消除亚急性脑卒中患者下肢运动功能影响后上肢运动功能与日常生活活动的关系:一项横断面研究

Haruka Yamamoto, Kazuya Takeda, Soichiro Koyama, Keisuke Morishima, Yuichi Hirakawa, Ikuo Motoya, Hiroaki Sakurai, Yoshikiyo Kanada, Nobutoshi Kawamura, Mami Kawamura, Shigeo Tanabe
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引用次数: 7

摘要

背景:先前的研究报道了上肢运动功能与日常生活活动之间的关系。然而,在排除下肢运动功能的影响后,它们之间的关系尚不清楚。目的:本研究旨在探讨在剔除受影响下肢运动功能的影响后,Fugl-Meyer评估上肢与功能独立量表运动总分的关系,以及Fugl-Meyer评估上肢与功能独立量表运动总分各项目的关系。方法:对58例亚急性脑卒中患者进行回顾性横断面研究。为了探讨去除Fugl-Meyer评估对下肢的影响前后,Fugl-Meyer评估上肢与总功能独立测量运动评分之间的关系,采用Spearman等级相关系数和偏相关分析。此外,评估去除影响后Fugl-Meyer评估上肢与功能独立测量运动评分各项目的关系。结果:在去除Fugl-Meyer评估下肢影响前,Fugl-Meyer评估上肢与功能独立测量运动总分呈强相关(r = 0.74, p)。结论:上肢运动功能与日常生活活动的关系受下肢运动功能的强烈影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study.

Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study.

Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study.

Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study.

Background: Previous studies have reported a relationship between upper limb motor function and activities of daily living. However, their relationship after removing the influence of lower limb motor function has not been clarified.

Objective: This study aimed to investigate the relationship between Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score and between Fugl-Meyer assessment upper limb and each item contained in Functional Independence Measure motor score after eliminating the influence of the motor function of the affected lower limb.

Methods: This retrospective cross-sectional study included 58 subacute stroke patients. To investigate the relationship between the Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score before and after removing the influence of Fugl-Meyer assessment lower limb, Spearman's rank correlation coefficient and partial correlation analysis were used. Additionally, the relationship between Fugl-Meyer assessment upper limb and each item of Functional Independence Measure motor score after removing the influence was assessed.

Results: Before removing the influence of Fugl-Meyer assessment lower limb, Fugl-Meyer assessment upper limb was strongly correlated with total Functional Independence Measure motor score (r = 0.74, p < 0.001). However, it became weak after removing the influence (r = 0.27, p = 0.04). Regarding each item of Functional Independence Measure motor score, Fugl-Meyer assessment upper limb was correlated with grooming (r = 0.27, p = 0.04), bathing (r = 0.28, p = 0.03), dressing upper body (r = 0.33, p = 0.01), dressing lower body (r = 0.31, p = 0.02), and stair-climbing (r = 0.31, p = 0.02) after removing the influence.

Conclusion: These findings suggest that the relationship between the upper limb motor function and activities of daily living is strongly influenced by lower limb motor function.

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