《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (12): 1112-1115.

• 论文 • 上一篇    下一篇

脑瘫粗大运动功能分级系统修订扩展版(中文版)的信度和效度研究

李初阳1，史惟2，周美琴3，朱默2，冉小华3，杨红2，梁琪1   

  1. 1. 广州康复实验学校，广东广州市 510630；2.复旦大学附属儿科医院康复中心，上海市 201102；3.上海市浦东新区特殊学校，上海市 200136。
  • 收稿日期:2011-07-06 修回日期:2011-08-26 出版日期:2011-12-25 发布日期:2011-12-25
  • 通讯作者: 史惟

Reliability and Validity of Expanded and Revised Gross Motor Function Classification System (Chinese Version)

LI Chu-yang, SHI Wei, ZHOU Mei-qin, et al.   

  1. Guangzhou Rehabilitation Experimental School, Guangzhou 510630, Guangdong, China
  • Received:2011-07-06 Revised:2011-08-26 Published:2011-12-25 Online:2011-12-25

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摘要： 目的确定中文版脑瘫粗大运动功能分级系统修订扩展版(GMFCSE&R)的信度和效度。方法来自广州和上海两家特殊教育学校的101名6～18岁学生参加此项研究。通过分析不同评价者间(康复医师、物理治疗师、文化教师、家长)的评价结果确定GMFCSE&R的评价者间信度；以粗大运动功能测试(GMFM)为效标确定GMFCSE&R的平行效度。结果GMFCSE&R具有良好的评价者间信度(ICC=0.79～0.91)；GMFCSE&R与GMFM各项分值之间Spearman相关系数为-0.46～-0.86。结论中文版GMFCSE&R具有良好的信度和效度，适用于国内对脑瘫患儿进行功能分级。

关键词: 脑性瘫痪, 粗大运动功能, 分类, 信度, 效度

Abstract: Objective To identify the reliability and validity of Chinese version of expanded and revised Gross Motor Function Classification System (GMFCS E&R). Methods 101 children with cerebral palsy aged 6～18 from 2 special schools in Shanghai and Guangzhou participated in this study. The interrater reliability was identified by analyzing the assessment results among different raters, including rehabilitation doctors, physical therapists, teachers and parents. Gross Motor Function Measure (GMFM) was used as the criterion to identify the parallel validity. Results GMFCS E&R had good interrater reliability (ICC=0.79～0.91) as well as the parallel validity (Spearman rank correlation coefficient is -0.46～-0.86). Conclusion Chinese version of GMFCS E&R has good reliability and validity. It is suitable for children with cerebral palsy as the tool of function classification in China.

Key words: cerebral palsy, gross motor function, classification, reliability, validity