《中国康复理论与实践》

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (10): 1172-1180.doi: 10.3969/j.issn.1006-9771.2025.10.008

• 循证研究 • 上一篇    下一篇

基于ICF-CY的学龄期儿童基本运动技能评估量表结构内容和心理测量特性的系统综述

张郝琪, 刘华(), 孙璞, 温艳飞, 张霁月, 杨露   

  1. 首都体育学院，北京市 100191
  • 收稿日期:2025-07-04 修回日期:2025-09-15 出版日期:2025-10-25 发布日期:2025-11-10
  • 通讯作者: 刘华(1978-)，女，汉族，湖北武穴市人，博士，副教授，硕士研究生导师，主要研究方向：运动康复、运动与认知，E-mail：liuhua@cupes.edu.cn
  • 作者简介:张郝琪(1997-)，女，汉族，内蒙古包头市人，硕士研究生，中级康复治疗师，主要研究方向：运动损伤的预防与康复、孕产康复。
  • 基金资助:
    1.北京社会科学基金项目(24YTB018);2.首都体育学院研究生部教改项目(285125001);3.首都体育学院本科教学改革创新项目(145125007/035)

Structural content and psychometric properties of fundamental movement skills assessment scales for school-age children based on ICF-CY: a systematic review

ZHANG Haoqi, LIU Hua(), SUN Pu, WEN Yanfei, ZHANG Jiyue, YANG Lu   

  1. Capital University of Physical Education and Sports, Beijing 100191, China
  • Received:2025-07-04 Revised:2025-09-15 Published:2025-10-25 Online:2025-11-10
  • Contact: LIU Hua, E-mail: liuhua@cupes.edu.cn
  • Supported by:
    Beijing Social Science Foundation(24YTB018);Teaching Reform Project of the Graduate Department, Capital University of Physical Education and Sports(285125001);Undergraduate Teaching Reform and Innovation Project of Capital University of Physical Education and Sports(145125007/035)

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摘要：

目的 基于《国际功能、残疾和健康分类(儿童和青少年版)》(ICF-CY)分析评估学龄期儿童基本运动技能量表的内容结构特征和心理测量特性。
方法 检索建库至2025年7月PubMed、Science Direct、Web of Science、Embase、PsycINFO、中国知网和万方数据库中有关学龄期儿童基本运动技能评估量表的文献。采用ICF-CY链接分析评估量表内容；使用COSMIN RoB工具评估纳入文献涉及量表的心理测量特性，再采用GRADE进行证据质量评价。
结果 最终纳入29篇文献，涉及6种评估量表，包括布尼氏动作熟练度测试第二版(BOT-2)、加拿大灵敏与运动技能测评(CAMSA)、儿童身体协调测评(KTK)、儿童运动发展测评第二版(MABC-2)、基本运动能力测试(MOBAK)和粗大动作发展测试第三版(TGMD-3)。与ICF-CY链接，所有6个量表均关注了关节活动功能(b710)和关节稳定功能(b715)，其中5个量表还涉及手和手臂使用(d445)。链接条目5~11项，BOT-2与TGMD-3均关联11个条目，覆盖较全面；BOT-2侧重于身体功能维度的评估，而TGMD-3更侧重于活动和参与维度，尤其关注手部功能在日常活动中的表现。偏倚风险评级TGMD-3 A级与B级均占50%，偏倚风险最低；MABC-2 C级占比最高(55.6%)，BOT-2次之(33.3%)，偏倚风险均高。GRADE证据质量评价结果显示，TGMD-3证据质量高，KTK为中级，BOT-2和CAMSA为低，MABC-2和MOBAK为极低。
结论 TGMD-3链接ICF-CY条目广、心理测量特性数据好且证据质量高，可作为学龄期儿童基本运动技能评估首选工具；KTK证据质量中等，可作为次选，但国内使用需谨慎。CAMSA虽操作简便，但信效度证据质量低，仅建议用于课堂快速筛查。BOT-2虽链接ICF-CY条目较多，但偏倚风险较高，证据质量低。MOBAK和MABC-2证据质量极低，暂不推荐。

关键词: 学龄期儿童, 基本运动技能, 评估量表, 运动技能评估, 国际功能、残疾和健康分类(儿童和青少年版), 心理测量特性

Abstract:

Objective To rexplore the content structure characteristics and psychometric properties of assessment scales for fundamental movement skills (FMS) in school-aged children, based on International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) framework.
Methods Literatures on assessment scales for FMS in school-aged children were retrieved from PubMed, Science Direct, Web of Science, EMBase, PsycINFO, CNKI and Wanfang data from inception to July, 2025. The contents of the included scales were analyzed using the ICF-CY linking rule. The COSMIN RoB tool was used to assess the psychometric properties of the scales, and the GRADE system was applied to evaluate the overall quality of evidence.
Results A total of 29 studies were included, involving six assessment scales: Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2), Canadian Assessment of Movement Skill and Agility (CAMSA), Körperkoordinationstest für Kinder (KTK), Movement Assessment Battery for Children-2 (MABC-2), Motorische Basiskompetenzen test Battery (MOBAK), and Test of Gross Motor Development-3 (TGMD-3). In the ICF-CY linking analysis, all six tools addressed joint mobility functions (b710) and joint stability functions (b715), while five of them also involved hand and arm use (d445). The number of linked items ranged from 5 to 11. BOT-2 and TGMD-3 linked to 11 items, showing broad coverage; BOT-2 focused more on the body function dimension, whereas TGMD-3 emphasized activity and participation dimensions, especially the performance of hand function in daily activities. In bias risk assessment, TGMD-3 showed the lowest risk (50% rated A and 50% rated B), while MABC-2 had the highest proportion of C ratings (55.6%), followed by BOT-2 (33.3%). In evidence grading, TGMD-3 was rated high quality, KTK moderate, BOT-2 and CAMSA low, and MABC-2 and MOBAK very low.
Conclusion TGMD-3 is recommended as the primary tool for assessing FMS in school-aged children for broad coverage of ICF-CY items, strong psychometric properties and high evidence quality. KTK, with moderate evidence quality, may serve as a secondary option, but should be used cautiously in China. Although CAMSA is easy to administer, its validity and reliability are low, so it is only suitable for rapid classroom screening. BOT-2, despite covering more ICF-CY items, has a higher bias risk and low evidence quality. MOBAK and MABC-2 have very low evidence quality and are not recommended for current use.

Key words: school-age children, fundamental movement skills, assessment scales, motor skills assessment, International Classification of Functioning, Disability and Health-Children and Youth Version, psychometric properties

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