中国人简易上肢功能检查测试结果分析

doi:10.3969/j.issn.1006-9771.2021.06.016

摘要/Abstract

摘要： 目的

观察简易上肢功能检查(STEF)在中国成人中的测量结果，并与原数据进行比较。

方法

2020年5月至6月，根据STEF操作指南，使用其专用工具对130例中国健康成年人进行测试，使用单样本t检验将测得数据与日本人群原数据进行比较，根据差异对中国人的STEF进行调试。

结果

右侧10个操作项目中，大球、中球、大立方、大圆片、小立方、布、金属圆片、金属小球、铁钉共9个项目与日本人群数据比较有显著性差异(|t| > 1.760, P < 0.05)；左侧10个操作项目中，大球、中球、大立方、大圆片、小立方、金属小球、铁钉共7个项目与日本人群数据比较有显著性差异(|t| > 2.257, P < 0.001)。

结论

中日样本STEF测试结果比较存在差异，应用时应进行适当调试。

关键词: 上肢功能, 简易上肢功能检查, 精细动作

Abstract: Objective

To observe the measurement of Simple Test for Evaluating Hand Function (STEF) in Chinese, and compared to that of Japanese.

Methods

From May to June, 2020, 130 healthy individuals were tested with the toolkit and instructions of STEF, and the result was compared with Japanese data with one-sample t-test, and adjusted.

Results

Among the ten items performed on the right side of the STEF, nine items, except item four (middle-sized cubes), were significantly different from those of Japanese (|t| > 1.760, P < 0.05). Among the ten items performed on the left side of STEF, seven items, except item four (middle-sized cubes), item seven (vinyl sheets) and item eight (iron circular plates), were significantly different from those of the Japanese (|t| > 2.257, P < 0.001).

Conclusion

There is significant difference in the test results of STEF between Chinese and Japanese samples, and need to be adjusted.

Key words: upper extremity function, Simple Test for Evaluating Hand Function, fine motor

中图分类号:

R742

曹丽辉,黄富表,徐筱婧媛. 中国人简易上肢功能检查测试结果分析[J]. 《中国康复理论与实践》, 2021, 27(6): 730-736.

Li-hui CAO,Fu-biao HUANG,Xiao-jing-yuan XU. Simple Test for Evaluating Hand Function for Chinese[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 730-736.

图/表 6

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检查项目	内容方法
检查1：大球	R处有直径7 cm的垒球5个，从R到L向左侧移动55 cm
检查2：中球	B处有直径4 cm的木球6个，从B到R向右侧移动30 cm
检查3：大立方	L处有10×10×4.7 cm的木质立方5个，从L到R向右侧移动55 cm
检查4：中立方	R处的近位和远位有边长3.3 cm的木质立方6个，从R到BL向左侧移动35 cm
检查5：大圆片	DR处有直径3 cm、厚度1 cm的木质圆片6个，从DR到BL向左侧移动30 cm
检查6：小立方	AR处有边长1.4 cm的木质立方6个，从AR到BL向近身体的左侧移动40 cm
检查7：布	检查台中央部有7×9 cm的人造革布6片，原地翻面
检查8：金属圆片	B处有直径2 cm、厚度0.2 cm金属圆片6个，从B到A向身体远侧移动30 cm
检查9：金属小球	A处有直径0.6 cm的金属小球6个，从A到BL向近身体的左侧移动35 cm
检查10：铁钉	B处有直径0.3 cm、长4.3 cm的小铁钉6个，从B插到C中

项目	右侧		左侧		t值^a	P值^a	t值^b	P值^b
项目	日本	中国	日本	中国	t值^a	P值^a	t值^b	P值^b
大球	4.10±0.6	4.76±0.62	4.40±0.7	4.77±0.59	12.231	< 0.001	-20.713	< 0.001
中球	3.50±0.6	4.37±0.66	3.80±0.6	4.47±0.64	15.031	< 0.001	11.886	< 0.001
大立方	6.00±0.9	6.78±0.95	6.50±1.0	6.77±0.87	7.422	< 0.001	3.588	< 0.001
中立方	5.90±0.8	6.04±0.91	6.30±0.8	6.20±0.89	1.760	0.081	-1.284	0.202
大圆片	4.20±0.7	4.57±0.80	4.60±0.8	4.74±0.71	5.286	< 0.001	2.257	0.026
小立方	5.10±0.7	6.05±0.87	5.60±0.7	6.25±0.86	12.435	< 0.001	8.664	< 0.001
布	4.00±0.7	4.79±0.86	4.40±0.8	4.69±0.81	10.420	< 0.001	1.091	0.277
金属圆片	6.90±1.1	7.34±1.39	7.50±2.8	7.43±1.11	3.616	< 0.001	-0.705	0.482
金属小球	7.30±1.7	6.77±0.94	7.70±1.8	6.89±1.04	-6.400	< 0.001	-8.840	< 0.001
铁钉	9.70±1.9	9.40±1.36	10.80±1.9	10.0±1.54	-2.504	0.014	-5.834	< 0.001

检查项目	侧别	所用时间										标准差
检查项目	侧别	10分	9分	8分	7分	6分	5分	4分	3分	2分	1分	标准差
大球 (< 30)	左	6.55	8.33	10.10	11.88	13.66	15.44	17.21	18.99	20.77	22.54	1.18
大球 (< 30)	右	6.62	8.48	10.33	12.19	14.05	15.90	17.76	19.61	21.47	23.33	1.24
中球 (< 30)	左	6.38	8.30	10.22	12.13	14.05	15.97	17.88	19.80	21.72	23.63	1.28
中球 (< 30)	右	6.35	8.33	10.31	12.30	14.28	16.26	18.24	20.22	22.20	24.18	1.32
大立方 (< 30)	左	9.39	12.01	14.63	17.24	19.86	22.48	25.09	27.71	30.33	32.94	1.74
大立方 (< 30)	右	9.61	12.45	15.29	18.13	20.96	23.80	26.64	29.48	32.31	35.15	1.89
中立方 (< 30)	左	8.86	11.51	14.17	16.83	19.48	22.14	24.80	27.45	30.11	32.76	1.77
中立方 (< 30)	右	8.79	11.53	14.27	17.02	19.76	22.51	25.25	28.00	30.74	33.48	1.83
大圆片 (< 30)	左	6.87	9.00	11.12	13.25	15.38	17.50	19.63	21.76	23.89	26.01	1.42
大圆片 (< 30)	右	6.96	9.35	11.75	14.14	16.53	18.92	21.31	23.71	26.10	28.49	1.59
小立方 (<30)	左	8.83	11.41	13.99	16.57	19.15	21.73	24.31	26.89	29.47	32.05	1.72
小立方 (<30)	右	8.67	11.29	13.91	16.53	19.16	21.78	24.40	27.02	29.64	32.26	1.75
布 (< 30)	左	7.13	9.58	12.02	14.47	16.91	19.35	21.80	24.24	26.68	29.13	1.63
布 (< 30)	右	7.37	9.96	12.55	15.13	17.72	20.30	22.89	25.48	28.06	30.65	1.72
金属圆片 (< 30)	左	10.77	14.11	17.45	20.79	24.12	27.46	30.80	34.14	37.48	40.82	2.23
金属圆片 (< 30)	右	11.51	15.67	19.84	24.00	28.17	32.34	36.50	40.67	44.83	49.00	2.78
金属小球 (< 40)	左	10.02	13.15	16.27	19.40	22.53	25.65	28.78	31.91	35.03	38.16	2.08
金属小球 (< 40)	右	9.60	12.43	15.26	18.08	20.91	23.74	26.57	29.40	32.23	35.06	1.89
铁钉 (< 70)	左	14.63	19.26	23.88	28.50	33.12	37.74	42.36	46.99	51.61	56.23	3.08
铁钉 (< 70)	右	13.48	17.55	21.63	25.71	29.78	33.86	37.93	42.01	46.09	50.16	2.72

项目	男		女		t₁值	P₁值	t₂值	P₂值	t₃值	P₃值	t₄值	P₄值
项目	右	左	右	左	t₁值	P₁值	t₂值	P₂值	t₃值	P₃值	t₄值	P₄值
大球	4.73±0.63	4.73±0.58	4.80±0.63	4.81±0.61	0.609	0.544	0.713	0.477	-0.134	0.893	-0.053	0.958
中球	4.36±0.60	4.46±0.63	4.38±0.71	4.49±0.64	0.182	0.856	0.108	0.914	-0.790	0.431	-0.896	0.372
大立方	6.76±0.88	6.70±0.90	6.79±1.00	6.84±0.85	0.735	0.464	0.881	0.380	-0.288	0.773	-0.274	0.784
中立方	6.01±0.94	6.26±0.91	6.06±0.90	6.15±0.87	0.313	0.755	-0.694	0.489	-0.574	0.567	-1.448	0.150
大圆片	4.59±0.79	4.73±0.68	4.55±0.81	4.75±0.74	-0.321	0.749	0.179	0.858	-1.539	0.126	-1.002	0.319
小立方	6.15±0.74	6.40±0.79	5.97±0.97	6.13±0.90	-1.188	0.237	-1.788	0.076	-1.004	0.317	-1.785	0.077
布	4.91±0.86	4.80±0.86	4.68±0.86	4.60±0.76	-1.544	0.125	-1.029	0.308	0.578	0.564	-0.983	0.328
金属圆片	7.66±1.59	7.56±1.08	7.07±1.14	7.32±1.13	-2.443	0.016	-1.257	0.211	-1.341	0.182	0.352	0.725
金属小球	6.90±0.93	7.06±1.04	6.66±0.94	6.74±1.03	-1.421	0.158	-1.751	0.082	-0.495	0.621	-0.919	0.360
铁钉	9.71±1.54	7.06±1.04	6.66±0.94	6.74±1.03	-2.403	0.018	-2.124	0.036	-2.851	0.005	-2.083	0.039

项目	年龄(岁)	右侧	左侧	F₁值	P₁值	F₂值	P₂值
大球	总计	4.764±0.620	4.774±0.593	1.788	0.153	1.133	0.338
	20~	4.717±0.585	4.756±0.605
	30~	4.636±0.493	4.708±0.506
	40~	4.775±0.721	4.713±0.583
	50~	4.961±0.663	4.939±0.692
中球	总计	4.371±0.661	4.466±0.640	1.375	0.253	2.174	0.094
	20~	4.211±0.530	4.445±0.564
	30~	4.310±0.583	4.349±0.540
	40~	4.382±0.676	4.402±0.633
	50~	4.553±0.799	4.706±0.771
大立方	总计	6.725±1.115	6.775±0.873	0.832	0.479	0.605	0.613
	20~	6.687±0.844	6.788±0.969
	30~	6.672±0.851	6.691±0.846
	40~	6.566±1.590	6.709±0.810
	50~	6.984±1.023	6.946±0.915
中立方	总计	6.041±0.916	6.200±0.886	4.905	0.003	3.978	0.010
	20~	5.837±0.670	6.021±0.784
	30~	5.743±0.702	5.932±0.627
	40~	6.159±1.039	6.323±1.041
	50~	6.474±1.024	6.571±0.967
大圆片	总计	4.570±0.798	4.740±0.710	5.488	0.001	3.550	0.016
	20~	4.386±0.553	4.448±0.621
	30~	4.309±0.712	4.610±0.567
	40~	4.638±0.887	4.889±0.760
	50~	4.988±0.802	4.972±0.802
小立方	总计	6.053±0.875	6.253±0.861	2.667	0.051	1.688	0.173
	20~	5.852±0.567	6.218±0.737
	30~	5.855±0.757	6.056±0.772
	40~	6.162±0.976	6.308±0.887
	50~	6.353±1.010	6.494±0.988
布	总计	4.788±0.863	7.871±36.260	2.969	0.034	0.626	0.599
	20~	4.670±0.787	4.521±0.751
	30~	4.540±0.603	13.988±62.327
	40~	4.911±0.981	4.765±0.939
	50~	5.086±1.002	4.868±0.861
金属圆片	总计	7.341±1.390	7.431±1.114	3.375	0.021	5.743	0.001
	20~	7.216±0.985	7.485±0.835
	30~	6.940±0.806	6.917±0.976
	40~	7.391±1.110	7.693±0.975
	50~	7.927±2.153	7.839±1.338
金属小球	总计	6.771±0.944	6.892±1.043	3.452	0.019	3.955	0.010
	20~	6.911±0.878	6.734±0.967
	30~	6.429±0.783	6.598±0.894
	40~	6.840±0.962	6.915±0.990
	50~	7.076±1.058	7.382±1.188
铁钉	总计	9.402±1.360	10.012±1.542	0.840	0.474	3.262	0.024
	20~	9.301±1.241	9.941±1.300
	30~	9.211±1.137	9.551±0.999
	40~	9.436±1.570	10.070±1.421
	50~	9.698±1.493	10.637±2.148