文章摘要
王素娟,史惟,廖元贵,徐秀娟,杨红,邵肖梅.GMFM 66在0-3岁脑性瘫痪患儿粗大运动评估中的信度和效度研究[J].中华流行病学杂志,2006,27(6):530-534
GMFM 66在0-3岁脑性瘫痪患儿粗大运动评估中的信度和效度研究
Study on the reliability and validity of the 66-item version on the gross motor function measure in 0-3 year olds with cerebral palsy
投稿时间:2005-11-03  
DOI:
中文关键词: 脑性瘫痪;粗大运动功能测试量表;Rasch分析;信度;效度
英文关键词: Cerebral palsy;Gross motor function measure;Rasch analysis;Reliability;Validity
基金项目:
作者单位E-mail
王素娟 复旦大学附属儿科医院康复中心, 上海 200032  
史惟 复旦大学附属儿科医院康复中心, 上海 200032 shiweixiyi@hotmail.com 
廖元贵 复旦大学附属儿科医院康复中心, 上海 200032  
徐秀娟 复旦大学附属儿科医院康复中心, 上海 200032  
杨红 复旦大学附属儿科医院康复中心, 上海 200032  
邵肖梅 复旦大学附属儿科医院康复中心, 上海 200032  
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中文摘要:
      目的采用Rasch分析法确定粗大运动功能测试量表(GMFM)66项在0-3岁脑性瘫痪(脑瘫)患儿粗大运动功能评估中的信度和效度。方法对171例0-3岁脑瘫患儿用GMFM 88项量表进行评估,获得有效样本298个,采用Rasch统计方法筛选出GMFM 73项,同时获得各样本的GMFM 73项分值,通过GMFM 73项与GMFM 66分值之间以及改变分值之间进行相关性分析来判断GMFM 66项在0-3岁脑瘫患儿粗大运动评估中的信度和效度。结果GMFM 73项分值与GMFM 66分值高度相关(r=0.9848,P<0.001),不同月龄和类型的脑瘫患儿GMFM 73项分值与GMFM 66分值之间也呈高度相关(r=0.9484-0.9958,P<0.001);在间隔(3.6±1.5)个月后, GMFM 73项的平均改变分值为4.37±4.51,GMFM 66的平均改变分值为4.19±4.29,两者改变分值之间呈高度相关(r=0.8700,P<0.001),GMFM 66的精确度和效应尺度略高于GMFM 73。结论GMFM 66项在0-3岁脑瘫患儿粗大运动功能评估中具有良好的信度和效度。
英文摘要:
      Objective To examine the reliability and validity of the 66-item version on the gross motor function measure (GMFM-66) to assess the gross motor functions of children below 3 years old with cerebral palsy. Methods 298 valid samples were obtained from 171 children with cerebral palsy (male 126, female 45 with mean age 19 months, age range 3-36 months) measured with GMFM-88. Then a 73-item version of GMFM (GMFM-73) special for these children was obtained by Rasch analysis. Both GMFM-66 and GMFM-73 scores of to each sample were obtained. The reliability and validity of GMFM-66 were evaluated through analyzing the correlation between the scores and between the changed scores of these two GMFM versions. The relative precision of GMFM-73 versus GMFM-66 was also analyzed. Results Significant correlations were found between the scores and between the changed scores of these two versions of GMFM. A 14% less gain in relative precision was achieved when using GMFM-73 versus GMFM-66. Conclusion Results indicated that the GMFM-66 had good reliability and validity in assessing the gross motor functions of children below 3 years old with cerebral palsy.
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