坐立试验评价脑卒中患者平衡功能的研究

关键词：脑卒中 平衡 评价 5次坐立试验

Keywords:stroke  balance  assessment  five-times-sit-to-stand test

摘要：

      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〈0．011、-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。

Abstract:

      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.