목적 : 뇌졸중 환자의 손 기민성을 측정하기 위한 방법으로 특별한 검사도구를 사용하지 않고 짧은 시간 내에 검사할 수 있는 10초 검사(10-Second Test)를 소개하고, 신뢰도와 타당도가 검증된 Box and Block Test, Fugl-Meyer Motor Function Assessment 결과와의 상관관계를 알아보고자 하였다. 연구방법 : 37～75세의 뇌졸중으로 인한 편마비 환자 17명을 대상으로 10초 검사(10-second Test)와 Box and Block Test(BBT), Fugl-Meyer Motor Function Assessment(FMA)의 상지 기능 검사를 실시하였다. 10초 검사는 Finger Individual Movement Test(FIMT), Hand Pronation and Supination Test(HPST), Finger Tapping Test(FTT)로 구성되었다. 수집된 자료는 윈도우용 SPSS 12.0 프로그램을 이용하여 분석하였다. 결과 : 10초 검사의 각 세부항목인 FIMT, HPST, FTT와 BBT, FMA 상지검사의 세부 항목 간에는 유의한 상관관계가 있었다(.525～.865). 각 검사의 일반적인 특성에 따른 비교에서는 10초 검사의 HPST와 FTT에서 왼쪽마비 환자에 비해 오른쪽 마비 환자의 기능이 더 우세하였다. 결론 : 본 연구의 결과 10초 검사는 기존의 손 기능 평가 도구들과 유의한 상관관계를 보였다. 우리나라의 현실에서 평가를 실시하는데 걸리는 시간과 도구에 제한을 받지 않는 10초 검사는 치료시간 내에 간단하게 뇌졸중 환자의 손 기능을 측정함으로써 환자의 회복정도를 파악하고 객관적 자료를 제시하는데 도움을 줄 수 있으리라 생각한다.

The purposes of this study were to determine correlations between the Berg Balance Test (BBS), Timed -UP & Go Test, Fugl Meyer-L/E, Balance, Sensory (FM-L/E, B, S), Motor Assessment Scale-Gait (MAS-G), Comfortable maximal Gait Speed (C MGS), and the Modified Barthel Index (MBI). The subjects were 40 stroke patients of the Korea National Rehabilitation Center in Seoul. Main outcome measures were Balance control (BBS, FM-B), Gait (TUG, C MGS, MAS-G), ADL (MBI) and Motor Function of Lower Extremities (FM-L/E, S). The data were analyzed using Pearson product correlation. FM scales between other clinical and instrumental indexes and multiple stepwise regression analyses were performed to identify prognostic factors for Balance, Gait and ADL Motor Function of Lower Extremity inclinations. The results of this study were as follows: The BBS, FM-L/E, balance, sensory and MBI showed positive correlation relations, but TUG and C MGS showed negative correlations. The sensory factor of the FM-scale showed the strongest variance in predicting BBS. However the FM-balance showed the strongest variance in predicting TUG, MAS-G and C MGS. The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general clinical performance of the patients.

The purposes of this study were to find correlations among Fugl-Meyer Assessment scale, gait speed, and Timed Up & Go test (TUG) and to predict gait ability from subscales of Fugl-Meyer Assessment scale. The study population consisted of 30 stroke patients referred to the Department of Rehabilitation Medicine in the Bundang Jaesang General Hospital. All subjects were ambulatory with or without an assistive device. All participants were assessed on Fugl-Meyer Assessment scale and gait speed (m/s), TUG (s). The data were analyzed using independent t-test, Pearson product moment correlation analysis and stepwise multiple regression. The results revealed that all items of Fugl-Meyer Assessment scale, except passive joint range of motion were significantly correlated with gait speed and TUG. In particular, sensation score, lower extremity motor and coordination score have a significant correlation with gait speed and TUG (p<.05). The sensation score and lower extremity motor score were important factors in comfortable gait and maximal gait speed. Their power of explanation regarding comfortable gait and maximal gait speed were 63.0% and 65.0%, respectively. The sensation score and lower extremity coordination score were important factors in TUG. Their power of explanation regarding TUG was 55.0%. These results showed that Fugl-Meyer Assessment scale is significantly correlated with gait speed and TUG. Therefore Fugl-Meyer Assessment scale is an appropriate assessment tool to predict gait ability of patients with stroke. Further study about gait speed and TUG by change of Fugl-Meyer Assessment score is needed using a longitudinal study design.