《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (10): 838-840.

• 临床研究 • 上一篇    下一篇

粗大运动功能测试量表66项的反应度和精确度研究

史惟; 廖元贵; 王素娟; 施炳培   

  1. 复旦大学附属儿科医院康复中心 上海市 200030
  • 收稿日期:2005-05-12 出版日期:2005-10-25 发布日期:2005-10-25

Responsiveness and precision of Gross Motor Function Measure(66 items version)

SHI Wei, LIAO Yuan-gui, WANG Su-juan, et al   

  1. Rehabilitation Center of Children's Hospital Affiliated to Fudan University, Shanghai 200032, China
  • Received:2005-05-12 Published:2005-10-25 Online:2005-10-25

摘要: 目的比较粗大运动功能测试量表66项(GMFM 66)与88项(GMFM 88)的反应度和精确度。方法以173例(男性126例、女性47例)接受过两次以上GMFM评估的患儿为研究对象,在平均(3.8±4.3)个月后进行第2次评估,其中112例(64.7%)在平均(3.2±2.2)个月进行第3次评估,比较GMFM 88项和GMFM 66项在前后3次评估之间的效应尺度和相对精确度。结果在各次评估之间,GMFM 66项的效应尺度与GMFM 88项非常接近,差别在0.03~0.04之间,且精确度不低于GMFM88项。结论具有等距特性的GMFM 66项有良好的反应度和精确度,比GMFM 88项更有利于康复疗效判断。

关键词: 脑性瘫痪, 粗大运动, 粗大运动功能测试量表(GMFM), 效应尺度, 相对精确度

Abstract: ObjectiveTo compare the responsiveness and precision between the 66 items version of Gross Motor Function Measure(GMFM-66) and 88 items version(GMFM-88).Methods173 children with cerebral palsy(male 126,female 47) who have received twice assessments were involved.All the second assessment were performed 3.8±4.3 months later.112 children received the third assessment 3.2±2.2 months after the second assessment.The effect size and relative precision between the GMFM-66 and GMFM-88 were analyzed.ResultsThe effect size of GMFM-66 between every two assessments was nearly the same as those of GMFM-88.The precision of GMFM-66 was not lower than that of GMFM-88.ConclusionThe interval-scale GMFM-66 has satisfying responsiveness and precision.It is more useful than GMFM-88 in measuring the treating effect of children with cerebral palsy.

Key words: cerebral palsy, gross motor, Gross Motor Function Measure(GMFM), effect size, relative precision