改良Ashworth量表在痉挛型脑瘫儿童下肢肌张力评定中的信度研究  

Reliability of Modified Ashworth Scales Measuring Muscular Tone of Lower Extremities of Children with Spastic Cerebral Palsy

作　　者：黄华玉[1] 史惟[2] 陈洁清[3] 陈冬冬[1] 赵燕萍[3] 钟宁[1] 

机构地区：[1]上海市徐汇区华泾镇社区卫生服务中心,上海市200231 [2]复旦大学附属儿科医院康复中心,上海市201102 [3]上海市闵行区江川社区卫生服务中心,上海市200240

出　　处：《中国康复理论与实践》2010年第10期973-975,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨改良Ashworth量表(MAS)在痉挛型脑瘫儿童下肢肌张力评定中的信度。方法 31例痉挛型脑瘫患儿纳入研究,其中男性19例,女性12例;平均(51.3±26.8)个月;双瘫20例,四肢瘫7例,偏瘫4例;采用MAS评定患儿左右两侧下肢的内收肌、腘绳肌及比目鱼肌的肌张力。通过比较2名不同评定者评定结果之间以及同一评定者前后评定结果之间的相关性确定MAS测试的信度。结果不同评定者间的信度较低,总体ICC值为0.68;而同一评定者内的信度较高,总体ICC值为0.83。结论 MAS用于评定痉挛型脑瘫儿童下肢肌张力时需谨慎。Objective To explore the reliability of Modified Ashworth Scales（MAS） measuring muscular tone of lower extremities of children with spastic cerebral palsy（CP）.Methods 31 children with spastic CP（19 males,12 females） were included in this study. The mean age for the children was （51.3±26.8） months; 20 diplegia,7 quadriplegia,4 hemiplegia. The muscle tone of hip adductor,hamstring,soleus muscles were tested bilaterally with MAS in lower extremity of the children. Two evaluators used the MAS to assesse the muscles tone of children. To compare with the relativity of the results of interrater and intrarater,the reliability was confirmed.Results The reliability of interrater was poor,the total ICC value was 0.68,while better for the reliability of intrarater,the total ICC value was 0.83.Conclusion It should be cautions in assessment of spasticity of muscles in the lower extremities of children with spastic CP by MAS.

关 键 词：痉挛 改良Ashworth量表 信度 脑瘫 

分 类 号：R742.3[医药卫生—神经病学与精神病学]