急性後期中風病患上肢動作缺損與日常生活功能之關聯分析

The Correlation Analysis of Upper-Limb Motor Impairments and ADL Function in Post-Acute Stroke Patients

楊文英(Wen-Ying Yang)；李岩恆(Yen-Heng Lee)；吳淑娟(Shu-Chuan Wu)；蘇希洵(Hsi-Hsun Su)；陳美伶(Mei-Ling Chen)；孫天龍(Tien-Long Sun)；黃建華(Chien-Hua Huang)

急性後期照護 ； 上肢動作缺損 ； 日常生活功能 ； Post-acute care ； Upper-limb motor impairments ； Activity daily life function

醫學與健康期刊

6卷2期（2017 / 09 / 01）

45 - 55

繁體中文

目的：本研究主要探討中風病患經效能式職能治療後，上肢動作與日常生活功能之關聯分析。方法：採病例回顧方式，回溯113名PAC病患的傅格梅爾上肢評估量表(FMA-U/E)、動作活動日誌，包括使用量及使用品質(MAL-AOU, MAL-QOM)、基本日常生活功能(BI)及工具性日常生活功能(IADL)初評和末評分數進行關聯性分析。結果：FMA-U/E初評與MAL-AOU初評(r=0.617)及MAL-QOM初評(r=0.623)呈中度相關；FMA-U/E末評與MAL-AOU末評(r=0.721)有高度相關。個案FMA-U/E初評達29分以上或FMA-U/E末評達48分以上則MAL末評才有機會達2.5分。結論：本研究可提供職能治療臨床人員治療目標設定之參考。

Objectives. The aim of this study was to investigate the association of upper limb movements with functional outcomes in daily life after functional treatment in stroke patients. Methods. A retrospective review of 113 patients with PAC was performed. The subjects were retrospectively reviewed using the Fugl-Meyer upper extremity assessment, the Motor Activity Log, basic daily living function and the Lawton-Brody IADL Scale initial/final evaluation scores for the correlation analysis. Results. FMA-U/E and MAL-AOU (r=0.617) and MAL-QOM (r=0.623) were moderately correlated. An initial FMA-U/E up to 29 points or final FMA-U/E evaluation of 48 points or more were likely reach a 2.5 points on final MAL assessment. Conclusion. The main value of this study is to provide functional treatment of clinical treatment target setting reference.

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