简易上肢功能评价STEF精编WORD版

1、简易上肢功能评价STEF精编WORD版IBM system office room A0816H-A0912AAAHH-GX8Q8-GNTHHJ8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)得分聿 时 间 内 个 数差 的 指 标1()987634321检查1大球右305.9779.511.313.114.916.718.520.330.01.2左306.58.610.712.814.517.019.121.223.330.01.4检查 2中球右30

2、5.37.18.910.112.514316.917.919.730.()1.2左305.67.49.211.012.814.616.418.220.030.01.2检查 3* 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检查右308.310.713.115.517.920.322.725.127.530.01.64中木 方左308.711.113.515.918.320.723.125.527.9301.6检查 5木圆 片右306.38.410.512.614.7

3、16.818.921.023.130.01.4左307.09.411.814.216.619.021.423.826.230.01.6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 草右306.18.210312.414.516.618.720.822.930.()1.4左306.89.211.614.016.418.821.223.626.030.()1.6检查 8金属 圆片右6010.213.516.820.123.426.730.

4、033.336.660.02.2左6011.715.920.124328.532.736.941.145.360.02.8检查 9小球右6012.417.522.627.732.837.943.048.153.260.()3.4左6013.118.523.929.334.740.145.550.956.360.03.6检查右7015.421.126.S32.538.243.949.655.361.0703.810金属棍左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385572814 191001009849371492()29100100995100857130 39100100986100917840 4910099967100959050 591009892810()