摘要
目的 评价新编制的“婴儿异常运动功能评定表”重测信度、内部一致信度和平行效度 ,为应用该评定表在婴儿期筛查脑瘫提供简便、可行的工具。方法 对 16例 6～ 9个月龄的脑瘫患儿间隔 1～ 2周评定“婴儿异常运动功能评定表”的重测信度 ,对 36例 1岁内脑瘫患儿检查 ,计算Kuder Richardson系数 (rKR2 0 ) ,评价内部一致性信度。对 16例 6～ 9个月的脑瘫患儿和 6 8例 6个月正常婴儿分别用“婴儿异常运动功能评定表”和Morgan等编制的“早期运动模式量表”进行评定 ,分析两者评分相关性和对脑瘫患儿的区分能力。结果 “婴儿异常运动功能评定表”重测一致率为 97.1% ,Kappa值为 0 92 ;运动里程碑和神经反射 (原始反射与姿势反应 )rKR2 0 分别为0 5 4和 0 6 9。与“早期运动模式量表”同时对脑瘫患儿评分的相关系数为 0 85 (tr=3.0 5 34,P =0 0 0 0 ) ,“婴儿异常运动功能评定表”和“早期运动模式量表”对脑瘫患儿的区分能力分别为 10 0 % (16 / 16 )和 87.5 % (14 / 16 )。结论 “婴儿异常运动功能评定表”信度满意 ,其平行效度不低于国外用于脑瘫早期筛查的量表。
Objective To evaluate the reliability and parallel validity of Infant Motor Malfunction Profile (IMMP) developed by authors. Methods With tests and re tests, consistent rate and Kappa value of items in the profile were calculated in 16 infants with cerebral palsy (CP) aged 6 to 9 months. Internal consistent reliability of the items was assessed with Kuder Richardson index ( r KR20 ) in 36 CP infants wnder one year of age. Using IMMP and Early Motor Patterns Profile (EMPP), the parallel validity was evaluated with Pearson's coefficient of correlation of scores in 16 CP infants and Spearman's coefficient of correlation in 68 general infants. Results The consistent rate and Kappa value of IMMP were 97.1% and 0 92 respectively. The r KR20 of items of motor milestones and items of neurological reflexes (including primitive reflexes and postural reactions) were 0 54 and 0 69 Pearson's coefficient of correlation was 0 85 (P=0 000). All of the 16 CP infants were differentiated with the IMMP, and the 14 of the 16 CP infants were differentiated with EMPP.Conclusion The profile is an acceptable way for early identification of cerebral palsy.
出处
《中国实用儿科杂志》
CSCD
北大核心
2002年第9期546-549,共4页
Chinese Journal of Practical Pediatrics
基金
安徽省卫生厅科研基金 (A95 -1998-0 7)
美国健康基金会部分资助
