Liu Kuan-Chun, Chen Hao-Ling, Wang Tien-Ni, Shieh Jeng-Yi
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
PLoS One. 2016 Mar 24;11(3):e0151798. doi: 10.1371/journal.pone.0151798. eCollection 2016.
The purpose of this study was to develop a reliable and valid instrument, named the Observatory Test of Capacity, Performance, and Developmental Disregard (OTCPDD), for measuring the amount and quality of use of affected upper limb functions in the daily routines of children with CP.
Forty-eight participants (24 children with CP and 24 matched typically developing children) were recruited. The OTCPDD was administered twice (the spontaneous use condition first, followed by the forced use condition) on children with CP. Their parents were asked to complete the Pediatric Motor Activity Log-Revised (PMAL-R). The internal consistency, the intrarater and interrater reliabilities, and the convergent and discriminate validities were measured.
The internal consistency (Cronbach's alpha) and the intrarater and interrater reliabilities were higher than 0.9 for all of the OTCPDD scores. The convergent validity was confirmed by significant correlations between the OTCPDD and the PMAL-R. For the discriminant validity, significant differences (p<0.05) were found between children with CP and typically developing children.
The results support that the OTCPDD is a reliable and valid observation-based assessment. The OTCPDD, which uses bimanual daily living activities, is able to represent the children's general affected hand functions (including capacity, performance, and developmental disregard) in their daily routines.
本研究旨在开发一种可靠且有效的工具，名为能力、表现与发育忽视观察测试（OTCPDD），用于测量脑瘫儿童日常生活中患侧上肢功能的使用量和使用质量。
招募了48名参与者（24名脑瘫儿童和24名匹配的发育正常儿童）。对脑瘫儿童进行了两次OTCPDD测试（先进行自发使用情况测试，然后进行强制使用情况测试）。要求他们的父母完成修订后的儿童运动活动日志（PMAL-R）。测量了内部一致性、评分者内信度和评分者间信度，以及收敛效度和区分效度。
所有OTCPDD评分的内部一致性（克朗巴哈系数）以及评分者内信度和评分者间信度均高于0.9。OTCPDD与PMAL-R之间的显著相关性证实了收敛效度。对于区分效度，在脑瘫儿童和发育正常儿童之间发现了显著差异（p<0.05）。
结果支持OTCPDD是一种可靠且有效的基于观察的评估方法。OTCPDD使用双手日常生活活动，能够在儿童的日常生活中体现其患侧手的总体功能（包括能力、表现和发育忽视）。
