中文版改良躯干损伤量表在脑卒中患者中的信度与效度研究  

The reliability and validity of Chinese version of the modified trunk impairment scale in stroke patients

作　　者：金冬梅[1] 曾鑫鑫 薛晶晶[1] 李睿[1] 洪忠秋 郑修元[1] JIN Dongmei;ZENG Xinxin;XUE Jingjing

机构地区：[1]中山大学孙逸仙纪念医院,广州市510120 [2]中山大学附属第三医院

出　　处：《中国康复医学杂志》2021年第7期787-792,共6页Chinese Journal of Rehabilitation Medicine

基　　金：广东省自然科学基金自由申请项目(2017A030313663);逸仙临床研究培育项目(SYS-Q-201803)。

摘　　要：目的:翻译挪威版改良躯干损伤量表(the Trunk Impairment Scale-modified to Norwegian Version,mTIS),并探讨其在脑卒中患者应用中的信度与效度,为其临床应用提供客观依据。方法:将挪威版mTIS翻译为中文版mTIS。共入组30例病例,在入组第一天,评定者A与B同时但独立对患者进行中文版mTIS量表评估,评定者A再对患者进行Fugl-Meyer量表的下肢运动部分(The Fugl-Meyer Assessment of Lower Extremity, FMA-LE)、改良Barthel指数(Modified Barthel Index, MBI)、Berg平衡量表(Berg Balance Scale,BBS)和脑卒中患者姿势评定量表(Postural Assessment Scale for Stroke Patient,PASS)评估。在入组第二天,评定者A再进行一次中文版mTIS评估。采用组内相关系数法(Intra-class Correlation Coefficient,ICC))分析评定者内部的重测信度和评定者间信度,采用Pearson相关系数法检测效度。结果:在信度研究中,评定者A与B之间的中文版mTIS总分、动态坐位平衡分量表得分、协调分量表得分的ICC分别为0.978,0.967,0.902,评定者A两次评定结果之间的中文版mTIS总分、动态坐位平衡分量表得分、协调分量表得分的ICC分别为0.971,0.969,0.901。在效度研究中,中文版mTIS得分与FMA-LE得分的相关系数r=0.806,P<0.05;与MBI得分的相关系数r=0.802,P<0.05;与BBS得分的相关系数r=0.734,P<0.05;与PASS得分的相关系数r=0.775,P<0.05。结论:中文版改良躯干损伤量表在脑卒中患者应用中具有良好的重测信度、评定者间信度和较好的效度。Objective:To translate the trunk impairment scale-modified to Norwegian version(mTIS)and explore its reliability and validity in stroke patients,to establish an objective basis for its clinical application among stroke survivors in China.Method:Firstly,translated mTIS into Chinese version of mTIS.A total of 30 subjects from the Department of Rehabilitation Medicine and Neurology of Sun Yat-sen Memorial Hospital were recruited.On the first day of recruitment,the assessor A and assessor B evaluated patients with the Chinese version of the mTIS simultaneously but independently.Whereafter,the rater A assessed the The Fugl-Meyer Assessment of Lower Extremity(FMA-LE),Modified Barthel Index(MBI),Berg Balance Scale(BBS)and Posture Assessment Scale for Stroke Patient(PASS).On the second day of enrollment,rater A conducted mTIS evaluation again.The intra-class correlation coefficient(ICC)was used to explore reliability and the Pearson correlation coefficient was used to analyze validity.Result:In the reliability study,the ICC of the total scores,dynamic sitting balance and coordination scores between rater A and rater B respectively were 0.978,0.967,0.902 and respectively were 0.971,0.969,0.901 between the two assessments of rater A.In the validity study.the correlation coefficient of mTIS scores with FMA-LE,MBI,BBS and PASS scores were 0.806,0.802,0.734,0.775,respectively(P<0.05).Conclusion:The Chinese version of mTIS shows great test-retest reliability,inter-rater reliability and good validity among stroke patients in China.

关 键 词：脑卒中 躯干控制 量表 信度 效度 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]