功能性步态评价在帕金森病患者中的效度被引量：15

Validity of Functional Gait Assessment in Patients with Parkinson's Disease

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摘要目的检验功能性步态评价(FGA)在帕金森病患者中的结构效度和同时效度。方法 2011年3月至12月,住院帕金森病患者121例(平均年龄61.9岁)行FGA评定,同时采用Berg平衡量表、功能性步态分级、计时起立-走测验、特异性活动平衡自信量表、运动障碍学会统一帕金森病评定量表第3部分、改良Barthel指数、最大步行速度和改良Hoehn and Yahr量表进行评定。采用主成分法正交旋转法分析其结构效度,计算FGA与其他评价方法之间的相关性分析同时效度。结果 FGA提取到1个公因子,解释总变异64.0%;FGA与其他评价之间的相关系数0.57～0.85。结论 FGA在帕金森病患者中效度较好。 Objective To investigate the construct and concurrent validity of the Functional Gait Assessment(FGA)as the measure for balance and gait during walking in Parkinson's disease patients.Methods From March to December,2011,121 patients with Parkinson's disease(mean aged 61.9 years)were evaluated with FGA by one rater,as well as the other scales for balance and gait,such as Berg Balance Scale,Functional Ambulation Category,Timed Up and Go Test,Activities-specific Balance Confidence Scale,Movement Disorders Society revision of the Unified Parkinson's Disease Rating Scale part 3,modified Barthel Index,maximum walking speed and Modified Hoehn and Yahr Scale.Principal Component Analysis was used to determine construct validity.Spearman correlation coefficients between the FGA and other measures were used to determine concurrent validity.Results One common factor was extracted,which cumulatively explained 64.0%of the total variance.The FGA correlated moderately with the other measures(r=0.57-0.85).

作者杨雅琴周亚楠王拥军冯涛 YANG Ya-qin;ZHOU Ya-nan;WANG Yong-jun;FENG Tao(Beijing Tiantan Hospital,Capital Medical University,China National Clinical Research Center for Neurological Diseases,Beijing 100050,China)

机构地区首都医科大学附属北京天坛医院神经病学中心

出处《中国康复理论与实践》 CSCD 北大核心 2018年第11期1329-1332,共4页 Chinese Journal of Rehabilitation Theory and Practice

基金首都卫生发展科研专项基金(No.2011-2004-01)。

关键词帕金森病功能性步态评价效度步态平衡评定 Parkinson's disease Functional Gait Assessment validity gait balance assessment

分类号 R742.5 [医药卫生—神经病学与精神病学]

作者简介杨雅琴(1973-),女,汉族,山西太原市人,博士,副主任医师,主要研究方向:神经变性病的诊断、评定、治疗及康复;通讯作者:冯涛,男,博士,教授、主任医师。E-mail:happyft@sina.com.

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1杨雅琴,周亚楠,陈晨,邢德利,王拥军.功能性步态评价应用于帕金森病患者的信度分析[J].中国康复医学杂志,2013,28(10):918-922. 被引量：6

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