Hukuda Michele Emy, Escorcio Renata, Fernandes Lilian Aparecida Yoshimura, de Carvalho Eduardo Vital, Caromano Fátima Aparecida
University of São Paulo, Laboratory of Physiotherapy and Behavior, School of Medicine, São Paulo, Brazil.
J Mot Behav. 2013;45(2):117-26. doi: 10.1080/00222895.2012.760513. Epub 2013 Mar 14.
The authors aimed to (a) develop a scale to evaluate non-wheelchair-dependent children with Duchenne muscular dystrophy (DMD) while sitting and standing from the chair, (b) test its reliability, and (c) correlate the scores of this scale with the time, the age and the Vignos. Thirty DMD boys performed sit-to-stand and stand-to-sit from the chair 4 times. Scale development was based on a previous movement characterization in healthy children and in DMD children and on suggestions by physical therapists with expertise in DMD. The final version of the scale was submitted to the analysis of reliability. The sitting evaluation consists of phases: flexion, contact of the hip with the chair, extension. The standing evaluation comprehends the phases: flexion; transference; extension. Sitting and standing phases presented an excellent reliability (intraclass correlation coefficient [ICC] ≥ 0.91) and a good reproducibility (ICC ≥ 0.89). The scores generated by sitting on the chair correlated to the time taken to perform the tasks (r = .69) and to the age of the patient (r = .44) and the score of standing from the chair also correlated to the time of performance (r = .66). The sit-to-stand functional evaluation scale DMD is a reliable assessment tool that allows the description and quantification of the functional performance of DMD children.
(a) 开发一种量表，用于评估非轮椅依赖型杜氏肌营养不良症（DMD）患儿从椅子上坐起和站立时的情况；(b) 测试其可靠性；(c) 将该量表的得分与时间、年龄以及维格诺斯评分进行关联。30名DMD男孩从椅子上进行了4次坐立和站立动作。量表的开发基于先前对健康儿童和DMD儿童的运动特征分析以及DMD领域物理治疗师的建议。该量表的最终版本进行了可靠性分析。坐位评估包括以下阶段：屈曲、臀部与椅子接触、伸展。站立评估包括以下阶段：屈曲；转移；伸展。坐位和站立阶段具有出色的可靠性（组内相关系数[ICC]≥0.91）和良好的可重复性（ICC≥0.89）。坐在椅子上的得分与完成任务所需时间（r = 0.69）以及患者年龄（r = 0.44）相关，从椅子上站立的得分也与执行时间（r = 0.66）相关。DMD坐立功能评估量表是一种可靠的评估工具，可用于描述和量化DMD患儿的功能表现。
