A PERFORMANCE-TEST FOR ASSESSMENT OF UPPER LIMB FUNCTION IN PHYSICAL REHABILITATION TREATMENT AND RESEARCH
A PERFORMANCE-TEST FOR ASSESSMENT OF UPPER LIMB FUNCTION IN PHYSICAL REHABILITATION TREATMENT AND RESEARCH
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DOI：
10.1097/00004356-198112000-00001
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发表时间：
1981-01-01
影响因子：
1.7
通讯作者：
LYLE, RC
中科院分区：
文献类型：
--
作者：
LYLE, RC
发展一种快速，可靠和标准化的性能测试适用于评估恢复上肢功能皮质损伤后的报告。偏瘫患者（20例）首先由独立评估者在两种情况下评估一系列性能指标，包括上肢功能，如抓握、抓握、外侧伸展、手指-拇指对掌、旋前和旋后。评分者间和重测信度分别为+0.99和+0.98。通过相关性分析进一步完善了测试项目，产生4个分量表：抓握，抓握，捏和总运动，每个项目按照难度的层次顺序排列。最难项目的成功预测了该分量表上难度较小项目的成功;最简单项目的失败预测了所有更难分量表项目的失败。所有分量表均符合Guttman量表的统计学标准。计算机模拟表明，通过依赖Guttman量表在测试中的分层特性，测试长度减少了67-87%。这项行动研究手臂测试的交叉验证证实了分层评分程序的有效性，当用于50名患者时，这些患者的诊断范围要广得多，包括截肢者和关节炎患者。行动研究式上肢测试在偏瘫康复中具有广泛的应用前景。除了在监测治疗进展方面的明显用途外，它还可用于在临床或研究背景下评价治疗，具有可靠性和快速性的重要优势。虽然这是一个高度具体的措施，在肢体功能的变化，它也承担了更广泛的关系，经验得出的日常生活活动的规模。
Development of a rapid, reliable and standardized performance test appropriate for use in assessing recovery of upper limb function following cortical damage is reported. Hemiplegic patients (20) were first assessed on a range of performance measures involving upper limb functions such as grasp, grip, lateral prehension, finger-thumb opposition, pronation and supination, by independent raters, on 2 occasions. Interrater and test-retest reliabilities were + 0.99 and +0.98, respectively. The test was further refined by correlational analysis of items to yield 4 subscales: grasp, grip, pinch and gross movement, each with items arranged in hierarchical order of difficulty. Success with the most difficult item predicted success with items of lesser difficulty on that subscale; failure with the easiest item predicted failure with all more difficult subscale items. All subscales fulfilled the statistical criteria for Guttman scales. A computer simulation indicated reductions of 67-87% in test length through reliance on the hierarchical properties of the Guttman scales in testing. A cross-validation of this Action Research Armtest confirmed the validity of the hierarchical scoring procedure when used with 50 patients having a far wider spread of diagnosis, including amputees and arthritic patients. The Action Research Armtest has wide potential application in the rehabilitation of hemiplegia. In addition to its obvious use in monitoring progress within treatment, it can also be used to evaluate treatment in a clinical or research context, where it confers the important advantages of reliability and rapidity. Although it is a highly specific measure of changes in limb function, it also bears a wider relation to empirically derived scales of activities of daily living.