重心摆动测定法在脑卒中偏瘫患者功能评价中的价值  

Evaluation of the function of postural sway test in hemiparetic patients with stroke

作　　者：赵承军[1] 瓮长水[2] 雷磊[1] 韩东一[1] 张素珍[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》2003年第31期4240-4241,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:通过对脑卒中偏瘫患者重心摆动测定的各参数与其他临床评价变量之间相互关系的研究,探讨重心摆动测定法在脑卒中偏瘫患者功能恢复评价中的价值。方法:对19例患者进行功能独立性测量(FIM)、起立-行走测定(timedupandgotest,TUGT)、Berg平衡评价(Bergbalancescale,BBS)及重心摆动测定仪来进行平衡测定的评价。用Pearson相关分析确定重心摆动测定仪测定的各参数与临床变量之间的关系。结果:重心摆动测定参数中睁、闭眼的总轨迹长、速度、外周面积与BBS之间呈中度负相关(r=-0.475～-0.705,P<0.05);其中闭眼的外周面积(ENVAREA)与BBS之间相关较好。睁、闭眼的X方向动摇平均中心变位和Y方向动摇平均中心变位参数与BBS之间呈无相关性(r=-0.346～0.234,P>0.05);TUGT与闭眼时的总轨迹长、速度和外周面积之间呈中度正相关(r=0.508～0.583,P<0.05)。重心摆动测定参数与FIM-A之间无相关性(r=-0.025～-0.296,P>0.05)。结论:重心摆动测定可以定量测定脑卒中偏瘫患者的平衡功能,而且其能较好地反映患者平衡功能恢复的变化。AIM:To explore the evaluation of the functional rehabilitation of postural sway test, which is a method of determining statical equilibrium of human quantitatively, in hemiparetic patients with stroke by investigating the interrelation of the determined parameters and other clinical evaluating variance. METHODS: Nineteen stroke subjects were assessed in this study. These quantitative parameters were measured by functional independence measure(FIM),(timed 'up and go'test, TUGT),(Berg balance scale, BBS) and postural sway test. Pearson correlation analysis was conducted to define the relationship between the parameters determined by postural sway instrument and the clinical variance. RESULTS:The parameters of total trace length, velocity and envelope area of open and closed eyes in postural sway test were negatively correlated to those in BBS moderately(r=-0.475--0.705,P< 0.05),among them the envelope area(ENV AREA) when eyes closed was better correlated to that in BBS.The parameters of mean center deviation of motion in X and Y direction when eyes opened and closed were not correlated to those in BBS (r=-0.346-0.234,P >0.05).TUGT was positively correlated to the parameters of total trace length, velocity and ENV AREA when eyes closed (r=0.508-0.583,P< 0.05). The parameters in postural sway test were not correlated to FIM A (r=-0.025-0.296,P >0.05). CONCLUSION:Postural sway test may evaluate the equilibrium function of hemiparetic patients with stroke and reflect the changes of their equilibrium functional rehabilitation better.

关 键 词：重心摆动测定法 脑卒中 偏瘫 诊断 

分 类 号：R743.3[医药卫生—神经病学与精神病学]