Consistency of three measures commonly used in the assessment of balance and functional outcome of patients with post-stroke hemiplegia
- VernacularTitle:三种常用平衡量表评估脑卒中偏瘫患者平衡和功能结局的一致性
- Author:
Chengjun ZHAO
;
Changshui WENG
;
Sheng BI
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2005;9(21):206-208
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: To assess the balance function of post-stoke patients would be conducive to establish rehabilitative goal and to set up therapeutic plan.OBJECTIVE: To investigate the relationship between parameters of three commonly used measures and those of other functional evaluation for patients with post-stroke hemiplegia.DESIGN: Analysis of the relationship between parameters of balance rating scales.SETTING: At otolaryngology department and rehabilitative medicine department of the general military hospital.PARTICIPANTS: From September 2002 to July 2003, totally 57 patients with post-stroke hemiplegia, 45 males and 12 females, aged from 14 to 78years old, with the course of disease ranged from 0. 3 to 11 months, received rehabilitative treatment at rehabilitative department of the general military hospital, were selected to take part in the study. All were confirmed of internal carotid artery system lateral hemispheric disease.METHODS: Three balance measures, namely Berg balance scale, modified Balance subscale of the Fugl-Meyer test and Postural assessment scale for stroke patients were administered on 57 patients for evaluating their lower limb motor function, daily life capability and walking ability after rehabilitative treatments. The relationship between three measures was analyzed with Pearson-correlative analysis, and the relationship between three measures and lower limb motor function, daily life capability and walking ability were also investigated.MAIN OUTCOME MEASURES: ① relationship between three measures;② relationship between three measures and lower limb motor function, daily life capability and walking ability.RESULTS: The data from 57 stroke hemiplegic patients was analyzed without missing. ① Scores for Berg balance assessment, Fugl-Meyer balance rating scale and posture controlling scale for stroke patients was 46.70 ± 5. 15, 10. 26 ± 1.58 and 32.56 ± 2.06, respectively, and the scores of lower limb motor function in Fugl-Meyer assessment was 22. 35 ± 5.82,and moving and marching item in functional independence assessment 24.95 ± 5.2, 10 m maximum walking speed(49.06 ±24.68) m/s. The three measures were proved of significantly higher consistency( r = 0.613-0. 766,P ＜ 0.001 ). ② The three measures were also found to be obviously associated with the lower limb motor function, daily life capability and walking ability of patients with stroke( r = 0. 479-0. 718, P ＜ 0. 001 ).CONCLUSION: Berg balance assessment, modified Fugl-Meyer balance rating scale and posture-controlling scale have been proved of higher consistency and efficacy for assessing the balance function of post-stroke patients, thereby can be used as predictor for the balance functional outcomes,as well as the recovery of the lower limb motor function, daily life capability and walking ability of post-stroke patients.
