Albuquerque Plínio Luna de, Guerra Miriam Queiroz de Farias, Lima Marília de Carvalho, Eickmann Sophie Helena
a Department of Physical Therapy , Centro Universitário Tabosa de Almeida-ASCES/UNITA , Recife , Brazil.
b Programme in Neuropsychiatry and Behavioural Sciences , Universidade Federal de Pernambuco , Recife , Brazil.
Dev Neurorehabil. 2018 Aug;21(6):408-414. doi: 10.1080/17518423.2017.1323974. Epub 2017 May 24.
To investigate the concurrent validity of AIMS in relation to the gross motor subtest of the Bayley Scale III/GM in preterm infants.
A total of 159 gross motor development assessments were performed with the AIMS and Bayley-III/GM. Linear regression was used to assess the correlation between AIMS and Bayley-III/GM scores. The intra-class correlation coefficient (ICC) and the Bland-Altman plot were used to analyze intra- and inter-rater reliability.
There was a prevalence of delayed gross motor development of 20.8% according to the Bayley-III/GM, and 11.9% for the 5th percentile and 21.4% for the 10th percentile of AIMS. A good correlation of AIMS with Bayley-III/GM scores and intra- and inter-rater reliability was encountered in this study.
AIMS proved very capable of detecting delayed gross motor development in preterm infants when compared with the Bayley-III/GM. The 10th percentile of AIMS provided the best combination of indicators, with greater specificity.
探讨针对早产儿的“异常运动评估量表（AIMS）”与贝利婴幼儿发展量表第三版/大肌肉动作分量表（Bayley Scale III/GM）之间的同时效度。
使用AIMS和贝利婴幼儿发展量表第三版/大肌肉动作分量表对159例早产儿进行了大肌肉动作发展评估。采用线性回归分析AIMS与贝利婴幼儿发展量表第三版/大肌肉动作分量表得分之间的相关性。使用组内相关系数（ICC）和布兰德-奥特曼图分析评分者内及评分者间的信度。
根据贝利婴幼儿发展量表第三版/大肌肉动作分量表，大肌肉动作发育迟缓的发生率为20.8%；而根据AIMS的第5百分位数，发生率为11.9%，第10百分位数为21.4%。本研究发现AIMS与贝利婴幼儿发展量表第三版/大肌肉动作分量表得分之间具有良好的相关性，且评分者内及评分者间信度良好。
与贝利婴幼儿发展量表第三版/大肌肉动作分量表相比，AIMS在检测早产儿大肌肉动作发育迟缓方面表现出色。AIMS的第10百分位数提供了最佳的指标组合，具有更高的特异性。
