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目的:探讨脑卒中病损评估量表中的运动功能部分(SIASM)对脑卒中偏瘫患者进行运动功能评定的有效性和可行性。方法:应用SIASM对53例脑卒中偏瘫患者的运动功能进行评测,并与简式FuglMeyer运动功能评价法(FMA)及Barthel指数评定法(BI)进行相关分析比较。结果:SIASM总分与FMA总分显著相关(r=0.9545,P<0.001),SIASM上肢分与FMA上肢分显著相关(r=0.9776,P<0.001),SIASM下肢分与FMA下肢分显著相关(r=0.9329,P<0.001),SIASM总分、SIASM上肢分、SIASM下肢分与BI得分均显著相关(r1=0.7694,r2=0.6301,r3=0.7552,P<0.001)。结论:SIASM是有效的,并且简便、实用,能敏感地反映偏瘫患者运动功能的变化,值得在国内推广应用
Objective: To investigate the validity and feasibility of assessing motor function in patients with hemiplegia after stroke by using SIASM. Methods: The motor function of 53 stroke patients with hemiplegia was evaluated by SIASM, and compared with the simple FuglMeyer motor function evaluation (FMA) and Barthel index assessment (BI). Results: The total score of SIASM was significantly correlated with the FMA score (r = 0.9545, P <0.001), while the score of SIASM was significantly correlated with the upper limbs of FMA (r = 0.9776, P <0.001) ), There was a significant correlation between SIASM lower limbs and FMA lower limbs (r = 0.9329, P <0.001), SIASM total score, SIASM upper limbs, SIASM lower limbs and BI scores (R1 = 0.7694, r2 = 0.6301, r3 = 0.7552, P <0.001). Conclusion: SIASM is effective, and it is simple, practical and sensitive to reflect the changes of motor function in patients with hemiplegia, which is worth popularizing in China