香港版偏瘫上肢功能测试评定脑卒中患者上肢功能的效度和信度研究

Validity and reliability of the Hong Kong version of the functional test for the upper extremities of hemiplegic stroke patients

目的探讨香港版偏瘫上肢功能测试（FTHUE—HK）评定脑卒中患者上肢功能的效度和信度。方法采用FTHUE—HK、Fugl—Meyer量表上肢部分（FMA）和改良巴氏指数（MBI）对42例人选脑卒中患者在1周内进行2次评定，分析其FTHUE—HK、FMA和MBI评定结果，并验证FTHUE-HK的效度；分析2次FTHUE—HK的评定结果，验证FTHUE—HK的重测信度和评估者间信度。结果2次FTHUE—HK评定结果与FMA总分具有高度相关性（r=0．981、0．982，P〈0．01），且与MBI总分高度相关（r=0．892、0．896，P〈0．01）。FTHUE-HK的重测结果和组间结果高度相关，其重测组内相关系数ICC=0．983，组间相关系数ICC=0．985。结论FTHUE—HK量表评定脑卒中后上肢功能状况具有良好的效度和信度。

Objective To quantify the validity and reliability of the Hong Kong version of the functional test for the Hemiplegic Upper Extremity （ FTHUE-HK）. Methods Forty-two stroke patients were studied. Patients were assessed twice within one week using the FTHUE-HK, the upper extremity component of Fugl-Meyer movement assessment （FMA） and the modified Barthel index （MBI）. The test-retest reliability and inter-rater reliability of the FTHUE-HK were thus quantified. The FTHUE-HK＇s validity was evaluated according to the correlation between the FTHUE-HK, FMA and MBI results. Results Significant correlations between the three assessments were demon- strated（P≤ 0.01 ）. The intra- and inter-class correlation coefficients were 0.983 and 0.985 respectively. Conclusion The FTHUE-HK is a simple and useful assessment of the upper extremity function of stroke patients with good validity and reliability.