脑卒中病损评估量表中的运动功能部分的有效性研究

A study on validity of stroke impairment assessment set motor function

目的：探讨脑卒中病损评估量表中的运动功能部分（ＳＩＡＳＭ）对脑卒中偏瘫患者进行运动功能评定的有效性和可行性。方法：应用ＳＩＡＳＭ对５３例脑卒中偏瘫患者的运动功能进行评测，并与简式ＦｕｇｌＭｅｙｅｒ运动功能评价法（ＦＭＡ）及Ｂａｒｔｈｅｌ指数评定法（ＢＩ）进行相关分析比较。结果：ＳＩＡＳＭ总分与ＦＭＡ总分显著相关（ｒ＝０．９５４５，Ｐ＜０．００１），ＳＩＡＳＭ上肢分与ＦＭＡ上肢分显著相关（ｒ＝０．９７７６，Ｐ＜０．００１），ＳＩＡＳＭ下肢分与ＦＭＡ下肢分显著相关（ｒ＝０．９３２９，Ｐ＜０．００１），ＳＩＡＳＭ总分、ＳＩＡＳＭ上肢分、ＳＩＡＳＭ下肢分与ＢＩ得分均显著相关（ｒ１＝０．７６９４，ｒ２＝０．６３０１，ｒ３＝０．７５５２，Ｐ＜０．００１）。结论：ＳＩＡＳＭ是有效的，并且简便、实用，能敏感地反映偏瘫患者运动功能的变化。

Objective :To investigate the validity of the stroke impairment grading assessment set motor function (SIAS M) among hemiplegia patients.Method: 53 hemiplegic patients were measured by SIAS M, Fugl Meyer assessment (FMA) and Barthel index (BI). The interrelationships among SIAS M, FMA, BI were analyzed.Result : SIAS M had positive relationship with FMA ( r=0.9545,P <0.001), upper limbs SIAS M subscale were positively correlated to FMA upper limbs subscale ( r=0.9776,P <0.001). lower limbs SIAS M subscale were also positively correlated to FMA lower limbs subscale ( r=0.9329,P <0.001).SIAS M, upper limbs SIAS M subscale and lower limbs SIAS M subscale were positively correlated to BI (r 1=0.7694, r 2=0.6301, r 3=0.7552, P< 0.001) .Conclusion :SIAS M is a brief, practical assessment set with good validity, it can be applied to motor functional evaluation among hemiplegia patients.