《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (10): 969-972.

• 论文 • 上一篇    下一篇

功能伸展测试在评估脑卒中偏瘫患者跌倒风险中的应用

李凤侠1，吴暇2，常冬梅3,4，贾鸿雁2，朱琳3,4，杨文清1   

  1. 1.第四军医大学唐都医院康复医学科，陕西西安市 710038；2.北京市丰台区方庄社区卫生服务中心，北京市 100078；3.首都医科大学康复医学院，北京市 100068；4.中国康复研究中心北京博爱医院运动疗法科，北京市 100068。
  • 收稿日期:2010-08-25 修回日期:1900-01-01 出版日期:2010-10-25 发布日期:2010-10-25

Application of Functional Reach Test in Assessment of Fall Risk in Stroke Patients with Hemiplegia

LI Feng-xia, WU Xia, CHANG Dong-mei, et al   

  1. Department of Rehabilitation Medicine, Tangdu Hospital, the 4th Military Medical University, Xi'an 710038, Shaanxi, China
  • Received:2010-08-25 Revised:1900-01-01 Published:2010-10-25 Online:2010-10-25

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摘要： 目的探究功能伸展测试(FRT)在评估脑卒中偏瘫患者跌倒风险中的作用。方法选取51例恢复期脑卒中偏瘫患者，根据受试者跌倒史的问卷调查，分为跌倒组、将跌未跌组、无跌倒组，分别对3组受试者进行FRT，通过FRT结果，求出能够更好预测跌倒风险测试指标的置信区间，以能否达到其下限来预测跌倒风险。结果FRT测试指标前后移动范围与跌倒次数高度相关(r=-0.788，P<0.01)，受试者前后移动范围<42.15 cm时，受试者的跌倒风险大。结论FRT能够预测受试者的跌倒风险，可应用于脑卒中偏瘫患者跌倒风险的评估。

关键词: 功能伸展测试, 跌倒风险, 平衡, 偏瘫

Abstract: ObjectiveTo examine the application of functional reach test(FRT) in the assessment of fall risk in stroke patients with hemiplegia.MethodsThis study used a randomized repeated measures trial design. 51 post-stroke patients with hemiplegia were recruited and were assigned into three groups, fallen group, falling group and no-fall group, according to the result of the survey on the patients' history of fall. FRT was performed for the three groups respectively to obtain confidence interval that predict fall risk more effectively according to the result of FRT. Fall risk by confidence lower limit was predicted.ResultsThe reaching distance anteriorly and posteriorly in FRT was highly correlated of the number of fall(r=-0.788，P<0.01). When the reaching distance was lower than 42.15 cm, the fall risk of the examinee was highest.ConclusionFRT can be applied to predict the fall risk of the examinee, and can also be used in the assessment of fall risk in stroke patients with hemiplegia.

Key words: functional reach test, fall risk, balance, hemiplegia