摘要
介绍一种脑卒中病人的评估的新方法:脑卒中评估新方法(SIAS)。SIAS主要是对病损进行评估,功能评估的等级在0～5或者0～3的范围。评估的项目包括运动功能、肌张力、感觉、关节活动范围、疼痛、躯干控制、空间视觉、失语以及健侧的功能。每一项的得分绘制在一个雷达图上,问题可一目了然。用Rasch分析法证实了SIAS结构的量值,并且验证了SIAS的总分数能够预测脑卒中结果,SIAS得分的内部变异性是可以接受的,而且评估可以作为常规临床检查的一部分。
A new method for the evaluation of stroke patients,designated the stroke impairment assessment set (SIAS), is presented. The SIAS primarily employs single task assessment of various functions and rates performance on scales of 0 to 5 or 0 to 3. The items evaluated include motor function,muscle tone,sensation,range of motion,pain,trunk control,visuospatial perception, aphasia, and function on the unaffected side. Scores for each item are plotted on a radar chart so that deficits can be identified at a glance. We confirmed the scale quality of the SIAS instrument with the Rasch analysis.And the SIAS tota1 scores proved useful for stroke outcome prediction. The interobserver variation in SIAS scores is acceptable, and assessment can be performed as part of a routine clinical examination.
出处
《中国临床康复》
CAS
CSCD
2002年第13期1867-1868,1871,共3页
Chinese Journal of Clinical Rehabilitation
