骶骨定标法在健康者与偏瘫患者三级平衡检测中的有效性  

Validity of sacrum-marked method on evaluating the third-level balance performance of health people and hemiplegic patients

作　　者：王盛[1] 朱奕[1] 朱晓军[2] 孟殿怀[1] 王彤[1] 

机构地区：[1]南京医科大学第一附属医院(江苏省人民医院)康复医学科,南京210029 [2]江苏省省级机关医院康复医学科

出　　处：《中国康复医学杂志》2012年第3期223-226,共4页Chinese Journal of Rehabilitation Medicine

基　　金：江苏省科教兴卫工程重点学科省内开放课题(KF200922)

摘　　要：目的:探讨骶骨定标法在三级平衡检测中应用的有效性。方法:招募健康者(n=10)及脑损伤偏瘫患者(n=11),分别进行骶骨定标法结合外力干扰的姿势应力试验,并采集受试者的平衡策略量表(BSS)得分及重心平均摆动幅度(MSA)及平均摆动速度(MSV);偏瘫患者还进行Berg平衡量表(BBS)及改良"站起-走"计时测试(MTUG)。结果:①偏瘫患者的BSS得分与一级[Berg平衡量表静态成分(SBBS)]、二级平衡测试[Berg平衡量表动态成分(DBBS、MTUG)]无相关性(P>0.05);②骶骨定标点的重心MSA、MSV与BSS得分之间呈负相关(健康人:rs=-0.76,rs=-0.77;偏瘫患者:rs=-0.78,rs=-0.68)。结论:以BSS为代表的三级平衡具有不同于一二级平衡的性质;骶骨定标法结合外力干扰所测得的MSA及MSV能反映健康人及偏瘫患者的三级平衡能力,骶骨定标法可用于三级平衡检测。Objective：To study the application of sacrum-marked method on testing third-level balance performance.Method：Health people（n=10） and brain injury patients with hemiplegia（n=11） were recruited.Both groups took the postural stress test with external force perturbation using the sacrum-marked method;the variables were balance strategy scores（BSS） and mean sway amplitude（MSA） as well as mean sway velocity（MSV） of the center of gravity;and hemiplegic patients also took Berg balance scale（BBS） and modified timed ＂up and go＂ test（MTUG）.Result：①In hemiplegic patients there was no correlation between the test of the third-level balance state BSS and the test of the first-level functional balance state [static component of Berg balance scale（SBBS）（rs=0.56）] as well as the test of the second-level functional balance state [dynamic component of Berg balance scale（DBBS）（rs=0.56）,MTUG（rs=0.071）]（P0.05）.②The MSA and MSV of the center of gravity were negatively correlated with BSS（health people：rs=-0.76,rs=-0.77;hemiplegic patients：rs=-0.78,rs=-0.68）.Conclusion：The character of the third-level balance（BSS） is different from the other two balance performance.The MSA and of the center of gravity with sacrum-marked method and external force perturbation can reflect the third-level balance in health persons and hemiplegic patients,and the sacrum marked method can be applied to evaluate the third-level balance performance.

关 键 词：骶骨定标法 外力干扰 平衡策略量表 三级平衡 

分 类 号：R49[医药卫生—康复医学]