Measuring recovery of arm-hand function in stroke patients: A comparison of the Brunnstrom-Fugl-Meyer test and the Action Research Arm test

Measuring recovery of arm-hand function in stroke patients: A comparison of the Brunnstrom-Fugl-Meyer test and the Action Research Arm test
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测量中风患者手臂-手功能的恢复情况:Brunnstrom-Fugl-Meyer 测试和 Action Research Arm 测试的比较

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发表时间:
1985
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通讯作者:
W. Weerdt
W. Weerdt
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作者:
W. Weerdt

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本研究的目的是比较两种经过验证且可靠的评估量表——行动研究手臂测试和 Brunnstrom-Fugl-Meyer 测试——这两种量表都为中风患者的手臂运动和功能评估提供有序量表的数字分数。两个评估量表的分数变化以及进行测试所需的时间都被量化。连续入院的 53 名中风患者在中风发病后 2 周和 8 周接受了两项检查。测试分数之间的等级相关系数表明在两周 (rs = 0.91) 和八周 (rs = 0.94) 时均存在显着关系 (p < 0.001)。两项测试的平均改善似乎同样能很好地衡量手臂和手的功能。然而,由于行动研究手臂测试是分级量表,因此比 Brunnstrom-Fugl-Meyer 测试所需的时间更少,因此建议用于中风后手臂-手功能恢复的随访。
The purpose of this study was to compare two validated and reliable assessment scales — the Action Research Arm test and the Brunnstrom-Fugl-Meyer test — both of which provide numerical scores on an ordinal scale for motor and functional assessment of the arm in stroke patients. The change in scores on both assessment scales was quantified, as was the time needed to administer the tests. Fifty-three stroke patients admitted consecutively to hospital were examined on the two tests at two and eight weeks after the onset of stroke. The rank correlation coefficient between scores on the test indicates a significant relationship both at two (rs = 0.91) and eight (rs = 0.94) weeks (p < 0.001). The mean improvement on both tests appeared to measure arm-hand funtion equally well. Nevertheless, because the Action Research Arm test is a hierarchical scale and therefore requires less time to administer than the Brunnstrom-Fugl-Meyer test, it is recommended for follow-up of arm-hand function recovery after stroke.