摘要
目的探讨Peabody运动发育量表-2（PDMS-2）与Gesell发育量表在12～30个月脑性瘫痪患儿中的平行效度及PDMS-2在评估脑性瘫痪患儿运动功能中的应用价值。方法12～30个月的脑性瘫痪患儿84例，均接受Peabody运动发育量表与Gesell发育量表评估，定量资料评价其平行效度时采用秩相关计算PDMS-2中粗大运动商与Gesell发育量表大运动发育商、PDMS-2精细运动商与Gesell发育量表精细运动发育商的相关系数，定性分类来评价其平行效度时计算kappa值。结果PDMS-2粗大运动商与Gesell发育量表大运动发育商相关系数为0．89（P〈0．01）、PDMS-2精细运动商与Gesell发育量表精细运动发育商的相关系数为0．87（P〈0．01）。根据PDMS-2粗大运动商分类与Gesell发育量表大运动发育商分类、PDMS．2精细运动商分类与Gesell发育量表精细运动发育商分类计算的kappa值分别为0．28、0．41。结论本研究显示，PDMS-2可用于评估12～30个月脑瘫患儿的运动功能，但其有一定的局限性。
Objective To examine the concurrent validity of Peabody＇s developmental motor scale number 2 （PDMS-2） and Gesell＇s developmental scales with 12 to 30 month-old children with cerebral palsy （CP） and to assess the value of PDMS-2 in measuring motor function in children with CP. Methods Eighty- four children with CP aged 12 to 30 months were assessed with both PDMS-2 and Gesell＇s developmental scales. The correlation between PDMS-2 gross motor quotients and Gesell gross motor developmental quotients, and between PDMS-2 fine motor quotients and Gesell fine motor developmental quotients were compared using Spearman rank correlation coefficients. Results The correlation coefficient between PDMS-2 gross motor quotient and the Gesell gross motor developmental quotient was 0. 89. Between PDMS-2 fine motor quotient and Gesell＇s fine motor developmental quotient it was 0.87. The concurrent validities were 0.28 and 0. d2 respectively. Conclusion PDMS-2 gross motor quotient and Gesell＇s gross motor developmental quotient are highly correlated, as are PDMS-2 fine motor quotient and Gesell＇s fine motor developmental quotient. The concurrent validities were between classifications using the PDMS-2 gross motor quotient and Gesell＇s gross motor developmental quotient were weakly correlated, but there was moderate correlation between PDMS-2 fine motor quotients and Gesell fine gross developmental quotients. There may be limitations in assessing motor function children aged 12 to 30 months with cerebral palsy using PDMS-2.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2009年第7期452-455,共4页
Chinese Journal of Physical Medicine and Rehabilitation
