摘要
目的:检验Carroll上肢功能试验(UEFT)在痉挛型偏瘫儿童中的信度,为Carroll上肢功能试验在痉挛型偏瘫儿童的临床应用提供客观依据。方法:选取30例能理解简单指令的痉挛型偏瘫儿童参加本研究,由两位熟练掌握UEFT评分标准的作业治疗师同时进行UEFT评分,评分结果由不参与评价的作者最后进行汇总统计,患侧、健侧上肢均进行UEFT测试。把UEFT抓握、捏、放置、旋转、书写五个功能区分数以及试验总分共6部分分数单独进行数据分析,使用等级间相关系数(ICC)分别检验UEFT患侧、健侧上肢的评价者间信度(组间信度)。结果:UEFT在患侧和健侧上肢水平都有较高的评价者间信度(患侧上肢的ICC值=0.921—0.976;健侧上肢的ICC值=0.926—0.973),且95%可信区间集中(P<0.001)。结论:UEFT用于评定痉挛型偏瘫儿童的上肢功能测试时具有较好的评价者间信度。同时,UEFT具有使用简便、实用、准确的优点,为痉挛型偏瘫儿童上肢功能的诊断和评价提供了一种可靠的手段。
Objective：To examine the inter-rater reliability of Carroll upper extremities functional test （UEFT） for children with spastic hemiplegia in order to guide the clinical practice.Method：Thirty children who could understand simple orders with spastic hemiplegia were enrolled into this study.Carroll UEFT was applied to assess both upper extremities of each child by two trained occupational therapists.They evaluated subjects respectively at the same time,but didn＇t talk each other about children＇s scores in assessment course.The data statistics was performed by the authors who hadn＇t taken part in the assessment.The scores of five function areas（including grasping-holding,pinching,placing,rotating and writing） of UEFT and the total scores of UEFT were analyzed respectively.The inter-rater reliability was investigated on each extremity over both test sessions,and it was determined through the calculation of the intraclass correlation coefficient （ICC）.Result：There was good inter-rater reliability of UEFT on each function area score,not only for the involved upper extremity （ICC=0.921—1）,but also for the non-involved upper extremity （ICC=0.926—0.973）.They all concentrated in the 95% confidence interval （P0.001）.Conclusion：The Carroll UEFT demonstrated satisfactory inter-rater reliability for the upper extremities function of children with spastic hemiplegia.The UEFT is easy to implement and accurate for assessment,so it can be used as upper extremities function measure tool for children with spastic hemiplegia.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2011年第9期822-825,共4页
Chinese Journal of Rehabilitation Medicine
基金
广州市应用基础研究计划项目(2009J1-C531)
关键词
Carroll上肢功能试验
信度
痉挛型
偏瘫
儿童
Carroll upper extremities functional test
reliability
spastic
hemiplegia
children
