《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (10): 952-955.

• 临床研究 • 上一篇    下一篇

脑瘫患者粗大运动功能问卷的编制

史惟; 杨红; 李惠; 徐东浩; 黄华玉   

  1. 复旦大学附属儿科医院华泾社区卫生服务中心联合儿童康复科,上海市 201102
  • 收稿日期:2008-07-04 出版日期:2008-10-01 发布日期:2008-10-01

Development of Cerebral Palsy-Gross Motor Function Questionnaire

SHI Wei, YANG Hong, LI Hui, et al   

  1. The Child Rehabilitation Department, Children's Hospital of Fudan University-Hua Jing Community Health Center, Shanghai 201102, China
  • Received:2008-07-04 Published:2008-10-01 Online:2008-10-01

PDF (PC)

被引次数

11

摘要： 目的编制脑瘫患者粗大运动功能问卷(CP-GMFQ),同时确定该问卷的信度、效度和反应度。方法共有160例脑瘫患者和家长参加此项研究,选取最初的27例对象进行重测信度研究(间隔7～18 d);在对所有研究对象进行GMFQ调查的同时进行中文版脑瘫粗大运动功能分级系统(GMFCS)和脑瘫粗大运动功能测试量表(GMFM)评价,确定GMFQ的平行效度;对随机选出的21例对象采用效应尺度进行反应度研究,在间隔3～7个月后再次进行GMFQ调查和GMFM评估;随机选取30例对象,进行GMFQ调查和GMFM测试所需时间的比较。结果GMFQ分具有良好的重测信度(ICC=0.9940);与GMFM各项分值和GMFCS评价之间具有良好的平行效度(相关系数=0.77～0.92);GMFQ分的效应尺度(0.34)介于GMFM88百分比与GMFM66分值之间;GMFQ调查的测试时间(平均4.7±1.6 min)显著少于GMFM测定(平均17.7±4.6 min)(P<0.001)。结论GMFQ具有良好的信度、效度和反应度,可以简便易行、科学合理地评价脑瘫患者的粗大运动功能。

关键词: 脑性瘫痪, 粗大运动, 功能, 问卷

Abstract: Objective To work out the Cerebral Palsy-Gross Motor Function Questionnaire(CP-GMFQ) and evaluate the reliability,validity and responsiveness of CP-GMFQ.Methods 160 children with cerebral palsy(CP)(97 males and 63 females;average age: 47.7±20.1 months,range: 18～90 months) were involved.The first 27 children received second assessment to assess test-retest reliability with a interval of 7 to 18 days.Criterion-related validity was evaluated by comparing CP-GMFQ scores with Gross Motor Function Classification System(GMFCS) levels and scores of Gross Motor Function Measure(GMFM).21 children were randomly selected for responsiveness analysis by effect size.After a interval of 3 to 7 months the re-assessment GMFQ and GMFM were tested.30 children were randomly selected for comparative testing time of GMFQ and GMFM.Results GMFQ had excellent test-retest reliability(ICC=0.9940);criterion-related validity was excellent between GMFQ scores and GMFCS levels and GMFM scores(r=0.77～0.92).Effect size of GMFQ(0.34) between GMFM88 and GMFM66,testing time of GMFQ(average 4.7±1.6 min) were significantly less than testing time of GMFM(average 17.7±4.6 min)(P<0.001).Conclusion The reliability,validity and responsiveness of GMFQ are satisfying.The gross motor functions of children with cerebral palsy could be easy and reasonably measured by GMFQ.

Key words: cerebral palsy, gross motor, function, questionnaire