坐立试验评价脑卒中患者平衡功能的研究

The assessment of five-times-sit-to-stand test performance in stroke patients with balance disorders

目的:以5次坐立试验(five-times-sit-to-stand test,FTSST)评定脑卒中患者平衡功能,并与其他平衡量表比较,探讨其临床应用的稳定性和相关因素。方法:按条件选择脑卒中患者66例(实验组)和正常人63例(对照组)。采用5次坐立试验、BBS评定、FM-B评定、Barthel指数和步行速度进行测试,对脑卒中患者和正常人两组资料进行比较分析。结果:实验组与对照组之间5次坐立试验时间的差异均有非常显著性意义(P<0.01)。实验组患者中5次坐立试验时间与BBS评定、FM-B评定、Barthel指数及步行速度之间的相关系数分别为-0.873(P<0.01)、-0.826(P<0.01)、-0.740(P<0.01)、-0.876(P<0.01)。结论:FTSST临床评测脑卒中患者平衡功能的稳定性好,方法简便实用,干扰因素少,可用于临床评定脑卒中患者的平衡功能。

Objective：To discuss the utility of five-times-sit-to-stand Test （FTSST） compared to the BBS,FM-B, Barthel Index and walking speed for the evaluation of functional status in patients with post stroke hemiplegia. Method：Sixty six patients with post stroke hemiplegia who had no other pathology affecting their balance and 63 normal persons were included in this study. FTSST, Berg Balance Scale （BBS）,FM-B,Barthel Index and walking speed were detected in stroke patients, FTSST was detected in normal group. The relationship between FTSST and BBS,FM-B,Barthel Index and walking speed were analyzed. Result：There was significant difference in FTSST between control group and stroke group; In patients with post stroke hemiplegia, FTSST was significantly correlated with BBS（r=-0.873, P〈0.01） , FM-B （r=-0.826,P〈0.01） Barthel Index（r=-0.740,P〈0.01） and walking speed（r=-0.876, P〈0.01）. Conclusion：Similar to BBS and FM-B, FTSST is also able to evaluate the balance functional state correctly in patients with post stroke hemiplegia. Additionally, it is simple and less error compared to other indexes.