Tedla Jaya Shanker, Ganesan Sailakshmi, Katragadda Srinadh
Department of Physiotherapy, Kasturba Medical College Hospital, A Constituent Institute of Manipal University, Mangalore, India.
Clin Rehabil. 2009 Aug;23(8):725-9. doi: 10.1177/0269215509102965. Epub 2009 Jun 8.
To assess the inter-rater reliability of the Top Down Motor Milestone Test, which is the first step of the Mobility Opportunities Via Education programme in children with motor disabilities.
A cross-sectional study.
Neurosensory Developmental Unit of a tertiary hospital.
Parents of 21 children with motor disabilities were interviewed and scored on the Top Down Motor Milestone Test.
The subjects were interviewed by one therapist while two other therapists observed the interview procedure. All three therapists were blinded to each other's scores.
Inter-rater reliability was analysed for all the 16 subtests using the inter-rater kappa. The pooled kappa was done for the three raters. The standard error and the P-value were also calculated. The value of inter-rater kappa for individual subtests ranged from 0.74 to 0.96. Pooled kappa for the Top Down Motor Milestone Test was 0.88 with standard error 0.06 and P-value<0.01.
The inter-rater reliability of the Top Down Motor Milestone Test proved to be good for each subtest and for the whole test.
评估自上而下运动发育里程碑测试的评分者间信度，该测试是针对运动障碍儿童的“通过教育实现行动机会”计划的第一步。
横断面研究。
一家三级医院的神经感觉发育科。
对21名运动障碍儿童的家长进行访谈，并根据自上而下运动发育里程碑测试进行评分。
由一名治疗师对研究对象进行访谈，另外两名治疗师观察访谈过程。所有三名治疗师均对彼此的评分不知情。
使用评分者间kappa系数对所有16个分测试的评分者间信度进行分析。对三名评分者进行合并kappa系数计算。还计算了标准误差和P值。各个分测试的评分者间kappa值范围为0.74至0.96。自上而下运动发育里程碑测试的合并kappa系数为0.88，标准误差为0.06，P值<0.01。
自上而下运动发育里程碑测试的评分者间信度在每个分测试和整个测试中均表现良好。
