脊髓损伤患者改良功能到达测试与日常生活转移活动的相关性研究

Kanchan Joshi, S. Ganvir
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引用次数: 0

摘要

背景:改良功能到达测试(mFRT)是为脊髓损伤(SCI)患者开发的测量动态坐位平衡、前向和侧向的工具。尽管mFRT具有动态特性,但其预测国际功能、残疾和健康分类(ICF)转移域的能力尚未得到研究。因此,本研究的目的是探讨mFRT与ICF坐姿转移域之间的关系。方法:在mFRT的帮助下,以厘米为单位测量10例脊髓损伤患者的意志力。采用容量和性能方面的标准评分格式评估患者ICF转移自身(d472)域的能力。结果:采用肯德尔一致性系数对数据进行分析。ICF前伸与传递域呈显著负相关(τb= -0.81, p<0.05),侧伸与传递域呈中度相关(τb= -0.71, p<0.05)。结论:相关强度表明患者能够将训练的临床效果延续到功能活动中。然而,考虑到在adl期间频繁使用侧位转移,需要更强的相关性,因此在康复期间需要更集中的训练。
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Correlation between Modified Functional Reach Test and Transfer Activities of Daily Living in Individuals with Spinal Cord Injury- A Pilot Study
Background: The Modified Functional Reach Test (mFRT) is the tool to measure dynamic sitting balance, forward and lateral directions, developed for patients with spinal cord injury (SCI). In spite of being dynamic in nature, mFRT has not been studied for its ability to predict transfer domain of International Classification of Functioning, Disability and Health (ICF). Hence, the purpose of this study is to investigate the association between mFRT and sitting transfer domain of ICF. Methodology: Volitional effort of 10 patients with SCI was measured in centimeters with the help of mFRT by reaching in forward and lateral direction in sitting. Patients’ ability to transfer oneself (d472) domain of ICF was evaluated using standard scoring format in terms of Capacity and Performance. Results: Data was analysed using Kendalls coefficient of concordance. A strong negative correlation (τb= -0.81, p<0.05) was found between forward reach and transfer domain of ICF and moderate correlation (τb= -0.71, p<0.05) was observed between Lateral reach test with Transfer oneself Domain. Conclusion: Strength of correlation indicates that patients are able to carryover the clinical effect of training into functional activities. However, considering the frequent use of lateral transfer during ADLs calls for stronger correlation and hence more focused training during rehabilitation.
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