一种新的脑卒中患者运动功能评测方法──简化Fugl－Meyer运动功能评测表的制订

A new assessment chart of motor function for CVA patients:development of simplified FMA

脑卒中病人运动功能评测方法很多。其中ＦＭＡ（Ｆｕｇｌ一ＭｅｙｅｒＡｓｓｅｓｓｍｅｎｔｏｆＭｏｔｏｒＦｕｎｃｔｉｏｎ）较有代表性，但由于其过于繁锁、费时，而限制了应用。作者按ＦＭＡ评测规则对７６例脑卒中病人进行评测，将所得结果输入计算机，进行指标聚类分析，从而对原ＦＭＡ表进行了简化，得出一个简化的ＦＭＡ表。简化ＦＭＡ仍以Ｂｒｕｎｎｓｔｒｏｍ的阶段论为理论基础。该表可评价脑卒中病人的各个方面，包括：上、下肢功能（５４）分、平衡功能（１０）分、感觉功能（１０）分、关节活动及疼痛（１６）分，总分９０分。该表可用以评价偏瘫侧和“正常侧”。简化ＦＭＡ最大优点是省时、简单、易用，便于交流。其评价结果可指导治疗，特别适用于早期脑卒中病人。

For patients with CVA,the FMA(Fugl一Meyer assessment of motor function)is of significance for evaluating the motor function among many asses ment charts.But it is.Often criticized for being too long and,therefore,too time-consuming in clinical Dractice.76 stroke patients were tetsed with FMA according to the general rule for administering,The results were computed with SPSS/PC.A stepwise cluster analyses(R model)were conducted.As a result,from 53 observed items 26 variables were selected to which the items of shoulder ROM aod pain are added.Thus,the SFMA(simplified Fugl -Meyer assessment of motor function) is formed.SFMA,also based on Brunnstom's theory,comprises assessment of the ability to perform active movement of the upper and lower extremities reflexes,coordination,balance,sensation,pasive range of motion and pain. The merits of SFMA are intensive and time-saving,and easy to be used for clinical practice. The chart provides an instrument to assess the motor function of stroke patients as objectively as possible,and assists the therapeutists in setting up a treatment plan,Bilateral evaluation provides important information on the functional ability,especially when the non-paretic side is also impaired.Author's address:(Department of Rehabilitation Medicine,Fir t Affiliated Hospital,Guangdong Medical College,510120)