手外伤后上肢功能指数量表与关节主动活动度系统评定的对比研究

目的:探讨上肢功能指数(UEFI)量表与关节主动活动度(TAM)系统评定手外伤后上肢功能的相关性和灵敏性。方法:采用UEFI量表和TAM系统对30例手外伤患者分别在入院和出院时进行前后2次评定,应用Pearson分析和t检验比较两种评定方法的相关性和灵敏性。结果:UEFI与TAM具有高度相关性(相关系数r1=0.863,P1=0.001;r2=0.824,P2=0.001);TAM前后2次得分率均高于UEFI得分率,差异有显著性意义(P<0.001),前后两次得分率之差UEFI高于TAM,差异有显著性意义(P<0.001)。结论:UEFI量表能较好反映手外伤后上肢功能状况,是一种简单实用的上肢功能评定方法。

Comparative study on the methods for evaluating upper extremity function of the patients after hand injury

Abstract Objective: To compare the correlations and sensitivities of upper extremity functional index (UEFI) and total active movement (TAM) in evaluating the upper extremity function of the patients after hand injury. Method: Thirty subjects after hand injury surgeries received physical therapy for management of upper extremity disability and completed two outcome measures at 2 single points(hospital admission and discharge).Pearson correlations and t-tests between UEFI and TAM measures were analysed. Result: UEFI and TAM were significantly correlated, the correlation coefficients of TAM-UEFI at admission and discharge were 0.863 and 0.824 respectively(P<0.001). TAM scores were all higher than UEFI scores at the 2 time points(P<0.001). But the percentage of improved scores of TAM was lower than that of UEFI(P<0.001). Conclusion: The UEFI is a simple and useful measurements for evaluating upper extremity function of patients after hand injury.