| 改良的Ashworth分级应用于上下肢肌张力评估时的比较 |
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| 引用本文： | 郭铁成,卫小梅. 改良的Ashworth分级应用于上下肢肌张力评估时的比较[J]. 中国康复, 2008, 23(5). DOI: 10.3870/zgkf.2008.05.008 |
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| 作者姓名： | 郭铁成 卫小梅 |
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| 作者单位： | 1. 华中科技大学同济医学院附属同济医院康复医学科,武汉,430030
2. 华中科技大学同济医学院附属同济医院康复医学科,武汉,430030;中山大学附属第三医院康复科,广州,510630 |
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| 摘 要： | 目的:比较应用改良的Ashworth分级(MAS)评估上、下肢肌肉张力的信度.方法:收集上运动神经损伤致肌张力增高患者23例,其中偏瘫16例,截瘫5例,四肢瘫2例.采用MAS评定偏瘫和四肢瘫患者患肢的屈肘肌、屈腕肌、股四头肌、胭绳肌、腓肠肌和比目鱼肌的肌张力;截瘫患者评定双下肢肌肉,将所得数据资料进行统计学处理分析,以评估MAS应用的信度.结果:被评估的患者上肢肌肉以及膝屈和伸肌的信度较高(0.582～0.832),而下肢比目鱼肌和腓肠肌的信度较低(0.095～0.486).结论:MAS用于评定下肢肌特别是下肢远端肌群时应慎重.
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| 关 键 词： | 肌张力 改良的Ashworth分级 信度 |
Comparison between the Clinical Measurements Obtained with Muscles in Upper and Lower Extremities of Patients with Spasticity Using the Modified Ashworth Scale |
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| GUO Tie-cheng,WEI Xiao-mei. Comparison between the Clinical Measurements Obtained with Muscles in Upper and Lower Extremities of Patients with Spasticity Using the Modified Ashworth Scale[J]. Chinese Journal of Rehabilitation, 2008, 23(5). DOI: 10.3870/zgkf.2008.05.008 |
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| Authors: | GUO Tie-cheng WEI Xiao-mei |
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| Affiliation: | GUO Tie-cheng,WEI Xiao-mei.Department of Rehabilitation Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430030,China |
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| Abstract: | Objective:To compare the reliability of clinical measurements obtained with muscles in the upper and lower extremities using the Modified Ashworth Scale (MAS) in patients with spasticity.Methods:Twenty-three patients with increased muscle tone were recruited,including 16 hemiplegic patients,5 paraplegic and 2 with tetraplegic patients.Two rehabilitation physicians used the MAS to assess the muscle tone of the elbow flexors,wrist flexors,quadriceps femoris,hamstrings,hip adductors,gastrocnemius and soleus in... |
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| Keywords: | spasticity modified ashworth scale reliability |
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