对身体运动功能受限者康复诊断标准的建议

Proposition of rehabilitative diagnostic standard for persons with body movement function limitation

目的:建立身体运动功能受限的康复诊断标准。方法:筛选和设计日常生活能力和上下肢运动功能受限的具体项目并进行分级,同时与原功能评定标准进行对比研究。结果:建立日常生活能力和上下肢运动功能受限的具体诊断标准。①日常生活独立能力的标准:将患者能独立而安全地完成的日常生活活动作为日常生活完全独立的标准;日常生活独立能力受限诊断的各单项分为7级,日常生活综合独立能力受限诊断分为7级。日常生活独立能力的标准也可使用改良Barthel指数评定标准。改良Barthel评分标准将日常生活独立能力分为5级。②肢体运动功能受限诊断标准:上肢功能活动受限康复诊断标准分为5级,下肢功能活动受限诊断标准分为5级。结论:新的身体运动功能受限康复诊断标准便于记忆和使用。

AIM： To set up the rehabilitative diagnositic standard of limitation of physical movement function. METHODS： Selected, designed and classified the concrete items of activities of daily living and limitation of movement function of upper and lower limbs, and compared with primary standard of functional assessment. RESULTS： To establish the concrete diagnostic criteria of activities of dally living and limitation of movement function of upper and lower limbs. ①Criteria of independent ability of dally living： The patients finished the activities of daily living independently and safely, which was regarded as the standard to define completely independence of daily living. Each item of diagnosis of limitation of independent ability of daily living was assigned into 5 grades, and the diagnosis of limitation of comprehensively independent ability of daily living was also divided into 7 grades.The Criteria of indepndent ability of daily living also could use the assessment standard of modified Barthel index that could allocate independent ability of daily living to 7 grades. ②Diagnostic criteria of limitation of movement function of limbs： Rehabilitative diagnostic criteria of movement limitation of upper limb function included 5 grades; Diagnostic criteria of movement limitation of lower limb function also included 5 grades; Diagnostic criteria of movement limitation of deficiency and disability of skeletal limb function ineluded 4 grades. CONCLUSION： New rehabilitative diagnostic standard for body movement function limitation is easy to remember and use.