简易上肢功能评价(STEF).doc

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1、赣南医学院第一附属医院康复医学科简易上肢功能评价（STEF）姓名：年龄：性别：住院号：床号：诊断：利手：总得分：评定人：评定日期：评价项目被检查手限制时间（S）所需时间（S）得分单时间内个数差的指标10987654321检查1大球右305.97.79.511.313.114.916.718.520.330.01.2左306.58.610.712.814.517.019.121.223.330.01.4检查2中球右305.37.18.910.112.514.316.917.919.730.01.2左305.67.49.211.012.814.616.418

2、.220.030.01.2检查3大木方右408.711.414.116.819.522.224.927.630.0401.8左409.512.515.518.521.524.527.530.533.5402.0检查4中木方右308.310.713.115.517.920.322.725.127.530.01.6左308.711.113.515.918.320.723.125.527.9301.6检查5木圆片右306.38.410.512.614.716.818.921.023.130.01.4左307.09.411.814.216.619.021.423

3、.826.230.01.6检查6小木方右307.29.311.413.515.617.719.821.924.030.01.4左307.79．811.914.016.118.220.322.424.530.01.4检查7人造革右306.18.210.312.414.516.618.720.822.930.01.4左306.89.211.614.016.418.821.223.626.030.01.6检查8金属圆片右6010.213.516.820.123.426.730.033.336.660.02.2左6011.715.920.124.328.532.

4、736.941.145.360.02.8检查9小球右6012.417.522.627.732.837.943.048.153.260.03.4左6013.118.523.929.334.740.145.550.956.360.03.6检查10金属棍右7015.421.126.832.538.243.949.655.361.0703.8左7016.522.227.933.639.345.050.756.462.170.03.8总分第一次检查第二次检查第三次检查月日右分月日右分月日右分左分左分左分备注各年龄组得分界限年龄得分年龄得分高中低高中低3855728

5、14～1910010098493714920～29100100995100857130～39100100986100917840～4910099967100959050～5910098928100979060～6910096889100989470～79100907510100999680岁以上100836611～131009995～