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題名：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
書刊名：醫學與健康期刊
作者：楊文英／李岩恆／吳淑娟／蘇希洵／陳美伶／孫天龍／黃建華
作者(外文)：Yang, Wen-ying／Lee, Yen-heng／Wu, Shu-chuan／Su, Hsi-hsun／Chen, Mei-ling／Sun, Tien-long／Huang, Chien-hua
出版日期：2017
卷期：6:2
頁次：頁45-55
主題關鍵詞：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
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:2
  • 點閱點閱:8
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MALAOU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.
期刊論文
1.Faria, F. I.、Michaelsen, S. M.、Cassiano, J. G.、Teixeira-Salmela, L. F.(2011)。Upper extremity function in stroke subjects: Relationships between the international classification of functioning, disability, and health domains。J Hand Ther，24，257-265。  new window
2.Dromerick, A. W.、Lang, C. E.、Birkenmeier, R.、Hahn, M. G.、Sahrmann, S.、Edwards, D. F.(2006)。Relationships between upper-limb functional limitation and self-reported disability 3 months after stroke。J Rehabil Res Dev，43，401-408。  new window
3.林嘉皇、黃奕清、劉燦宏、吳菁宜、王詩涵、黃百川(20130600)。鏡像治療對慢性腦中風患者上肢動作功能之療效。臺灣職能治療研究與實務雜誌，9(1)，28-40。new window  延伸查詢new window
4.陳聖雄、林裕晴、廖麗君、張志仲、歐育如、楊育昇(20101200)。兩種上肢阻力訓練模式對慢性中風病人上肢動作功能療效之比較。職能治療學會雜誌，28(2)，16-30。  延伸查詢new window
5.Kwon, S.、Hartzema, A. G.、Duncan, P. W.、Lai, S. M.(2004)。Disability Measures in Stroke: Relationship among the Barthel Index, the Functional Independence Measure, and the Modified Rankin Scale。Stroke，35，918-923。  new window
6.van der Lee, J. H.、Beckerman, H.、Knol, D. L.、de Vet, H. C. W.、Bouter, L. M.(2004)。Clinimetric properties of the motor activity log for the assessment of arm use in hemiparetic patients。Stroke，35(6)，1410-1414。  new window
7.Harris, J. E.、Eng, J. J.(2007)。Paretic upper-limb strength best explains arm activity in people with stroke。Phys Ther，87，88-97。  new window
8.Pang, M. Y.、Harris, J. E.、Eng, J. J.(2006)。A community-based upperextremity group exercise program improves motor function and performance of functional activities in chronic stroke: A randomized controlled trial。Arch Phys Med Rehabil，87，1-9。  new window
9.Pereira, N. D.、Ovando, A. C.、Michaelsen, S. M.(2012)。Motor Activity Log-Brazil: reliability and relationships with motor impairments in individuals with chronic stroke。Arq Neuropsiquiatr，70，196-201。  new window
10.Uswatte, G.、Taub, E.、Morris, D.、Vignolo, M.、McCulloch, K.(2005)。Reliability and validity of the upper-extremity motor activity log-14 for measuring real-world arm use。Stroke，36，2493-2496。  new window
11.Sullivan, K. J.、Tilson, J. K.、Cen, S. Y.(2011)。Fugl-meyer assessment of sensorimotor function after stroke: Standardized training procedure for clinical practice and clinical trials。Stroke，42，427-432。  new window
12.Sanford, J.、Moreland, J.、Swanson, L. R.、Stratford, P. W.、Gowland, C.(1993)。Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke。Phys Ther，73，447-454。  new window
13.Chen, S. Y.、Winstein, C. J.(2009)。A Systematic Review of Voluntary Arm Recovery in Hemiparetic Stroke。J Neurol Phys Ther，33，2-13。  new window
14.謝清麟、林郁芬、侯孟真、李淑君、唐世芬(20141200)。中風病人職能治療之病歷資料分析與改良。職能治療學會雜誌，32(2)，269-280。  延伸查詢new window
15.Ashford, S.、Slade, M.、Malaprade, F.、Turner-Stokes, L.(2008)。Evaluation of functional outcome measures for the hemiparetic upper limb: a systematic review。J Rehabil Med，40，787-795。  new window
16.van der Lee, J. H.、Beckerman, H.、Lankhorst, G. J.、Bouter, L. M.(2001)。The responsiveness of the Action Research Arm test and the Fugl-Meyer Assessment scale in chronic stroke patients。J Rehabil Med，33，110-113。  new window
17.Santisteban, L.、Térémetz, M.、Bleton, J. P.、Baron, J. C.、Maier, M. A.、Lindberg, P. G.(2016)。Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review。PLoS One，11，e0154792。  new window
18.李佳宜、吳菁宜、連倚南、許美慧、林克忠(20060700)。改良式侷限誘發動作治療對於腦中風病人之復健成效。臺灣醫學，10(4)，429-437。  延伸查詢new window
 
 
 
 
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