新生儿一般运动质量的个体内一致性。
Intra-individual consistency in the quality of neonatal general movements.
作者信息
Mutlu Akmer, Einspieler Christa, Marschik Peter B, Livanelioglu Ayse
机构信息
School of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
出版信息
Neonatology. 2008;93(3):213-6. doi: 10.1159/000110870. Epub 2007 Nov 9.
BACKGROUND
The qualitative assessment of general movements (GMs) proved to be a highly sensitive and specific diagnostic tool for the assessment of the integrity of the young nervous system. It is essential that the quality of GMs remains consistent in an individual during a given recording at a certain date.
OBJECTIVES
The aim of the study was to investigate the intra-individual consistency of the quality of GMs during one recording.
METHODS
39 preterm infants were recorded at least twice; some were recorded three times. In all, 88 recordings were available but three recordings were excluded due to frequent crying, seizures or hypokinesia. Three scorers assessed 2-3 sequences of these 85 GM recordings.
RESULTS
The inter-scorer agreement was high (kappa 0.85-0.94). Intra-individual consistency revealed a kappa of 0.90 with a 95% CI (0.51, 1.00) for preterm GMs, 0.96 with a 95% CI (0.57, 1.00) for writhing GMs, and 0.92 with a 95% CI (0.53, 1.00) for fidgety GMs.
CONCLUSIONS
The individual quality of GMs remains consistent for a neonate or young infant at a certain date.
背景
一般运动（GMs）的定性评估被证明是评估幼儿神经系统完整性的一种高度敏感且特异的诊断工具。在特定日期的一次记录过程中，GMs的质量在个体内保持一致至关重要。
目的
本研究旨在调查一次记录过程中GMs质量的个体内一致性。
方法
对39名早产儿进行了至少两次记录；部分早产儿记录了三次。总共获得88次记录，但由于频繁哭闹、癫痫发作或运动减退，排除了3次记录。三名评分者对这85次GM记录中的2 - 3个序列进行了评估。
结果
评分者间一致性较高（kappa值为0.85 - 0.94）。个体内一致性显示，早产儿GMs的kappa值为0.90，95%置信区间为（0.51，1.00）；扭动运动GMs的kappa值为0.96，95%置信区间为（0.57，1.00）；不安运动GMs的kappa值为0.92，95%置信区间为（0.53，1.00）。
结论
对于新生儿或婴儿，在特定日期GMs的个体质量保持一致。
Zotero 插件