《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (12): 733-735.

• 专题 • 上一篇    下一篇

“起立—行走”计时测试在评定脑卒中患者功能性移动能力中的价值

瓮长水1; 田哲1; 李敏 ; 毕素清 ; 徐军1; 于增志1; 霍春暖2; 高丽萍3; 王军1   

  1. 1.解放军总医院康复医学科 北京市 100853;2.解放军总医院神经内科 北京市 100853;3.解放军总医院中医科 解放军 100853
  • 收稿日期:2004-09-21 出版日期:2004-12-25 发布日期:2004-12-25

The value of the timed “up and go” test at the evaluation of functional mobility in stroke patients

WENG Chang-shui, TIAN Zhe, LI Min, et al   

  1. Department of Rehabilitation Medicine, The General Hospital of PLA, Beijing 100853, China
  • Received:2004-09-21 Published:2004-12-25 Online:2004-12-25

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摘要： 目的探讨“起立-行走”计时测试(TUGT)在评定脑卒中患者功能移动能力中的价值。方法90例脑卒中患者参与本研究。采用Berg平衡量表(BBS)、步行速度和功能独立性测量(FIM )评定患者的平衡、步行速度和功能独立性,作为TUGT的效标尺度;用受试者工作特征曲线构图法求出判断患者独立步行与否的最佳TUGT临界值。结果TUGT与BBS、FIM和步行速度之间有明显相关性(r=-0.926—-0.674,P<0.001);TUGT值<10s的患者全部步行独立,TUGT值>20s的患者中步行自立群只占8.3%;判断独立步行最佳临界值为15.2s,其敏感性为89.4%,特异性为79.1%。结论TUGT具有良好的信度和效度,可反应功能性活动变化的过程。

关键词: 脑卒中, “起立—行走”计时测试(TUGT), 评估, 功能

Abstract: ObjectiveTo evaluate the effect of the timed “up and go” test (TUGT) on measuring functional mobility of stroke patients.MethodsNinety hemiparetic stroke patients participated in this study. The balance, gait speed and disability of patients were measured by Berg balance scale (BBS), maximal gait speed and functional independence measure (FIM) to find out the critical value of TUGT.ResultsA good relationship existed among TUGT and the BBS,gait speed and FIM (r=-0.926—-0.674,P<0.001).The percentage of independent walking of stroke patients whose TUGT scores <10s or>20s were 100% and 8.3%. The optimal cut off values of TUGT to predict the independent walking of patients were 15.2s, and in stroke group sensitivity and specificity of TUGT were 89.4% and 79.1%.Conclusion TUGT is a reliable instrument with adequate concurrent validity to measure the functional mobility of stroke patients.

Key words: stroke, timed “up and go” test (TUGT), assessment, function