偏瘫患者步行能力的临床评测  

Clinical assessment of gait in hemiplegic patients

作　　者：顾新[1] 李玉明[1] 张莉[1] 鲁燕莉[1] 

机构地区：[1]卫生部北京医院康复医学科,100730

出　　处：《中华物理医学与康复杂志》2000年第2期77-79,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　建立偏瘫患者步行能力的临床评测方法。方法　用 3种不同的方法测定步行速度 ,用Tinetti步态评测表进行步行质量的评测 ,用起立行走 (Up&Go)进行功能性步行的评测 ,用BBS评定平衡功能 ,用Chedoke McMaster中风量表评测患侧下肢运动恢复等级。结果　 3种方法测定的步行速度之间高度相关 (r =0 .986～ 0 .994,P <0 .0 0 1) ,其中中间 10m速度略快于其它两种方法 ,但无显著性差异 ;步行速度、步行质量和功能性步行能力之间高度相关 (r =0 .83 7～ 0 .95 2 ,P <0 .0 1) ;步行能力与平衡功能和患侧下肢运动功能等级之间中度至高度相关 (r =0 .63 3～ 0 .790 ,P <0 .0 1)。结论　偏瘫患者步行能力的临床评测方应将步行速度、步行质量和功能性步行能力的评测相结合。Objective To set up clinical assessment of gait for hemiplegic patients. Methods Thirty cases of hemiplegic patients resulted from cerebrovascular accidents were recruited by means of convenient sampling. Walking speed was calculated from measures of walking time obtained with digital stopwatch. Three different ways to record walking time for 10 meters were used: just 10 m, first 10 m and middle 10 m. Walking quality was evaluated by Tinetti Gait Test. Up & Go test was used to assess functional walking performance. The balance of subjects was evaluated by Berg Balance Scale. The lower extremity recovery stage was assessed by the Impairment Inventory of the Chedoke McMaster Stroke Assessment. Results Significant relationships were found among the walking speed obtained by three different ways. The middle 10 m speed was faster than the others, but there is no significant difference among them. Walking speed, score of Tinetti Gait Test and time of Up & Go test were significant correlated. They were also correlated with score of BBS and stage of lower extremity recovery significantly.Conclusion The middle 10 m speed, Tinetti Gait Test and Up & Go test can be used in combination to assess hemiplegic gait clinically.

关 键 词：脑动脉疾病 偏瘫 步态 评定 步行能力 

分 类 号：R493[医药卫生—康复医学]