应用标准化视频对肌张力障碍患者进行量表评估的可靠性研究  

Reliability of rating scales for dystonia by using standardized video

作　　者：张梦雨[1] 王琳[1] 杨英麦[1] 乔雷[1] 郭毅[1] 郭丽娜[1] 纪蒙 苗素华 殷飞 万新华[1] ZHANG Mengyu;WANG Lin;YANG Yingmai(Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院,北京100730

出　　处：《中风与神经疾病杂志》2021年第9期786-790,共5页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨应用全身型、颅颈段肌张力障碍标准化视频进行肌张力障碍量表评分的可靠性。方法来自国内不同医院的5位运动障碍病专科医生针对12例肌张力障碍患者(全身型肌张力障碍、眼睑痉挛、颈部肌张力障碍患者各4例)的标准化视频,分别进行Burke-Fahn-Marsden肌张力障碍评分量表(BFMDRS)、Jankovic评分量表(JRS)、西多伦多痉挛性斜颈评分量表(TWSTRS)评分,通过组内相关系数(ICC)计算各量表总分及各分项的评估者间一致性及评估者内部一致性。结果BFMDRS、JRS、TWSTRS量表的评估者间一致性ICC值分别为0.96、0.91、0.92;评估者内部一致性ICC值分别为0.97、0.94、0.99。三种量表的评估者间一致性及评估者内部一致性均达到优秀标准。结论应用标准化视频进行BFMDRS、JRS、TWSTRS量表评分具有良好的评估者间一致性及评估者内部一致性,具有临床应用价值。Objective To investigate the reliability of using standardized generalized and craniocervical dystonia video to score the dystonia scale.Methods Standardized videos of 12 patients with dystonia(4 patients with generalized dystonia,4 patients with blepharospasm and 4 patients with spasmodic torticollis)were evaluated by 5 dyskinesia doctors from different hospitals in China.Burke-Fahn-Marsden Dystonia Scale(BFMDRS),Jankovic Scale(JRS),and West Toronto Spastic Tortico Scale(TWSTRS)were scored,respectively.The intra-class correlation coefficient(ICC)was used to calculate the inter-rater reliability and intra-rater reliability of total scales and each sub-items.Results The ICC of inter-rater reliability of BFMDRS,JRS and TWSTRS were 0.96,0.91 and 0.92,respectively.The ICC of intra-rater reliability were 0.97,0.94 and 0.99,respectively.The inter-rater reliability and intra-rater reliability of the three scales all reached the excellent standard.Conclusion There are good inter-rater reliability and intra-rater reliability of using standardized video to score BFMDRS,JRS and TWSTRS.Standardized video has clinical application value.

关 键 词：标准化视频 肌张力障碍 评分量表 可靠性 

分 类 号：R442.8[医药卫生—诊断学]