Wang Su-juan, Shi Wei, Liao Yuan-gui, Xu Xiu-juan, Yang Hong, Shao Xiao-mei
Rehabilitation Center of Children' s Hospital of Fudan University, Shanghai 200032, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2006 Jun;27(6):530-4.
To examine the reliability and validity of the 66-item version on the gross motor function measure (GMFM-66) to assess the gross motor functions of children below 3 years oldwith cerebral palsy.
298 valid samples were obtained from 171 children with cerebral palsy (male 126, female 45 with mean age 19 months, age range 3-36 months) measured with GMFM-88. Then a 73-item version of GMFM (GMFM-73) special for these children was obtained by Rasch analysis. Both GMFM-66 and GMFM-73 scores of to each sample were obtained. The reliability and validity of GMFM-66 were evaluated through analyzing the correlation between the scores and between the changed scores of these two GMFM versions. The relative precision of GMFM-73 versus GMFM-66 was also analyzed.
Significant correlations were found between the scores and between the changed scores of these two versions of GMFM. A 14% less gain in relative precision was achieved when using GMFM-73 versus GMFM-66.
Results indicated that the GMFM-66 had good reliability and validity in assessing the gross motor functions of children below 3 years old with cerebral palsy.
检验66项版粗大运动功能测量量表(GMFM - 66)评估3岁以下脑瘫儿童粗大运动功能的信度和效度。
从171例脑瘫儿童(男126例,女45例,平均年龄19个月,年龄范围3 - 36个月)中获取298个有效样本,采用GMFM - 88进行测量。然后通过拉施分析获得针对这些儿童的73项版GMFM(GMFM - 73)。获取每个样本的GMFM - 66和GMFM - 73得分。通过分析这两个GMFM版本得分之间以及变化得分之间的相关性来评估GMFM - 66的信度和效度。还分析了GMFM - 73相对于GMFM - 66的相对精度。
发现这两个版本的GMFM得分之间以及变化得分之间存在显著相关性。使用GMFM - 73相对于GMFM - 66时,相对精度降低了14%。
结果表明GMFM - 66在评估3岁以下脑瘫儿童粗大运动功能方面具有良好的信度和效度。