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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Prediction of Upper Limb Recovery in the Acute Phase of Cerebrovascular Disease: Evaluation of 'Functional Hand'' Using the Manual Function Test
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Prediction of Upper Limb Recovery in the Acute Phase of Cerebrovascular Disease: Evaluation of 'Functional Hand'' Using the Manual Function Test

机译：脑血管病急性期上肢恢复的预测：使用手动功能测试评估“功能手”

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Background: Prediction of upper limb function recovery in the acute phase of cerebrovascular disease can help clarify goal setting in rehabilitation and subsequently shorten hospital stay. The present study aimed to develop regression equations that can be used to predict the Manual Function Test (MFT) score 3 weeks after onset and to determine the optimal cutoff MFT score for the identification of "Functional Hand.'' Methods: In all, 190 patients with cerebrovascular disease were included in this study. The baseline survey performed within 1 week after onset assessed sociodemographic profiles, medical profiles, and acute symptoms. MFT was performed to determine the cutoff score to indicate Functional Hand. We used stepwise multiple regression analysis to establish the prediction equations with the best fit for the MFT score 3 weeks after onset. In addition, the sensitivity and specificity of the MFT as an indicator of Functional Hand with cutoff values were determined. Results: The multiple regression analysis showed that the following factors had a significant influence on the MFT: Brunnstrom recovery stage, cognitive function, range of motion, age, and sensation. The area under the curve was .93 for the MFT score as an indicator of Functional Hand. The cutoff MFT score to identify Functional Hand was 22/21 points, with a sensitivity and specificity of 91.1% and 82.1%, respectively. Conclusions: Our findings helped develop regression equations that can be used to predict the MFT score 3 weeks after onset of cerebrovascular disease by evaluating factors reportedly associated with upper limb function recovery. (C) 2015 by National Stroke Association
机译：背景：对脑血管疾病急性期上肢功能恢复的预测可以帮助阐明康复目标，从而缩短住院时间。本研究旨在开发回归方程，可用于预测发病后3周的手动功能测试（MFT）得分，并确定用于识别“功能性手”的最佳临界MFT得分。方法：总共190个该研究纳入了脑血管疾病患者，在发病后1周内进行基线调查，评估了社会人口统计学特征，医学特征和急性症状，并进行了MFT来确定代表功能性手的临界值，并采用逐步多元回归分析建立最适合发病后3周MFT评分的预测方程式，并确定MFT作为功能性手的临界值指标的敏感性和特异性结果：多元回归分析表明以下因素对MFT有重要影响：Brunnstrom恢复期，认知功能，运动范围，年龄和感觉。 MFT得分在曲线下的面积为0.93，可作为功能手的指标。识别功能性手的临界MFT分数为22/21分，敏感性和特异性分别为91.1％和82.1％。结论：我们的发现有助于开发回归方程，通过评估据报道与上肢功能恢复相关的因素，可用于预测脑血管病发作后3周的MFT评分。 （C）国家卒中协会2015年

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