摘要
目的探讨脑卒中患者姿势评定量表(PASS)的效度和信度,为临床应用提供客观依据。方法2组受试对象参加了测试,一组为病例组(27例),另一组为对照组(30例)。1周内对两组对象用PASS和Fugl-Meyer量表中的平衡部分(FM-B)进行2次评定,病例组同时用Berg平衡量表(BBS)评定。将PASS结果与FM-B、BBS作相关性检验来验证PASS的效度;对2次PASS结果作相关性分析来测试PASS的重复测量信度。结果PASS和FM-B、BBS总分高度相关(r=0.943-0.944、r=0.957);PASS各项内容2次重复测试结果高度相关,其组内相关系数ICC=0.945-0.962,组间相关系数ICC=0.982-0.992;病例组和对照组的PASS总分分别为(16.43±10.44)分、(35.32±0.95)分,两者间差异有显著性(P<0.05)。结论PASS具有良好的效度和信度,可用于姿势控制能力的评价。
Objective: To study the validity and reliability of postural assessment scale for stroke patients(PASS) on assessing postural control so as to guide its clinical application.Method:Two groups of subjects participated in the study.One group was 27 patients with stroke and the other group was 30 healthy subjects (control group).They were assessed twice with PASS and the balance subscale of the Fugl-Meyer movement assessment(FM-B) within one week.In addition,the patients were also assessed with Berg balance scale(BBS). Result: PASS was highly correlated with FM-B and BBS in total score(r=0.943-0.944?r=0.957). There were moderate to high correlation in all items of PASS between two assessment sessions. The intraclass correlation coefficient (ICC) was 0.945-0.962 for interrater and 0.982-0.992 for intrarrater. The PASS scores in the patient group were significantly lower than that in the control group (16.43±10.44 vs 35.32±0.95,P<0.05). Conclusion: The PASS is valid and reliable when it is used to assess postural control in stroke patient.Author′s address Dept. of Rehabilitation Medicine, The Second Affiliated Hospital, Sun-Yat Sen University, Guangzhou,510120
出处
《中国康复医学杂志》
CAS
CSCD
2004年第3期177-178,190,共3页
Chinese Journal of Rehabilitation Medicine
