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杨朝辉,黄 琴,夏小萱.手外伤后上肢功能指数量表与关节主动活动度系统评定的对比研究[J].中国康复医学杂志,2011,26(2):128~131
手外伤后上肢功能指数量表与关节主动活动度系统评定的对比研究    点此下载全文
杨朝辉  黄 琴  夏小萱
华中科技大学同济医学院附属协和医院康复科,武汉,430022
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摘要:
      摘要 目的:探讨上肢功能指数(UEFI)量表与关节主动活动度(TAM)系统评定手外伤后上肢功能的相关性和灵敏性。 方法:采用UEFI量表和TAM系统对30例手外伤患者分别在入院和出院时进行前后2次评定,应用Pearson分析和 t检验比较两种评定方法的相关性和灵敏性。 结果:UEFI与TAM具有高度相关性(相关系数r1=0.863,P1=0.001;r2=0.824,P2=0.001);TAM前后2次得分率均高于UEFI得分率,差异有显著性意义(P<0.001),前后两次得分率之差UEFI高于TAM,差异有显著性意义(P<0.001)。 结论:UEFI量表能较好反映手外伤后上肢功能状况,是一种简单实用的上肢功能评定方法。
关键词:手外伤  上肢功能  评定
Comparative study on the methods for evaluating upper extremity function of the patients after hand injury    Download Fulltext
Department of Rehabilitation, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology,WuHan,430022
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Abstract:
      Abstract Objective: To compare the correlations and sensitivities of upper extremity functional index (UEFI) and total active movement (TAM) in evaluating the upper extremity function of the patients after hand injury. Method: Thirty subjects after hand injury surgeries received physical therapy for management of upper extremity disability and completed two outcome measures at 2 single points(hospital admission and discharge).Pearson correlations and t-tests between UEFI and TAM measures were analysed. Result: UEFI and TAM were significantly correlated, the correlation coefficients of TAM-UEFI at admission and discharge were 0.863 and 0.824 respectively(P<0.001). TAM scores were all higher than UEFI scores at the 2 time points(P<0.001). But the percentage of improved scores of TAM was lower than that of UEFI(P<0.001). Conclusion: The UEFI is a simple and useful measurements for evaluating upper extremity function of patients after hand injury.
Keywords:hand injury  upper extremity function  assessment
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