Avansplus, University for Professionals, Masteropleiding Kinderfysiotherapie, Heerbaan 14-40, 4817 NL Breda, The Netherlands.
Res Dev Disabil. 2011 Jul-Aug;32(4):1370-7. doi: 10.1016/j.ridd.2011.01.031. Epub 2011 Feb 23.
Formal testing of 3 year old children is a new feature in the revised version of the Movement Assessment Battery for Children (Movement ABC-2). Our study evaluated the reliability and explored the clinical applicability of the Movement ABC-2 Test in this young age group. A total of 50 typically children were given two trials of the test within a one to two week interval by two physical therapists: same assessor (n=28 children) and different assessors (n=22 children). Psychometric properties were evaluated by calculating internal consistency (Cronbach α), intra-class correlation (ICC), the standard error of measurement (SEM), the smallest detectable difference (SDD) and Kappa values for classification agreement. The results are promising for future implementation of the Movement ABC-2 in clinical practice. The children's performance was highly reproducible when tested by the same assessor (ICC .94) The SEM was 1.7 or 2.1 standard scores for 90% or 95% confidence intervals respectively, making the test sensitive enough to detect individual changes. If two different assessors tested the children the ICC was .76. In conclusion, the revised test can be applied to assess motor performance in typically developing 3-year old children. Future studies are needed to confirm if the same can be said for children with motor delays.
对 3 岁儿童进行正式测试是修订版儿童运动评估电池（Movement ABC-2）的新功能。我们的研究评估了该测试在这个年龄段的可靠性，并探讨了其临床适用性。共有 50 名正常儿童在一到两周的时间内由两名物理治疗师进行了两次测试：同一位评估者（n=28 名儿童）和不同的评估者（n=22 名儿童）。通过计算内部一致性（Cronbach α）、组内相关系数（ICC）、测量标准误差（SEM）、最小可检测差异（SDD）和分类一致性的kappa 值来评估心理测量特性。研究结果为未来在临床实践中实施 Movement ABC-2 提供了有希望的依据。当由同一位评估者进行测试时，儿童的表现具有高度可重复性（ICC.94）。SEM 分别为 90%或 95%置信区间的 1.7 或 2.1 个标准分数，使测试具有足够的敏感性以检测个体变化。如果两名不同的评估者对儿童进行测试，则 ICC 为.76。总之，修订后的测试可用于评估正常发育的 3 岁儿童的运动表现。需要进一步的研究来确认该测试是否同样适用于运动发育迟缓的儿童。
