智能化手功能评定系统用于脑卒中患者手功能评定的可信性分析  

Analysis of the reliability of intelligent hand function assessment system for the hand function evaluation in stroke patients

作　　者：徐友康 路微波[1] 吴军发[2] 李放[2] 黄燕[2] 周媚媚 

机构地区：[1] 蚌埠医学院附属上海市第一康复医院康复医学科,200090 [2] 复旦大学附属华山医院

出　　处：《中国康复医学杂志》2015年第6期572-575,共4页Chinese Journal of Rehabilitation Medicine

基　　金：上海市科委资助项目(11DZ1921304)

摘　　要：目的:分析智能化手功能评定系统在脑卒中患者手功能评定的信度。方法:共收集了30例初发单侧脑卒中偏瘫患者,年龄(53.83±2.02)岁,男18例,女12例。应用智能化手功能评定系统测量脑卒中偏瘫手最大握力、捏力和夹指压力,每个项目均测量3次,取最大值作统计学分析;再予以Brunnstrom(手部),FM-UE运动评测和Barthel指数法评定手功能。结果:智能化手功能评定系统测定最大握力、捏力及夹指压力结果与其他常用上肢功能评定之间存在直线相关关系,Pearson相关系数为0.670—0.888(P值均小于0.05);最大握力与FM-UE和Brunnstrom(手部)的相关性优于最大捏力和夹指压力。结论:智能化手功能评定系统检测出的最大握力、捏力及夹指压力可反映脑卒中患者上肢功能,能对患者上肢功能进行客观、精确和量化的评定。Objective：To analyze the reliability of intelligent hand function assessment system for the hand function evalua- tion in stroke patients. Method：A total of 30 first episode stroke patients with unilateral hemiplegia （18 male and 12 female） were ad- mitted, and their average age were （53.83-2.02） years old. First, the intelligent hand function assessment system was used to measure their hemiplegic hand fimction for three times, including maximum grip strength, pinch strength and pinch finger pressure and then the maximum values were taken for the statistical analysis. Second, Brunnstrom recovery stage（hand part）, Fugl-Meyer motor function assessment upper extremity subscale （FM-UE） and Barthel index（BI） were used to evaluate the hand function. Result： The outcomes of intelligent hand function assessment system had linear correlation with the common up- per extremity functional assessment in maximum grip strength, pinch strength and pinch finger pressure, with the Pearson correlation coefficient of 0.6704.888 （P values 〈 0.05）.The correlations between maximum grip strength and FM-UE as well as Brunnstrom recovery stage （hand part） were superior to the pinch strength and pinch finger pressure. Conclusion： To measure the maximum grip strength, pinch strength and pinch finger pressure by the intelligent hand function assessment system may reflect the upper extremity function of stroke patients, and it can be an objective, accurate and quantitative evaluation.

关 键 词：握力 捏力 夹指压力 脑卒中 评定 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]