基于ICF-CY的脑瘫粗大运动功能测试量表内容效度分析  

Content Validity of Gross Motor Function Measure for Cerebral Palsy: Based on International Classification of Functioning,Disability and Health Children and Youth Version

作　　者：史惟[1] 朱默[1] 翟淳[1] 张琪[1] 杨红[1] 王艺[1] 

机构地区：[1]复旦大学附属儿科医院康复中心,上海市201102

出　　处：《中国康复理论与实践》2013年第1期13-18,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金(81273088)

摘　　要：目的分析脑瘫粗大运动功能测试量表(GMFM)的内容效度。方法由3名从事GMFM临床评估2年以上的康复医生和治疗师确定GMFM每一项所包含的概念,召开小组讨论会最终确定GMFM每项所包含的概念。由两名熟悉《国际功能、残疾和健康分类》青少年版(ICF-CY)术语和详细分类的康复医生根据联系规则,通过讨论将GMFM概念与ICF-CY类目编码进行匹配,在意见不一致时,由第三方做出非正式决定。分析GMFM项目与类目编码关联的分布状况。结果 88个GMFM项目与12个二级类目、27个三级类目匹配,均以利于一级类目b7神经肌肉骨骼和运动有关的功能和d4活动;其中86个项目与d4下级类目关联,47个同时与b7下级类目关联,2个项目只与b7下级类目关联;16个项目与ICF-CY新增的1个二级类目和3个三级类目发生16次关联。结论 GMFM评估内容主要集中于ICF-CY框架中的活动类,尤其是活动中"改变和保持身体姿势"以及"步行和移动";与身体功能有关联的GMFM项目主要涉及"手臂的支撑功能"。Objective To analyze the content validity of Gross Motor Function Measure （GMFM） for cerebral palsy. Methods Concept contained in each item of GMFM was determined by 3 rehabilitation physicians or therapists who evaluated with GMFM for more than 2 years. All the concepts extracted were discussed in a meeting. The terms finalized were linked to the categories of International Classifica- tion of Functioning, Disability and Health Child and Youth version （1CF-CY） by 2 rehabilitation physicians who are familiar with the terms of ICF-CY according to the linking rules after discussion. Third party would intervene informally if there was a disagreement. The distribu- tion of the ICF-CY categories involved were analyzed. Results 88 items from the GMFM linked to 27 categorise of 3rd level within 12 cate- gories of 2nd level, belong to b7 Neuromusculoskeletal and Movement-related Functions and d4 Activities. 86 items linked to d4x, and 47 of then linked to b7x too. 2 items linked to b7x only. 16 items linked to the categories added to ICF-CY 16 times, involved 3 3rd level catego- ries in a 2nd level category. Conclusion GMFM mainly focused on the activities in the framework of ICF-CY, especially the activities of changing and maintaining functional as well as the body posture and walking or moving. For the body function, the GMFM mainly focus on the support from arms.

关 键 词：脑性瘫痪 粗大运动功能测试 《国际功能 残疾和健康分类》青少年版 效度 

分 类 号：R742.3[医药卫生—神经病学与精神病学]