Graham H Kerr, Harvey Adrienne, Rodda Jillian, Nattrass Gary R, Pirpiris Marinis
Department of Orthopaedics, Royal Children's Hospital, Victoria, Australia.
J Pediatr Orthop. 2004 Sep-Oct;24(5):514-20. doi: 10.1097/00004694-200409000-00011.
We devised a new Functional Mobility Scale (FMS) to describe functional mobility in children with cerebral palsy, as an aid to communication between orthopaedic surgeons and health professionals. The unique feature of the FMS is the freedom to score functional mobility over three distinct distances, chosen to represent mobility in the home, at school and in the wider community. We examined the construct, content, and concurrent validity of the FMS in a cohort of 310 children with cerebral palsy by comparing the FMS to existing scales and to instrumented measures of physical function. We demonstrated the scale to be both valid and reliable in a consecutive population sample of 310 children with cerebral palsy seen in our tertiary referral center. The FMS was useful for discriminating between large groups of children with varying levels of disabilities and functional mobility and sensitive to detect change after operative intervention.
我们设计了一种新的功能活动量表(FMS)来描述脑瘫患儿的功能活动情况,以辅助骨科医生与健康专业人员之间的沟通。FMS的独特之处在于能够自由地对三个不同距离的功能活动进行评分,这三个距离分别代表在家中、学校和更广泛社区中的活动能力。我们通过将FMS与现有量表以及身体功能的仪器测量结果进行比较,检验了310名脑瘫患儿队列中FMS的结构、内容和同时效度。在我们三级转诊中心连续收治的310名脑瘫患儿样本中,我们证明了该量表既有效又可靠。FMS有助于区分不同残疾程度和功能活动水平的大组儿童,并且对手术干预后的变化很敏感。