中文版墨尔本单侧上肢功能评估量表2的信度和效度研究  

A study on reliability and validity of the Chinese version of Melbourne assessment 2 of unilateral upper limb function

作　　者：付海城 姜志梅[1,2,3] 孙晓燕[1,2,3] 汤敬华[1,2,3] 徐磊[1,2,3] 孙奇峰[1,2,3] 朱琳[1,2,3] 

机构地区：[1]佳木斯大学康复医学院作业治疗教研室 [2]佳木斯大学附属第三医院作业治疗科 [3]佳木斯大学儿童康复神经实验室,佳木斯154003

出　　处：《中国康复医学杂志》2014年第12期1134-1137,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:对中文版(翻译版)墨尔本单侧上肢功能评估量表2(MA2)的信度、效度进行研究,为其在国内脑瘫引起的上肢功能障碍儿童随访及康复领域中的应用提供客观依据。方法:研究对象为50例在康复中心就诊并接受MA2评估和上肢技巧质量测试量表(QUEST)评估的痉挛型脑瘫儿童,所有患儿的评估结果被用来检测重测信度(间隔2周)和评分者间信度,分析MA2中关节活动度分测试和灵巧性分测试各自百分比分与QUEST量表中分离运动分测试和抓握分测试各自百分比之间相关性,确定平行效度。结果:中文版MA2各分测试的百分比分具有良好的重测信度及评估者间信度(ICC值>0.90),MA2与QUEST量表的各相关项分测试百分比分具有良好的平行效度(P>0.84)。结论:中文版MA2具有良好的信度和效度,是一种可以有效评估脑瘫儿童上肢运动质量的工具。Objective：To investigate the reliability and validity of the Chinese version of Melbourne assessment 2（MA2） of unilateral upper limb function.To provide the basis for application of this assessment in follow-up and rehabilitation of children with cerebral palsy（CP）.Method：Fifty children with spastic CP were recruited as participants who had been assessed by MA2 and quality of upper extremity skills test （QUEST） for the study of test-retest reliability （with a interval of 2 weeks） and inter-rater reliability.Parallel validity was analyzed by calculating the correlations between different percentage scores of MA2 and QUEST.Result：Different percentage scores of MA2 possessed excellent intra-and interrater reliability （ICC〉0.90）.There was a high and positive relation between children＇s percentage scores on MA2 and QUEST as assessed by Spearman＇s ρ statistic （P〉0.84）.Conclusion：Reliability and validity of Chinese version of MA2 was determined in this study,which lay important basis for application of this assessment in follow-up and rehabilitation of children with CP.

关 键 词：墨尔本评估量表2 信度 效度 脑性瘫痪 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]