《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (1): 13-18.

• 论文 • 上一篇    下一篇

基于ICF-CY的脑瘫粗大运动功能测试量表内容效度分析

史惟，朱默，翟淳，张琪，杨红，王艺   

  1. 复旦大学附属儿科医院康复中心，上海市201102。
  • 收稿日期:2012-07-04 修回日期:2012-08-29 出版日期:2013-01-25 发布日期:2013-01-25
  • 通讯作者: 王艺

Content Validity of Gross Motor Function Measure for Cerebral Palsy: Based on International Classification of Functioning，Disability and Health Children and Youth Version

SHI Wei, ZHU Mo, ZHAI Chun, et al.   

  1. Rehabilitation Center of Children's Hospital of Fudan University, Shanghai 201102, China
  • Received:2012-07-04 Revised:2012-08-29 Published:2013-01-25 Online:2013-01-25

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摘要： 目的分析脑瘫粗大运动功能测试量表(GMFM)的内容效度。方法由3 名从事GMFM临床评估2 年以上的康复医生和治疗师确定GMFM每一项所包含的概念，召开小组讨论会最终确定GMFM每项所包含的概念。由两名熟悉《国际功能、残疾和健康分类》青少年版(ICF-CY)术语和详细分类的康复医生根据联系规则，通过讨论将GMFM概念与ICF-CY 类目编码进行匹配，在意见不一致时，由第三方做出非正式决定。分析GMFM项目与类目编码关联的分布状况。结果88 个GMFM项目与12 个二级类目、27 个三级类目匹配，均以利于一级类目b7 神经肌肉骨骼和运动有关的功能和d4 活动；其中86 个项目与d4 下级类目关联，47 个同时与b7 下级类目关联，2 个项目只与b7 下级类目关联；16 个项目与ICF-CY新增的1 个二级类目和3 个三级类目发生16 次关联。结论GMFM评估内容主要集中于ICF-CY框架中的活动类，尤其是活动中“改变和保持身体姿势”以及“步行和移动”；与身体功能有关联的GMFM项目主要涉及“手臂的支撑功能”。

关键词: 脑性瘫痪, 粗大运动功能测试, 《国际功能, 残疾和健康分类》青少年版, 效度

Abstract: Objective To analyze the content validity of Gross Motor Function Measure (GMFM) for cerebral palsy. Methods Concept contained in each item of GMFM was determined by 3 rehabilitation physicians or therapists who evaluated with GMFM for more than 2 years. All the concepts extracted were discussed in a meeting. The terms finalized were linked to the categories of International Classification of Functioning, Disability and Health Child and Youth version (ICF-CY) by 2 rehabilitation physicians who are familiar with the terms of ICF-CY according to the linking rules after discussion. Third party would intervene informally if there was a disagreement. The distribution of the ICF-CY categories involved were analyzed. Results 88 items from the GMFM linked to 27 categorise of 3rd level within 12 categories of 2nd level, belong to b7 Neuromusculoskeletal and Movement-related Functions and d4 Activities. 86 items linked to d4x, and 47 of then linked to b7x too. 2 items linked to b7x only. 16 items linked to the categories added to ICF-CY 16 times, involved 3 3rd level categories in a 2nd level category. Conclusion GMFM mainly focused on the activities in the framework of ICF-CY, especially the activities of changing and maintaining functional as well as the body posture and walking or moving. For the body function, the GMFM mainly focus on the support from arms.

Key words: cerebral palsy, Gross Motor Function Measure, International Classification of Functioning, Disability and Health Child and Youth version, validity