基于ICF-CY的脑性瘫痪上肢功能评估量表内容效度分析

发布时间：2018-04-08 19:30

本文选题：脑性瘫痪　切入点：上肢　出处：《中国康复理论与实践》2017年07期

【摘要】：目的以《国际功能、残疾和健康分类(儿童及青少年版)》(ICF-CY)为框架,明确三种常用脑瘫儿童上肢功能评估量表的内容和临床使用价值。方法选择脑瘫儿童精细运动功能测试量表(FMFM)、墨尔本单侧上肢功能评估量表2(MA2)和上肢技巧质量测试量表(QUEST),由2名从事脑瘫儿童上肢功能评估3年以上的康复医生和治疗师独立确定每个条目所包含的概念,按相关联系法则将提取的概念ICF-CY类目建立关联,分析各量表提取的概念数、涉及ICF-CY类目数以及与之发生关联数的分布状况。结果三个量表共计提取62个概念,发生403次关联。FMFM关联的ICF-CY类目最多,"活动和参与"类目占关联总数近2/3(134/204)。QUEST主要与身体功能的下级类目"关节活动和手臂的支撑功能"发生关联。MA2与反映运动准确性的知觉功能类目关联7次,涉及运动流畅性的类目关联9次,合计占总关联数50%以上。结论 FMFM更多地评价脑瘫儿童上肢功能的活动和参与能力,也更为适合年幼脑瘫儿童;MA2更多地关注上肢运动的准确度和流畅性;而QUEST主要关注身体功能,尤其是上肢的关节活动和支撑功能。
[Abstract]:Objective to determine the content and clinical value of three common upper limb function assessment scales for children with cerebral palsy (ICF-CYL), using the International Classification of function, Disability and Health (Child & Adolescent version) as the framework.Methods the fine motor function test scale for children with cerebral palsy (FMFMN), the Melbourne upper limb function assessment scale (2MA2) and the upper limb skill quality scale (questt) were selected. Two rehabilitation doctors who were engaged in the evaluation of upper limb function of children with cerebral palsy for more than 3 years were selected.The therapist independently identifies the concepts contained in each entry,According to the correlation relation rule, the concepts of ICF-CY category are associated, and the number of concepts extracted from each scale is analyzed, which involves the number of ICF-CY categories and the distribution of the associated numbers.Results A total of 62 concepts were extracted from the three scales."activity and participation" category accounted for the total number of associations. The "activity and participation" category was mainly associated with the lower category of physical function, "Joint activity and arm support function". MA2 was associated with the accuracy of reflecting movement.The perceptual functional categories were associated with each other 7 times,There were 9 associations involving motion fluency, which accounted for more than 50% of the total correlation.Conclusion FMFM is more suitable for evaluating the upper limb function of children with cerebral palsy, and is more suitable for young children with cerebral palsy to pay more attention to the accuracy and fluency of upper limb movement, while QUEST is mainly concerned with physical function.In particular, the upper limb joint movement and support function.
【作者单位】：宁波市江东区明楼街道社区卫生服务中心;复旦大学附属儿科医院康复科;
【基金】：浙江省医药卫生科技计划项目(No.2016ZHB018) 宁波市科技局自然科学基金项目(No.2015A610314)
【分类号】：R493;R742.3

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