改良Ashworth量表用于痉挛评定的信度研究

被引:264
作者
郭铁成 [1 ]
卫小梅 [1 ,2 ]
陈小红 [1 ,3 ]
机构
[1] 华中科技大学同济医学院附属同济医院康复医学科
[2] 中山大学附属第三医院康复科
[3] 福建医科大学医学技术与工程学院康复治疗学系
关键词
痉挛; 改良的Ashworth分级; 信度;
D O I
暂无
中图分类号
R741 [神经病学];
学科分类号
1002 ;
摘要
目的:检验改良的Ashworth量表(MAS)评定肌痉挛患者肌张力时的信度。方法:共收集了23例肌张力增高的患者,其中16例为偏瘫患者,5例为截瘫患者,2例为四肢瘫患者。由两名医生用MAS分别测量偏瘫患者患肢的屈肘肌、屈腕肌和股四头肌的肌张力,而对截瘫患者只测股四头肌,以检验MAS的评定者间和评定者内信度。结果:屈肘、屈腕肌和股四头肌的评定者间和评定者内信度较高(Kendall′s tau-b为0.621-0.862),符合率也较高(≥50%)。结论:MAS是一种可靠的评估肌痉挛的方法,具有临床应用价值。
引用
收藏
页码:906 / 909
页数:4
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