Upper Extremity Function in Stroke Subjects: Relationships between the International Classification of Functioning, Disability, and Health Domains
Upper Extremity Function in Stroke Subjects: Relationships between the International Classification of Functioning, Disability, and Health Domains
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DOI：
10.1016/j.jht.2011.01.002
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发表时间：
2011-07-01
影响因子：
2
通讯作者：
Teixeira-Salmela, Luci Fuscaldi
中科院分区：
文献类型：
--
作者：
Faria-Fortini, Iza;Michaelsen, Stella Maris;Teixeira-Salmela, Luci Fuscaldi
上肢（UL）损伤是卒中后最常见的致残性缺陷，与活动和参与领域有复杂的关系。然而，相对较少的研究应用ICF模型来确定特定UL损伤的贡献，如肌肉无力，疼痛和感觉丧失，作为活动和参与的预测因子。这项预测研究的目的是评估与身体功能/结构、活动和参与领域相关的UL变量之间的关系，并确定哪些变量最能解释55名慢性中风受试者的活动和参与。身体功能/结构通过抓握、捏和UL强度、手指触觉、肩痛和认知（MMSE）的测量进行评估;通过观察到的表现（BBT、NHPT和TEMPA）的测量进行活动域评估;通过生活质量（SSQOL）的测量进行参与。上肢力量和握力与所有活动指标相关（0.52
Upper limb (UL) impairments are the most common disabling deficits after stroke and have complex relationships with activity and participation domains. However, relatively few studies have applied the ICF model to identify the contributions of specific UL impairments, such as muscular weakness, pain, and sensory loss, as predictors of activity and participation. The purposes of this predictive study were to evaluate the relationships between UL variables related to body functions/structures, activity, and participation domains and to determine which would best explain activity and participation with 55 subjects with chronic stroke. Body functions/structures were assessed by measures of grip, pinch, and UL strength, finger tactile sensations, shoulder pain, and cognition (MMSE); activity domain by measures of observed performance (BBT, NHPT, and TEMPA); and participation by measures of quality of life (SSQOL). Upper-limb and grip strength were related to all activity measures (0.52 < r