社区康复肢体残疾功能评定表对脑卒中偏瘫疗效的评定①.pdfVIP

中国康复理论与实践2011年12月第17卷第12期 ChinJRehabilTheoryPract,Dec.2011,Vol.17,No.12 - 1116 - ·专题· 社区康复肢体残疾功能评定表对脑卒中偏瘫疗效的评定① 1,2 1,2 1,2 1,2 3 桑德春 ，纪树荣 ，张缨 ，范晓华 ，金萍 [摘要] 目的 观察社区康复肢体残疾功能评定表的效度。方法 313 例社区脑卒中偏瘫患者分为康复组和对照组，康复组进 行康复治疗3 个月，对照组仅做定期跟踪。分别在治疗前、治疗1、2 、3 个月利用社区康复肢体残疾功能评定表进行评定，并与 Fugl-Meyer 评定量表比较。结果 治疗2 个月后，康复组肢体残疾功能及Fugl-Meyer 运动功能评分明显优于对照组(P0.01) ；社区 康复肢体残疾功能评分与Fugl-Meyer 评分正相关(r=0.643, P0.01) 。结论 社区康复肢体残疾功能评定表可作为社区康复效果评定 使用。 [关键词] 社区康复；社区康复肢体残疾功能评定表；脑卒中；偏瘫；效度 Application of Community Extremity Impairment Assessment Schedule in Community Rehabilitation for Stroke SANG De-chun, JI Shu-rong, ZHANG Ying, et al. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China Abstract: Objective To evaluate the validity of Community Extremity Disability Assessment Schedule (CEDA) in community rehabili- tation. Methods 313 patients with hemiplegia after stroke were divided into rehabilitation group and control group. The rehabilitation group received community-based rehabilitation (CBR) for 3 months, and was assessed with Community Extremity Disability Assessment Schedule before and 1 month, 2 months and 3 months after rehabilitation respectively. And it was compared with Fugl-Meyer Assessment (FMA). The control group received the same evaluation only. Results The scores of CEDA and FMA improved more in the rehabilitation group than in the control group 2 months after rehabilitation (P0.01). The score of CEDA positively correlated with the FMA (r=0.643, P0.01). Conclu- sion CEDA can be used to evaluate the efficacy of community rehabilitation. Key words: community-based rehabilitati