A postural adaptation test for stroke patients
A postural adaptation test for stroke patients
复制标题
DOI：
10.1080/0963828021000024924
复制
发表时间：
2003-02-04
影响因子：
2.2
通讯作者：
Fung, J
中科院分区：
文献类型：
--
作者：
Kairy, D;Paquet, N;Fung, J
目的：目的：探讨高级活动和平衡量表（AMBS）的评定者间信度，并确定其对脑卒中患者的鉴别能力。方法：12例偏瘫患者和6例健康老年志愿者分别在站立和步行时进行快速头部运动和在斜坡上站立和步行时进行录像。五个物理治疗师观看了录像带，以建立interrater信度。结果：Interrater信度：组内相关比范围从0.93-0.97的AMBS全球以及斜率和头部转动分项得分。结构效度：进行单因素方差分析和事后成对比较，以确定高（HFL）和低功能水平（LFL）卒中患者（基于步态速度）与健康受试者之间的评分是否存在差异。健康受试者的平均（+/-SD）总体评分为45 +/- 3，HFL卒中患者为40 +/- 9，LFL卒中患者为25 +/- 1（HFL与LFL患者和LFL患者与健康受试者的p < 0.05）。健康人、HFL和LFL受试者的AMBS斜率子评分分别为22 ± 2、19 ± 5、9 ± 7（p <0.05）。
Purpose: To explore the interrater reliability of the Advanced Mobility and Balance Scale (AMBS) and to determine its discriminative capacity in stroke patients.Methods: Twelve hemiparetic patients and six healthy elderly volunteers were videotaped while: (1) executing rapid head motions during standing and walking; and (2) standing and walking on a slope. Five physical therapists viewed the videotapes to establish interrater reliability.Results: Interrater reliability: Intraclass correlation ratios ranged from 0.93-0.97 for the AMBS global as well as slope and head turn subscores. Construct validity: One-way ANOVAs and post-hoc pairwise comparisons were performed to determine whether there was a difference in scores between high (HFL) and low functional-level (LFL) stroke patients (based on gait speed) and healthy subjects. Mean (+/-SD) global scores were 45 +/- 3 for healthy subjects, 40 +/- 9 for HFL stroke patients and 25 +/- 1 for LFL stroke patients (p < 0.05 for HFL versus LFL patients and LFL patients versus healthy subjects). The AMBS slope subscores were 22 + 2, 19 + 5, 9 + 7 for healthy, HFL and LFL subjects respectively (p