土耳其语版扩展和修订后的粗大运动功能分类系统的观察者间可靠性。
Interobserver reliability of the Turkish version of the expanded and revised gross motor function classification system.
机构信息
Department of Physical Medicine and Rehabilitation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
出版信息
Disabil Rehabil. 2012;34(12):1030-3. doi: 10.3109/09638288.2011.632466. Epub 2011 Nov 29.
PURPOSE
Cerebral palsy (CP) is the most common disability in childhood. The gross motor function classification system (GMFCS) has become an important tool to assess motor function in CP patient. In 2007, the expanded and revised (E&R) version of GMFCS which includes age band for youth 12-18 years of age was developed. The aim of this study was to evaluate reliability of Turkish version of expanded and revised GMCS.
METHODS
We assessed interobserver reliability between two physical medicine and rehabilitation specialists in 136 children with CP and test-retest reliability within a subgroup of 48 patients. Percent agreement, intraclass correlation coefficient (ICC) and μ statistics were used to evaluate reliability.
RESULT
The ICC between two physicians was 0.97 and the total agreement was 89%. This result indicates excellent agreement. The overall weighted μ was 0.86. High test-retest reliability was found (ICC: 0.94 95% confidence interval) and the total agreement was 75% for test-retest reliability.
CONCLUSION
The Turkish version of the E&R GMFCS is shown to be reliable and valid for assessment of Turkish CP children.
目的
脑瘫（CP）是儿童中最常见的残疾。粗大运动功能分类系统（GMFCS）已成为评估 CP 患者运动功能的重要工具。2007 年，开发了包括 12-18 岁青少年年龄组的 GMFCS 扩展和修订版（E&R）。本研究旨在评估土耳其语版 E&R-GMFCS 的可靠性。
方法
我们评估了两位物理医学与康复专家在 136 名 CP 儿童中的观察者间可靠性，并在 48 名患者亚组中评估了测试-重测可靠性。使用百分比一致性、组内相关系数（ICC）和μ统计来评估可靠性。
结果
两位医生之间的 ICC 为 0.97，总一致性为 89%。这一结果表明存在极好的一致性。总体加权μ为 0.86。发现了较高的测试-重测可靠性（ICC：0.94 95%置信区间），测试-重测可靠性的总一致性为 75%。
结论
土耳其语版 E&R-GMFCS 被证明在评估土耳其 CP 儿童时具有可靠性和有效性。
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