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

Abstract

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

CLC Number:

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.

Figures/Tables 4

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Table 4

References 19

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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

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

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

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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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