《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (03): 206-208.

• 临床研究 • 上一篇    下一篇

两种平衡量表在脑卒中患者平衡功能评定的实用性研究

刘翠华; 张盘德; 张自茂; 皮周凯; 彭小文   

  1. 广东佛山市第一人民医院康复科 广东佛山市 528000
  • 收稿日期:2004-11-26 出版日期:2005-03-25 发布日期:2005-03-25

Practicability of two rating scales for balance function assessing after stroke

LIU Cui-hua, ZHANG Pan-de, ZHANG Zi-mao, et al   

  1. Department of rehabilitation, the First People's Hospital of Foshan, Foshan 528000, Guangdong,, China
  • Received:2004-11-26 Published:2005-03-25 Online:2005-03-25

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被引次数

40

摘要： 目的探讨Berg平衡功能评定表(BBS)和Fugl-Meyer平衡功能评定表(FMB)在脑卒中患者平衡功能评定的临床实用性及相关性。方法对68例脑卒中患者,于平衡功能训练前后分别应用BBS和FMB由专人进行评定,然后对每位患者进行静态姿势平衡测试仪(BPM)测试。BPM测试分别在睁眼和闭眼状态下进行,取摆幅指数(SI)、摆动的轨迹长(lng)、外周面积(area)进行分析。结果治疗前后比较,FMB评定无显著性差异(P>0.05);BBS评定和BPM各检测指标均有非常高度显著性差异(P<0.001);FMB与BBS之间呈中度的正相关(r=0.517,P<0.001),FMB与BPM各观察指标之间无相关性(r=-0.074～-0.247,P>0.05);BBS与BPM各观察指标之间呈中度负相关(r=-0.410～-0.587,P<0.01～0.001)。结论BBS与BPM在评定脑卒中患者平衡功能方面具有良好的一致性,都可以反映患者的平衡状态;但FMB对治疗前后的效果评定敏感性较差,其临床实用性较低。

关键词: 脑卒中, 平衡功能, 评定, Berg平衡功能评定表, Fugl-Meyer平衡功能评定表, 静态姿势平衡测试

Abstract: ObjectiveTo study the correlations between Berg balance scale (BBS) and balance subscale of Fugl-Meyer test (FM-B), and evaluate their practicability for assessing balance function of patients after stroke.Methods68 stroke inpatients were assessed with BBS, FM-B and BPM before training. After training they were re-assessed by the same researcher. The parameters of BPM were sway index, sway tract length and area. The patients were assessed twice with eye opened and eye closed respectively.ResultsThere was no significant difference in the score of FM-B between the first assessment and after training (P>0.05), while that of BBS and BPM after training were better than before the training (P<0.001). There was moderate correlation between FM-B and BBS (r=0.517,P<0.001), but there was no correlation between FM-B and BPM (r=-0.074～-0.247,P>0.05). There was moderate negative correlation between BMP and BBS (r=-0.410～-0.587,P<0.01).ConclusionBBS and BPM are good tools for assessing balance function of stroke patients; FM-B shows low sensitivity and is not suitable for assessing stroke patients.

Key words: stroke, balance function, assessment, practicability, Berg Balance Scale, Fugl-Meyer Test, Balance Performance Monitor