摘要
目的探讨并筛选出肢体痉挛的国际功能、残疾和健康分类（ICF）核心项目，为痉挛评定提供全面整体的特异性测量工具。方法选择脑卒中恢复期、后遗症期肢体痉挛患者50例，采用自评和他评相结合的形式完成临床评估，将ICF检查表评估结果中被选频率≥30％的项目提取组成痉挛ICF核心项目Ⅰ；将ICF调查表制定成调查问卷1，发送给8名医生和5名治疗师，将被选频率≥50％的项目提取组成痉挛ICF核心项目Ⅱ；再将ICF核心项目Ⅰ和Ⅱ整合成痉挛ICF核心项目，并制作成问卷调查2，以电子邮件或纸质版形式发送给国内42名神经康复医学专家，将被选频率≥80％的项目提取组成最终完成版痉挛ICF核心项目。结果本研究初步确定出最终完成版痉挛ICF核心项目共32项，其中身体功能部分有10项，身体结构部分有4项，活动和参与部分有13项，环境因素部分有5项。结论筛选出的痉挛ICF核心项目比其他常用痉挛评估量表涵盖的内容更广。
Objective To screen and identify International Classification of Functioning, Disability and Health （ICF） core sets for spastieity and make a dedicated and comprehensive assessment tool for spasticity after stroke. Methods Fifty patients with spasticity after stroke were involved in this study. Information about them was collected by clinical investigation and self-completed questionnaires. The ICF scale was used to assess the severity of each item. Each item＇s frequency was calculated and those items with frequencies ≥30% were selected as the first ICF core set for spasticity. The ICF check list was designed as a questionnaire and 8 doctors and 5 therapists were consulted. Items with frequency ≥50% were chosen as the second level ICF core set for spasticity. The two results （termed ICF core sets 1 and II） were integrated with the initial ICF core sets for spasticity and sent to 42 experts in the area of neurological rehabilitation. Items with a frequency ≥80% were chosen as the final ICF core set for spasticity. Results A total of 32 ICF items were included in the ICF core set for spasticity after stroke. There were 10 body function items, 4 body structure items, 13 activity and participation items and 5 environmental items involved. Conclusion The ICF core set for spastieity was identified in this study. The selected items covered content broader than other common spasm assessment scales. The result is a comprehensive description of spasticity.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2012年第7期505-510,共6页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
痉挛
国际功能
残疾和健康分类
核心项目
问卷调查
Spasticity
International Classification of Functioning, Disability and Health
Core sets
Questionnaires
