【論文摘要】Convergent Validity of the Upright Motor Control Test in Patients With Stroke

【論文摘要】直立動作控制測試應用於中風病人的聚合效度

陳柏禎(Bo-Jhen Chen) ； 羅鴻基(Hong-Ji Luo) ； 李坤璋(Kun-Chang Lee)

《物理治療》 47卷2期 (2022/06) Pp. 142-143

https://doi.org/10.6215/FJPT.202206.P26

摘要

Background and Purpose: The Upright Motor Control test (UMC) has been developed to evaluate isolated control of the hip/knee/ankle joints in patients with stroke. Whether it can be applied to reliably assess the motor performance remains unclear. The aim of this study was to evaluate the convergent validity of UMC with the Fugl-Meyer Assessment of Motor Recovery after Stroke. Methods: Adults diagnosed with first-ever stroke, and being able to stand with assistance were recruited. The total, flexion, and extension scores on UMC of each joint were separately compared to the upper limb (UE) and lower limb (LE) subscores of the Fugl-Meyer Assessment, respectively. Statistical comparison was analyzed by Spearman rank-order correlations. Level of significance was set at p ＜ 0.05. Results: A total 67 patients (age: 62.71 ± 11.30, 15 females) enrolled in this study. Correlation analyses showed fair to moderate correlation between the total (rho = 0.59), extension (rho = 0.500-0.582), and flexion (rho = 0.360-0.477) of UMC with LE subscores of the Fugl-Meyer Assessment, respectively (all p ＜ 0.05). Fair correlations were observed between the total (rho = 0.453), extension (rho = 0.343-0.433), and flexion (rho = 0.401-0.462) with UE subscores of the Fugl-Meyer Assessment, respectively (all p ＜ 0.05). Conclusions: Generally, the UMC exhibits fair to moderate correlation to the Fugl-Meyer Assessment. Convergent validity of assessing Upright Motor Control test does not differ between the upper and lower limbs subscores of Fugl-Meyer Assessment. Clinical Relevance: Future studies should consider other valid tools to assess the motor control in individuals with stroke.