Speeds, and 2-Minute Walk Test in Individuals With Chronic Stroke With Different Degrees of Ankle Plantarflexor Tone
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DOI：
10.1016/j.apmr.2012.01.014
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发表时间：
2012-07-01
影响因子：
4.3
通讯作者：
Chaiyawat, Pakaratee
中科院分区：
文献类型：
--
作者：
Hiengkaew, Vimonwan;Jitaree, Khanitha;Chaiyawat, Pakaratee
慢性中风患者不同程度踝关节跖屈肌张力的Berg平衡量表、Fugl-Meyer评估量表、定时“Up & Go”测试、步态速度和2分钟步行测试的最小可检测变化。中华医学杂志（英文版）；2012;32(3):391 - 391。目的：确定能够行走且踝关节跖屈肌张力存在差异的慢性中风患者体位平衡和下肢运动检测措施在95%置信水平（MDC95）下的绝对和相对最小可检测变化的重测信度。设计：重测研究。数据采集2次，间隔约6天。环境：门诊物理治疗诊所。参与者：患有慢性中风的志愿者（N=61），他们能够行走，脚踝跖屈肌张力有差异：脚踝跖屈肌张力没有增加（N= 12），脚踝跖屈肌张力轻微增加（N= 32），脚踝跖屈肌张力明显增加（N= 17）。干预：不适用。主要观察指标：Berg平衡量表（BBS）、Fugl-Meyer下肢量表（FMA-LE）、定时“上走”测试（TUG）、舒适步速（CGS）、快速步速（FGS）、2分钟步行测试（2MWT）的信度、绝对和相对MDC95。结果：BBS、FMA-LE、TUG、CGS、FGS和2MWT对所有参与者的组合和亚组都显示出极好的可靠性。所有参与者在论坛上的绝对MDC95和相对MDC95分别为5分和10%。FMA-LE为4分，16%，TUG为8秒，28%，CGS为0.2m/s, 34%， FGS为0.1m/s, 21%， 2MWT为13m， 23%。亚组的绝对和相对MDC95根据踝关节跖屈肌张力而变化。结论：BBS、FMA-LE、TUG、CGS、FGS和2MWT是检测踝关节跖屈肌张力差异的慢性卒中患者体位平衡和下肢运动的可靠指标。每个测量的绝对和相对MDC95在踝关节跖屈肌张力的差异中是不同的。相对MDC95似乎比绝对MDC95更有用，因为相对值可以用于单个个体。
Hiengkaew V. Jitaree K, Chaiyawat P. Minimal detectable changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed "Up & Go" Test, gait speeds, and 2-minute walk test in individuals with chronic stroke with different degrees of ankle plantarflexor tone. Arch Phys Med Rehabil 2012;93:1201-8.Objective: To determine test-retest reliability and absolute and relative minimal detectable changes at the 95% confidence level (MDC95) of measures to detect postural balance and lower limb movements in individuals with chronic stroke who were able to walk and had differences in ankle plantarflexor tone.Design: Test-retest study. Data were collected on 2 occasions, about 6 days apart.Setting: Outpatient physical therapy clinics.Participants: Volunteers (N=61) with chronic stroke who were able to walk and had differences in ankle plantarflexor tone: no increase in ankle plantarflexor tone (n=12), a slight increase in ankle plantarflexor tone (n=32), and a marked increase in ankle plantarflexor tone (n=17).Intervention: Not applicable.Main Outcome Measures: Reliability and absolute and relative MDC95 of the Berg Balance Scale (BBS), the lower limb subscale of Fugl-Meyer Assessment (FMA-LE), the Timed "Up & Go" test (TUG), the comfortable gait speed (CGS), the fast gait speed (FGS), and the 2-minute walk test (2MWT).Results: Excellent reliability of the BBS, FMA-LE, TUG, CGS, FGS, and 2MWT for all the participants combined and for the subgroups was shown. All the participants combined showed the absolute and relative MDC95 in the BBS of 5 points and 10%. FMA-LE of 4 points and 16%, TUG of 8 seconds and 28%, CGS of 0.2m/s and 34%, FGS of 0.1m/s and 21%, and 2MWT of 13m and 23%. The absolute and relative MDC95 of the subgroups were varied based on ankle plantarflexor tone.Conclusions: The BBS, FMA-LE, TUG, CGS, FGS, and 2MWT are reliable measures to detect postural balance and lower limb movements in individuals with chronic stroke who have differences in ankle plantarflexor tone. The absolute and relative MDC95 of each measure are dissimilar in those with differences in ankle plantarflexor tone. The relative MDC95 seems more useful than the absolute MDC95 because the relative value can be used for a single individual.