英国医学研究理事会肌力测试在重症监护室患儿中的评定者间信度

doi:10.3969/j.issn.1006-9771.2024.04.016

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (4): 493-496.doi: 10.3969/j.issn.1006-9771.2024.04.016

• 应用研究 • 上一篇

英国医学研究理事会肌力测试在重症监护室患儿中的评定者间信度

陆恺^1a, 柳宇鑫^1b, 王素娟^1a(), 陈伟明^1b(), 许业涛^1a, 周昊^1a, 姚叶林^1a, 尹欢欢^1a, 张铮铮^1b, 杜岩^1b

1.复旦大学附属儿科医院，a. 康复中心；b. 重症医学科，上海市 201102

收稿日期:2024-01-03 修回日期:2024-03-12 出版日期:2024-04-25 发布日期:2024-05-08
通讯作者: 王素娟，E-mail： sujuanw@163.com；陈伟明，E-mail： weiming_chen@fudan.edu.cn
作者简介:陆恺(1989-)，男，汉族，上海市人，主管治疗师，主要从事儿童病房康复评定与治疗。
基金资助:
1.国家重点研发计划项目(2021YFC2701800);国家重点研发计划项目(2021YFC2701805);2.上海市卫生健康系统重点扶持学科项目(2023ZDFC0103)

Inter-rater reliability of Medical Research Council muscle strength test in pediatric intensive care unit

LU Kai^1a, LIU Yuxin^1b, WANG Sujuan^1a(), CHEN Weiming^1b(), XU Yetao^1a, ZHOU Hao^1a, YAO Yelin^1a, YIN Huanhuan^1a, ZHANG Zhengzheng^1b, DU Yan^1b

1. a. Rehabilitation Center; b. Pediatric Intensive Care Unit, Children's Hospital of Fudan University, Shanghai 201102, China

Received:2024-01-03 Revised:2024-03-12 Published:2024-04-25 Online:2024-05-08
Contact: WANG Sujuan, E-mail: sujuanw@163.com; CHEN Weiming, E-mail: weiming_chen@fudan.edu.cn
Supported by:
National Key Research and Development Program of China(2021YFC2701800);National Key Research and Development Program of China(2021YFC2701805);Shanghai Municipal Health System Major Supports Discipline Projects(2023ZDFC0103)

摘要/Abstract

摘要：

目的确定英国医学研究理事会(MRC)肌力测试应用于危重症儿童的评定者间信度。

方法选择2022年6月至2023年3月在复旦大学附属儿科医院重症监护室住院的2~12岁危重症患儿41例，由两名治疗师分别对患儿进行MRC肌力测试。

结果 MRC总分评定者间信度良好(ICC = 0.788, 95%CI 0.636~0.881, P < 0.001)，上、下肢MRC总分信度良好至极好(ICC = 0.641~0.803, 95%CI 0.419~0.890, P < 0.001)；对≥ 7岁儿童，MRC总分信度极好(ICC = 0.855, 95%CI 0.692~0.935, P < 0.001)。

结论 MRC肌力测试在危重症患儿人群中具有满意的评定者间信度，对学龄儿童信度可能更好。

关键词: 儿童, 危重症, 肌力测试, 信度

Abstract:

Objective To investigate the inter-rater reliability of Medical Research Council (MRC) muscle strength test in critically ill children.

Methods From June, 2022, to March, 2023, 41 critically ill children aged two to twelve years were involved from the Pediatric Intensive Care Unit of Children's Hospital of Fudan University. Two physiotherapists implemented MRC muscle strength tests separately.

Results MRC total score was good in inter-rater reliability (ICC = 0.788, 95%CI 0.636 to 0.881, P < 0.001), as well as both the scores of upper limbs and lower limbs (ICC = 0.641 to 0.803, 95%CI 0.419 to 0.890, P < 0.001). For children more than seven years old, MRC total score was excellent in inter-rater reliability (ICC = 0.855, 95%CI 0.692 to 0.935, P < 0.001).

Conclusion MRC muscle strength test is good in inter-rater reliability for critically ill children, especially for school-age children.

Key words: children, critically ill, muscle strength test, reliability

中图分类号:

陆恺, 柳宇鑫, 王素娟, 陈伟明, 许业涛, 周昊, 姚叶林, 尹欢欢, 张铮铮, 杜岩. 英国医学研究理事会肌力测试在重症监护室患儿中的评定者间信度[J]. 《中国康复理论与实践》, 2024, 30(4): 493-496.

LU Kai, LIU Yuxin, WANG Sujuan, CHEN Weiming, XU Yetao, ZHOU Hao, YAO Yelin, YIN Huanhuan, ZHANG Zhengzheng, DU Yan. Inter-rater reliability of Medical Research Council muscle strength test in pediatric intensive care unit[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 493-496.

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参考文献 19

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疾病类型	n	ICC	95%CI	P值
神经系统	11	0.687	0.175~0.905	0.008
呼吸系统	17	0.763	0.465~0.907	< 0.001
其他	13	0.883	0.669~0.963	< 0.001

肌群	n	ICC	95%CI	P值
肩外展	82	0.584	0.421~0.711	< 0.001
肘屈曲	82	0.585	0.422~0.711	< 0.001
腕伸展	82	0.439	0.249~0.597	< 0.001
髋屈曲	82	0.640	0.475~0.758	< 0.001
膝伸展	82	0.796	0.700~0.864	< 0.001
踝背屈	82	0.649	0.494~0.762	< 0.001

英国医学研究理事会肌力测试在重症监护室患儿中的评定者间信度

Inter-rater reliability of Medical Research Council muscle strength test in pediatric intensive care unit

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变量	n	ICC	95%CI	P值
总分	41	0.788	0.636~0.881	< 0.001
年龄
≥ 7岁	23	0.855	0.692~0.935	< 0.001
< 7岁	18	0.695	0.356~0.874	0.001
≥ 5岁	31	0.757	0.555~0.875	< 0.001
< 5岁	10	0.718	0.242~0.920	0.004

肢体	n	ICC	95%CI	P值
上肢	41	0.641	0.419~0.791	< 0.001
下肢	41	0.803	0.660~0.890	< 0.001

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