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題名 | 中風患者上肢肌力缺損與動作功能、活動參與之關係=Relationships between Upper-limb Muscular Weakness and Motor Function, Activity Participation in People with Stroke |
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作者 | 蘇宜家; 古芳菱; 黃菁萍; 蔡秋瑾; 陳天文; 陳明德; | 書刊名 | 職能治療學會雜誌 |
卷期 | 34:2 2016.12[民105.12] |
頁次 | 頁155-172 |
分類號 | 418.996 |
關鍵詞 | 中風; 運動; 肌力訓練; 健康促進; Stroke; Exercise; Resistance training; Strengthening training; Health promotion; |
語文 | 中文(Chinese) |
中文摘要 | 目的:本研究目的為透過客觀方式來測量不同動作部位的肌力缺損情形,並探討不同動作部位肌力缺損與中風患者上肢動作功能及活動參與之相關性。方法:共招募39位中風個案。使用手持式肌力計、握力計和捏力計評量肩、肘、腕及手部的肌力,共有10個動作部位。上肢動作功能使用Fugl-Meyer Assessment(FMA)及Wolf Motor Function Test(WMFT)來評量。活動參與使用ABILHAND及Stroke Impact Scale(SIS)部分次量表來呈現。結果:FMA、WMFT、ABILHAND和多個部位的肌力缺損有顯著的中度到高度相關。逐步複迴歸分析發現,與FMA相關的肌力缺損部位為肩內轉、肘彎曲與捏力(模式修正R^2 > .77);與WMFT動作功能相關的部位為肩內轉與肩外展(修正R^2 = .78);與ABILHAND相關的肌力缺損為肩內轉與捏力(修正R^2 = .68)。與SIS-strength相關的部位為肩內轉、肘伸直、捏力(R^2 = .62)。結論:不同部位的上肢肌力缺損分別對上肢動作功能及活動參與有著不同程度的相關性。其中,肩內轉與捏力缺損為多數評估表現的顯著相關因子。未來建議進行上肢肌力訓練方案之實證研究。 |
英文摘要 | Purposes: This study was (1) to examine the muscle strength deficit of various movements by using the objective measurements, and (2) to investigate the relationships between the upper-limb muscle strength deficits and the motor functions as well as activity participation in people with stroke. Method: Thirty nine participants with stroke were recruited. Hand-held dynamometers were used to measure the muscle strength of the 10 movements across the shoulder, elbow, wrist, and hand. The Fugl-Meyer Assessment (FMA), Wolf Motor Function Test (WMFT), ABILHANND and subscales of Stroke Impact Scale (SIS) were used as measures for motor function, and activity participation. Result: There were significantly moderate to large association between FMA, WMFT, ABILHAND and strength deficits of various movements. The stepwise multiple regression analyses found that strength deficits in shoulder internal rotation, elbow flexion, and lateral pinch were the significant associated factors of the FMA (the model's adjusted R^2 > .77). The strength deficits in shoulder internal rotation and shoulder abduction were related to the WMFT-Functional Ability (adjusted R^2 = .78).The strength deficits in shoulder internal rotation and lateral pinch were associated with the ABILHAND (adjusted R^2 = .68). The strength deficits in shoulder internal rotation, elbow extension, and lateral pinch were related to the strength subscale of SIS (adjusted R^2 = .62). Conclusion: There were various associations between the muscle strength deficits in different movements of upper limb and motor functions as well as activity participation in people with stroke. Muscle strength in shoulder internal rotation and lateral pinch were the significant factors for several outcome measures. Future studies are suggested to examine the effects of strengthening intervention on the upper extremities in people with stroke. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。