文章摘要
陆敏,彭军,周宁.脑卒中残损评价表评定急性脑卒中患者的有效性分析[J].中华物理医学与康复杂志,2003,(3):.-
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脑卒中残损评价表评定急性脑卒中患者的有效性分析
  
DOI:
中文关键词: 脑卒中  SIAS  效度
英文关键词: Stroke  SIAS  Validity
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作者单位
陆敏,彭军,周宁 430030武汉华中科技大学同济医学院附属同济医院康复医学科 
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中文摘要:
      目的初步探讨脑卒中残损评价表(SIAS)评估急性脑卒中患者的有效性。 方法对42例急性脑卒中患者用SIAS、Brunnstrom运动功能评定、Fugl-Meyer运动功能评定以及功能独立性测量(FIM)4种量表进行评定,将SIAS运动项目部分与Brunnstrom运动功能评定和Fugl-Meyer运动功能评定结果、SIAS总分与FIM总分进行相关和回归分析。 结果SIAS运动项目部分得分与Brunnstrom运动功能评定分级、Fugl-Meyer运动功能评定得分之间显著相关(r=0.7440~0.9426),SIAS总分与FIM总分间(r=0.9231)以及SIAS内部项目间(r=0.8892~0.9787)亦显著相关,而且SIAS运动项目得分与Fugl-Meyer运动功能得分间、SIAS总分与FIM总分间可建立回归方程。 结论SIAS评定急性脑卒中患者显示出良好的效度,可在临床推广应用。
英文摘要:
      Objective To test the validity of the Stroke Impairment Assessment Set (SIAS) among the subjects with acute stroke. MethodsForty-two patients with acute stroke were assessed by use of SIAS, Brunnstrom movement assessment, Fugl-Meyer movement assessment and Functional Independence Measure (FIM). The correlations among SIAS motor function item scores, Brunnstrom grades and Fugl-Meyer scores and the correlation between SIAS total scores and FIM scores were studied. ResultsThere were significantly positive correlations among SIAS motor function item scores, Brunnstrom grades and Fugl-Meyer scores (r=0.7440-0.9426). A significantly positive correlation also existed between the SIAS total score and FIM score(r=0.9231). The intra-class correlation within SIAS was significant(r=0.8892-0.9787). The regression equations could be made between SIAS motor function scores and Fugl-Meyer scores, SIAS total scores and FIM scores. ConclusionSIAS is a valid instrument when it is used to assess the subjects with acute stroke.
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