重心摆动测定法量化评估脑卒中偏瘫患者的平衡功能(英文)  

Stabilometer test for the quantified evaluation of equilibrium function in stroke patients with hemiplegia

作　　者：雷磊[1] 瓮长水[2] 赵承军[1] 韩东一[1] 

机构地区：[1]解放军总医院耳鼻咽喉科,北京市100853 [2]解放军总医院康复医学科,北京市100853

出　　处：《中国临床康复》2005年第17期200-202,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:脑卒中偏瘫患者通常存在着平衡功能的障碍,常见的评估手段以定性为主,而对制定康复计划和治疗效果评估更需要平衡功能定量化标准。目的:探讨脑卒中偏瘫患者重心摆动测定各参数与其他功能评价变量之间相互的关系,及其对脑卒中偏瘫患者功能恢复评价中的价值。设计:以定性评估为依据的定量评估研究。单位:解放军总医院耳鼻咽喉科、康复医学科。对象:选择2002-09/2003-04解放军总医院康复医学科进行康复治疗的19例脑卒中偏瘫患者,均为首次发病,颈内动脉系统一侧大脑半球病变的患者,男14例,女5例,年龄33～55岁,病程0.5～4个月。方法:对19例脑卒中偏瘫患者进行功能独立性测量、起立-行走测定、Berg平衡评价及重心摆动测定仪来进行平衡测定的评价。其中重心摆动测定仪是一种定量分析方法,主要包括总轨迹长,速度,外周面积,X方向动摇平均中心变位,Y方向动摇平均中心变位等参数。主要观察指标:用Pearson相关分析确定重心摆动测定仪测定的各参数与其他功能测评变量之间的关系。结果:按意向处理分析,19例脑卒中偏瘫患者全部进入结果分析。重心摆动测定参数中睁、闭眼的总轨迹长、速度、外周面积与Berg平衡评价评分之间呈中度负相关(r=-0.475～-0.705,P<0.05);BACKGROUND:The patients with hemiplegia of stroke commonly appear balance disturbance and the mean of assessment on it is applied in quality commonly.But the implementation of assessment on rehabilitation schedule and therapeutic results requires much more quantitative standards on balance function.OBJECTIVE:To probe into interrelationship between every parameter of stabilometer test and variables in other function evaluations in the patients with hemiplegia of stroke as well as the value of evaluation on functional recovery in the patients with hemiplegia of stroke.DESIGN:Quantitative assessment based on the qualitative assessment.SETTING:Department of Otolaryngology and Department of Rehabilitation Medicine in General Hospital of Chinese PLA.PARTICIPANTS:Nineteen first attack cases of hemiplegia of stroke received rehabilitation treatment in Department of Rehabilitation Medicine of General Hospital of Chinese PLA from September 2002 to April 2003,diagnosed as disorder of cerebral hemisphere on lateral internal carotid artery.Of those,14 cases were males,5 cases females;aged varied from 33 to 55 years and the course of sickness was at the range from 0.5 to 4 months.METHODS:Nineteen patients with hemiplegia of stroke received functional independence measures(FIM),timed up go test(TUGT),Berg balance scale(BBS) and evaluation on balance measure with stabilometer.Of those,stabilometer is a kind of quantitative analysis method,including the parameters of total length of locus,speed,peripheral area,average central changing site of X wavering direction,average central changing site of Y wavering direction,etc.MAIN OUTCOME MEASURES:Pearson correlation analysis was used to determine the interrelationship between every parameter measured with stabilometer and other measured functional variables.RESULTS:By intention to treat management analysis,19 cases of hemiplegia of stroke all entered analysis on results.Among the parameters of stabilometer test,the moderate negative correlation presented in the comparison of total len

关 键 词：脑血管意外 偏瘫 平衡 

分 类 号：R743[医药卫生—神经病学与精神病学]