摘要
目的:研究脑卒中患者计时“起立-行走”测试(TUGT)与ADL的关系,为临床提供一种简单易行的评价方法。方法:对46例治疗后恢复步行能力的脑卒中偏瘫患者进行TUGT测试,同时用Barther(BI)指数测定其ADL能力,并对各变量间进行相关统计分析,ROC曲线确定敏感性和特异性均较高的临界值。结果:TUGT与BI呈负相关(-0.534,P<0.005)。TUGT值判断脑卒中偏瘫患者ADL完全自立的ROC曲线下面积为0.827,P=0.0026,95%可信区间为0.654-1.05,判断步行自立的最佳TUGT临界值为14.9 s,其相应敏感性为88.4%,特异性为90.5%。结论:TUGT作为一个筛查和评价工具与BI结合可以更加充分地描述脑卒中患者功能性移动的能力,为临床评定提供客观依据。
Objective： To provide a simple and easy evaluating method for clinics by studying the relationship between the timed ＂up and go＂ test （TUGT） and activity of daily living （ADL）. Methods： Forty-six hemiparetic stroke patients who had walking ability were enrolled in this study. The ability of ADL was measured by Barthel Index （BI）, and variables of TUGT and BI were statistically analyzed respectively. The critical value of TUGT was determined by ROC curve. Results： There was a negative relationship between TUGT and BI （r=-0. 534, P〈0.002）. The area of ROC in which stroke patients can stand on their own legs thoroughly was 0. 827 （P=0. 0026, 95 % Ci, 0. 654 1.05）. The optimal cut-off values of TUGT to estimate the independent walking of patients were 14.9 s, and in stroke group sensitivity and specificity of TUGT were 88.4 % and 90.5 % re spectively. Conclusion.. TUGT, as a selective and evaluating instrument, combined with BI, may depict more thoroughly the mobility of stroke patients and to provide objective basis for clinical evaluation.
出处
《中国康复》
2006年第2期83-84,共2页
Chinese Journal of Rehabilitation
