| 患儿姓名： |
|
| 患儿病案号： |
|
| 性别： |
|
| 1.抬头 |
|
| 2.抬腿（卧位，45℃） |
|
| 3.保持直腿上抬（卧位伸膝30℃） |
|
| 4.翻身（仰卧位向一侧翻至俯卧位） |
|
| 5. 仰卧起坐（下列每一项均进行选择） |
|
| 6. 仰卧位坐起 |
|
| 7. 举双方，肘伸直 |
|
| 8. 举双手，能保持腕关节高于头顶 |
|
| 9. 立位坐地 |
|
| 10. 跪地爬行 |
|
| 11. 屈膝跪地坐位起立 |
|
| 12. 坐位起立 |
|
| 13. 上台阶 |
|
| 14. 拾物 |
|
| 每一项得分： |
(逗号分隔） |
| 总分： |
分 |
|
相关量表：
青少年系统性硬化症严重程度评分（J4S） |
参考文献：
Huber AM, Feldman BM, Rennebohm RM, Hicks JE, Lindsley CB, Perez MD, Zemel LS, Wallace CA, Ballinger SH, Passo MH, Reed AM, Summers RM, White PH, Katona IM, Miller FW, Lachenbruch PA, Rider LG; Juvenile Dermatomyositis Disease Activity Collaborative Study Group. Validation and clinical significance of the Childhood Myositis Assessment Scale for assessment of muscle function in the juvenile idiopathic inflammatory myopathies. Arthritis Rheum. 2004 May;50(5):1595-603. doi: 10.1002/art.20179.
Lovell DJ, Lindsley CB, Rennebohm RM, Ballinger SH, Bowyer SL, Giannini EH, Hicks JE, Levinson JE, Mier R, Pachman LM, Passo MH, Perez MD, Reed AM, Schikler KN, Smith M, Zemel LS, Rider LG. Development of validated disease activity and damage indices for the juvenile idiopathic inflammatory myopathies. II. The Childhood Myositis Assessment Scale (CMAS): a quantitative tool for the evaluation of muscle function. The Juvenile Dermatomyositis Disease Activity Collaborative Study Group.
Arthritis Rheum. 1999 Oct;42(10):2213-9. doi: 10.1002/1529-0131(199910)42:10
|
