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吴丹丽,解东风,宋梅思,陈培荣,马晓丹,刘思文,李 奎,丘卫红.中文版躯干损伤量表评定脑卒中患者躯干功能的信度及效度研究[J].中国康复医学杂志,2020,(1):40~44
中文版躯干损伤量表评定脑卒中患者躯干功能的信度及效度研究    点此下载全文
吴丹丽  解东风  宋梅思  陈培荣  马晓丹  刘思文  李 奎  丘卫红
中山大学附属第三医院,广东省广州市,510630
基金项目:广州市科技计划项目(201607010185);广东省科技计划项目(2016A020215226)
DOI:10.3969/j.issn.1001-1242.2020.01.008
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摘要:
      摘要 目的:探讨中文版躯干损伤量表(TIS)评定脑卒中患者躯干功能的信度及效度,为该量表的临床应用提供客观依据。 方法:病例组和对照组各50例参加了本研究,病例组进行TIS、Fugl-Meyer中的平衡部分(FM-B)和Berg平衡量表(BBS)评定,并在2天内完成TIS第二次评定;对照组进行1次的TIS和FM-B评定。将两次TIS的结果做相关性分析测试其信度;将TIS结果与FM-B、BBS作相关性分析检验其效度。 结果:TIS两次测试结果高度相关,重测信度组内相关系数(ICC)为0.899—0.971,测量者间ICC为0.843—0.973;TIS与FM-B、BBS总分高度相关(r=0.891,r=0.858);病例组和对照组的TIS总分分别为21.7±1.3分和13.5±4.3分,两者间差异具有显著性(P<0.01)。 结论:中文版TIS具有良好的效度、信度和区分度,可用于脑卒中患者躯干功能的评价。
关键词:脑卒中  躯干损伤  躯干控制  信度  效度
Validity and reliability of the Chinese version of the Trunk Impairment Scale on assessing the trunk motor impairment of stroke patients    Download Fulltext
Dept. of Rehabilitation, The Third Affiliated Hospital, Sun Yat-sen University, 510630 and Dept. of Rehabilitation, The Third Affiliated Hospital, Sun Yat-sen University, 510630
Fund Project:
Abstract:
      Abstract Objective: To translate the Trunk Impairment Scale into Chinese(TIS-C), and to explore its validity, reliability and discrimination. Method: Fifty stroke patients and fifty matched healthy subjects were recruited. Test-retest and inter-rater reliability were analyzed with intraclass correlation coefficient(ICC)test. Validity was estimated by comparing the TIS-C to the balance subscore of the Fugl-Meyer(FM-B) and Berg balance scale(BBS). Result: ICC was 0.899—0.971 for test-retest reliability and 0.843-0.973 for inter-rater reliability. TIS-C was highly correlated with FM-B and BBS in total score(r=0.891,r=0.858). The TIS-C scores in the patient group was significantly lower than that in the control group(P<0.01). Conclusion: This study supports the reliability and validity of the TIS-C as a measure of trunk motor impairment after stroke. TIS-C can be used in clinical practice.
Keywords:stroke  trunk impairment  validity  reliability
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