改良Ashworth量表和改良Tardieu量表在评估脑瘫患儿痉挛中的观察者内信度
Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy.
作者信息
Numanoğlu Ayşe, Günel Mintaze Kerem
机构信息
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
出版信息
Acta Orthop Traumatol Turc. 2012;46(3):196-200. doi: 10.3944/aott.2012.2697.
OBJECTIVE
The aim of this study was to analyze the intraobserver reliability of the Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) in the assessment of spasticity in children with cerebral palsy (CP).
METHODS
Elbow flexor muscles, wrist flexor muscles, hip adductors, hamstrings, gastrocnemius and soleus muscles of 37 children (mean age: 8.97±4.41) with spastic CP were evaluated using the MAS and MTS according to the severity of spasticity.
RESULTS
Intraobserver reliability of MAS was significant for all assessments (p<0.01) and reliability ranged from 'low' to 'average'. The reliability of MTS was significant for all assessments (p<0.01) and intraobserver reliability ranged among 'average', 'good' and 'excellent'.
CONCLUSION
Although the high intraobserver reliability for MTS to assess spasticity level in muscles of children with CP will improve usage of this scale, new research testing the intraobserver reliability of this scale is needed.
目的
本研究旨在分析改良Ashworth量表（MAS）和改良Tardieu量表（MTS）在评估脑瘫（CP）患儿痉挛状态时观察者内信度。
方法
根据痉挛严重程度，使用MAS和MTS对37例痉挛型CP患儿（平均年龄：8.97±4.41岁）的肘屈肌、腕屈肌、髋内收肌、腘绳肌、腓肠肌和比目鱼肌进行评估。
结果
MAS在所有评估中的观察者内信度均显著（p<0.01），信度范围从“低”到“中等”。MTS在所有评估中的信度均显著（p<0.01），观察者内信度范围为“中等”、“良好”和“优秀”。
结论
虽然MTS评估CP患儿肌肉痉挛程度的观察者内信度较高，这将提高该量表的使用，但仍需要新的研究来测试该量表的观察者内信度。
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