Alhusaini Adel A A, Dean Catherine M, Crosbie Jack, Shepherd Roberta B, Lewis Jenny
Discipline of Physiotherapy, Faculty of Health Science, The University of Sydney, Australia.
J Child Neurol. 2010 Oct;25(10):1242-7. doi: 10.1177/0883073810362266. Epub 2010 Mar 10.
The content validity of the Tardieu Scale and the Ashworth Scale was assessed in 27 independently ambulant children with cerebral palsy (gender: 17 males, 10 females; age: 5-9 years; Gross Motor Function Classification: level I and II). Ashworth and Tardieu Scale scores and laboratory measures of spasticity and contracture were collected from the plantarflexor muscles by 2 examiners who were blinded to the results. The Tardieu Scale was more effective than the Ashworth Scale in identifying the presence of spasticity (88.9%, kappa = 0.73; P = .000), the presence of contracture (77.8%, kappa = 0.503; P = .008) and the severity of contracture (r = 0.49; P = .009). However, neither scale was able to identify the severity of spasticity. The Tardieu Scale can provide useful information in children with cerebral palsy because it differentiates spasticity from contracture. However, a more comprehensive clinical method of testing neural and non-neural contributions to impairments and function is needed.
在27名能独立行走的脑瘫儿童中评估了塔迪厄量表（Tardieu Scale）和阿什沃思量表（Ashworth Scale）的内容效度（性别：男17名，女10名；年龄：5 - 9岁；粗大运动功能分类：I级和II级）。由2名对结果不知情的检查者从跖屈肌收集阿什沃思量表和塔迪厄量表评分以及痉挛和挛缩的实验室测量数据。在识别痉挛的存在（88.9%，kappa = 0.73；P = 0.000）、挛缩的存在（77.8%，kappa = 0.503；P = 0.008）和挛缩的严重程度（r = 0.49；P = 0.009）方面，塔迪厄量表比阿什沃思量表更有效。然而，两种量表均无法识别痉挛的严重程度。塔迪厄量表能够区分痉挛和挛缩，因此可为脑瘫儿童提供有用信息。然而，需要一种更全面的临床方法来测试神经和非神经因素对损伤和功能的影响。
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