首页> 美国卫生研究院文献>Journal of Physical Therapy Science >Minimal clinically important difference for the Fugl-Meyer assessment of theupper extremity in convalescent stroke patients with moderate to severehemiparesis
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Minimal clinically important difference for the Fugl-Meyer assessment of theupper extremity in convalescent stroke patients with moderate to severehemiparesis

机译:临床上对Fugl-Meyer评估的最小重要差异恢复期中度至重度中风患者的上肢偏瘫

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摘要

[Purpose] To estimate the minimal clinically important difference for the Fugl-Meyerassessment of the upper extremity by using anchor-based methods in stroke patients withmoderate to severe hemiparesis. [Participants and Methods] Fourteen patients who werehospitalized in a convalescent phase rehabilitation ward were included in this study.Fugl-Meyer assessment of the upper extremity was used to assess the impairment prior tointervention and at follow-up (six weeks later). Participants were asked to evaluate thedegree of improvement of paresis of the upper extremity using the global rating of changescale at follow-up. The mean change in Fugl-Meyer assessment scores in the group ofpatients who answered “a little better, meaningful in daily life” in the global rating ofchange scale was considered as the minimal clinically important difference. [Results] Themean post-onset period of participants for analysis was 49.4 days. The minimal clinicallyimportant difference of the Fugl-Meyer assessment scores were 12.4 (upper extremity), 5.6(upper arm), and 4.9 (wrist/hand). [Conclusion] A score of 12.4 in the Fugl-Meyerassessment of the upper extremity is likely to be perceived as meaningful in strokepatients with moderate to severe hemiparesis.
机译:[目的]评估Fugl-Meyer在临床上的最小差异基于锚的方法评估卒中患者的上肢中度至重度偏瘫。 [参加者和方法] 14例患者本研究包括在康复期康复病房住院的患者。上肢的Fugl-Meyer评估用于评估损伤之前干预和随访(六个星期后)。要求参与者评估使用整体变化率评估上肢轻瘫的改善程度在后续行动中扩大规模。两组中Fugl-Meyer评估得分的平均变化总体评分为“在日常生活中好一点,有意义的人”的患者变化量表被认为是最小的临床重要差异。 [结果]参与者的平均发病后分析时间为49.4天。最小的临床Fugl-Meyer评估得分的重要差异是12.4(上肢),5.6(上臂)和4.9(手腕/手)。 [结论]在Fugl-Meyer中得分为12.4评估上肢评估可能被认为对中风有意义中度至重度偏瘫患者。

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