【目的】本文旨在确定中文版Peabody运动发育量表(Peabody Developmental Motor Scale PDMS-2)在婴幼儿中的信度和效度,为PDMS评估在国内高危儿随访和早期康复领域中的应用提供客观依据。【方法】研究对象为康复中心就诊并接受PDMS评估...【目的】本文旨在确定中文版Peabody运动发育量表(Peabody Developmental Motor Scale PDMS-2)在婴幼儿中的信度和效度,为PDMS评估在国内高危儿随访和早期康复领域中的应用提供客观依据。【方法】研究对象为康复中心就诊并接受PDMS评估的100例儿童。研究对象中随机选取15～31例检测重测信度(间隔4～7d),研究对象中随机选取15～32例检测评分者间信度。59例接受PDMS测试的对象同时接受贝莉婴儿发育量表(BSID-Ⅱ)测试,分析BSID-Ⅱ的智力量表原始分和运动量表的原始分与PDMS各项原始分之间的相关性来确定两者之间的平行效度。【结果】PDMS的各项原始分均具有良好的重测信度和评分者间信度(ICC值均>0.90),PDMS各项原始分与BSID-Ⅱ测试的各项原始分之间具有良好的平行效度(Pearson相关系数为0.66～0.91)。【结论】本次研究确立了中文版PDMS的信度和效度,从而为在国内高危儿随访和早期康复领域内使用PDMS评价系统奠定了良好的基础。展开更多
【Objective】 To study the predictive value of a single qualitive assessment of general movements(GMs) in fidgety period(fidgety movements) for high risk infants’ abnormal motor developmental outcome. 【Methods】 183...【Objective】 To study the predictive value of a single qualitive assessment of general movements(GMs) in fidgety period(fidgety movements) for high risk infants’ abnormal motor developmental outcome. 【Methods】 183 high risk infants were accepted a single or multiple GMs assessment in fidgety movements period.Motor developmental outcome was defined by clinical diagnosis and Peabody Motor Develoment Scale assessment after 12-month-age(corrected age of premature infants).The predictive validities were compared between the single assessment group and the multiple assessment group. 【Results】 In the single assessment group,the predictive validity of cerebral palsy was as follows: sensitivity 100%,specificity 93.8%,positive predictive value 87.8%,and negative predictive value 100%;while the predictive validity of abormal motor developmental outcome(cerebral palsy and motor retardation) was as follows: sensitivity 74.0%,specificity 93.9%,positive predictive value 90.2%,and negative predictive value 82.7%.In the multiple assessment group,the predictive validity of cerebral palsy was as follows: sensitivity 85.0%,specificity 89.4%,positive predictive value 77.3%,and negative predictive value 93.3%;while the predictive validity of abormal motor developmental outcome was as follows: sensitivity 77.8%,specificity 97.5%,positive predictive value 95.5%,and negative predictive value 86.7%. 【Conclusions】 The study found a high relationship between a single fidgety movements assessment and the infants’ motor developmental outcome(especially cerebral palsy).Further studies need to be done in general population.展开更多
文摘【目的】本文旨在确定中文版Peabody运动发育量表(Peabody Developmental Motor Scale PDMS-2)在婴幼儿中的信度和效度,为PDMS评估在国内高危儿随访和早期康复领域中的应用提供客观依据。【方法】研究对象为康复中心就诊并接受PDMS评估的100例儿童。研究对象中随机选取15～31例检测重测信度(间隔4～7d),研究对象中随机选取15～32例检测评分者间信度。59例接受PDMS测试的对象同时接受贝莉婴儿发育量表(BSID-Ⅱ)测试,分析BSID-Ⅱ的智力量表原始分和运动量表的原始分与PDMS各项原始分之间的相关性来确定两者之间的平行效度。【结果】PDMS的各项原始分均具有良好的重测信度和评分者间信度(ICC值均>0.90),PDMS各项原始分与BSID-Ⅱ测试的各项原始分之间具有良好的平行效度(Pearson相关系数为0.66～0.91)。【结论】本次研究确立了中文版PDMS的信度和效度,从而为在国内高危儿随访和早期康复领域内使用PDMS评价系统奠定了良好的基础。
文摘【Objective】 To study the predictive value of a single qualitive assessment of general movements(GMs) in fidgety period(fidgety movements) for high risk infants’ abnormal motor developmental outcome. 【Methods】 183 high risk infants were accepted a single or multiple GMs assessment in fidgety movements period.Motor developmental outcome was defined by clinical diagnosis and Peabody Motor Develoment Scale assessment after 12-month-age(corrected age of premature infants).The predictive validities were compared between the single assessment group and the multiple assessment group. 【Results】 In the single assessment group,the predictive validity of cerebral palsy was as follows: sensitivity 100%,specificity 93.8%,positive predictive value 87.8%,and negative predictive value 100%;while the predictive validity of abormal motor developmental outcome(cerebral palsy and motor retardation) was as follows: sensitivity 74.0%,specificity 93.9%,positive predictive value 90.2%,and negative predictive value 82.7%.In the multiple assessment group,the predictive validity of cerebral palsy was as follows: sensitivity 85.0%,specificity 89.4%,positive predictive value 77.3%,and negative predictive value 93.3%;while the predictive validity of abormal motor developmental outcome was as follows: sensitivity 77.8%,specificity 97.5%,positive predictive value 95.5%,and negative predictive value 86.7%. 【Conclusions】 The study found a high relationship between a single fidgety movements assessment and the infants’ motor developmental outcome(especially cerebral palsy).Further studies need to be done in general population.
