不同平衡量表应用于脑卒中患者的相关性分析
The correlation of different balance scales in stroke patients
王云龙 1陈长香 1马素慧 1窦娜 1李丹1
作者信息
- 1. 河北联合大学护理与康复学院,唐山,063000
- 折叠
摘要
目的:探讨简易平衡评定系统测试(mini-BESTest)、Berg平衡量表(BBS)、Brunel平衡量表(BBA)应用于脑卒中患者时的相关性,为临床选择适宜的平衡量表提供客观依据.方法:对308例脑卒中患者进行mini-BESTest、BBS、BBA、改良巴氏指数(MBI)和神经功能缺损程度评分量表评测,用Spearman相关系数分析mini-BESTest、BBS和BBA之间的相关性以及三者与肢体运动功能和MBI间的相关性,分析mini-BESTest和BBA各维度之间的相关性以及两者各维度与肢体运动功能和MBI间的相关性.结果:mini-BESTest、BBS和BBA之间相关系数为0.832-0.911(P< 0.01);肢体运动功能、MBI与三个平衡量表的相关系数为-0.589--0.669 (P< 0.01)、0.514-0.548(P< 0.01).mini-BESTest和BBA各维度之间的相关系数为0.365-0.769(P<0.01),肢体运动功能、MBI与mini-BESTEST、BBA两个平衡量表各维度的相关系数分别为-0.392--0.655(P<0.01)、0.359-0.573 (P< 0.01).结论:三个平衡量表之间具有较好的相关性.但mini-BESTest要优于BBS,更适宜在临床上应用,BBA适宜在临床进行快速评估使用.
Abstract
Objective:To explore the correlation of mini-balance evaluation systems test (mini-BESTest),Berg balance scale (BBS) and Brunel balance assessment (BBA) in stroke patients.Methad:Three hundred and eight patients with stroke were assessed with mini-BESTest,BBS,BBA,modified Barthel index (MBI) and neurologic impairment rating scale.The levels of association among mini-BESTest,BBS and BBA were examined with Spearman's correlation coefficients.Spearman correlation analysis were conducted to relationship among three balance scales and MBI,neurologic impairment rating scale,and relationship among the domains of mini-BESTest and BBA with MBI,neurologic impairment rating scale.Result:The significant correlation was shown among three balance scales(mini-BESTest,BBS and BBA),the correlation coefficients were 0.832-0.911 (P<0.01),the correlation coefficients of three balance scales with neurologic impairment rating scale were-0.589--0.669 (P<0.01),with MBI were 0.514-0.548 (P<0.01).The scores of whole assessment and related domains were significantly correlated among mini-BESTest and BBA,and the correlation coefficients were 0.365-0.769 (P<0.01).The correlation coefficients of domains in mini-BESTest and BBA with neurologic impairment rating scale were-0.392--0.655 (P<0.01),with MBI were 0.359--0.573 (P< 0.01).Conclusion:There are good correlation among three balance scales,but mini-BESTest is superior to BBS in clinic and BBA is suitable for rapid assessment in clinic.
关键词
平衡量表/脑卒中/简易平衡评定系统测试/Berg平衡量表/Brunel平衡量表Key words
balance scale/stroke/mini-balance evaluation systems test/Berg balance scale/Brunel balance assessment引用本文复制引用
基金项目
河北省科技厅科技支撑课题(13277748D)
出版年
2015