脑瘫患儿踝关节背屈测量的效度和信度

Validity and reliability of ankle dorsiflexion measures in children with cerebral palsy.

作者信息

Kim Do-Hyun, An Duk-Hyun, Yoo Won-Gyu

机构信息

HIP and MAL Laboratory, Department of Rehabilitation Science, Inje University, Gimhae, Korea.

Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Gimhae, Korea.

出版信息

J Back Musculoskelet Rehabil. 2018;31(3):465-468. doi: 10.3233/BMR-170862.

DOI:10.3233/BMR-170862

PMID:28968229

Abstract

PURPOSE

We compared a goniometer method in a non-weight-bearing position with a tape measure method in a weight-bearing position to determine which was more reliable for assessing dorsiflexion range of motion (ROM) in children with cerebral palsy (CP).

METHODS

Ankle dorsiflexion ROM was measured using goniometer and tape measure methods in non-weight- and weight-bearing positions, respectively.

RESULTS

In the test-retest reliability of ankle dorsiflexion ROM using a universal goniometer, the intraclass correlation coefficient (ICC) varied from 0.75 to 0.96 and the overall ICC score was 0.91 (p< 0.001). In the test-retest reliability of ankle dorsiflexion ROM using a tape measure, ICC varied from 0.98 to 0.99 and the overall ICC score was 0.99 (p< 0.001). Ankle dorsiflexion ROM using a universal goniometer had a standard error of measurement (SEM) of 2.86 and a minimum detectable change (MDC) of 7.94. Ankle dorsiflexion ROM using a tape measure had an SEM of 1.01 and a MDC of 2.80.

CONCLUSIONS

The tape measure method in a weight-bearing position was more reliable than using a universal goniometer in a non-weight-bearing position in children with CP.

摘要

目的

我们比较了非负重位的角度测量法与负重位的卷尺测量法，以确定哪种方法在评估脑瘫（CP）患儿的背屈活动度（ROM）时更可靠。

方法

分别使用角度测量法和卷尺测量法在非负重位和负重位测量踝关节背屈ROM。

结果

使用通用角度计测量踝关节背屈ROM的重测信度中，组内相关系数（ICC）在0.75至0.96之间，总体ICC评分为0.91（p<0.001）。使用卷尺测量踝关节背屈ROM的重测信度中，ICC在0.98至0.99之间，总体ICC评分为0.99（p<0.001）。使用通用角度计测量的踝关节背屈ROM的测量标准误差（SEM）为2.86，最小可检测变化（MDC）为7.94。使用卷尺测量的踝关节背屈ROM的SEM为1.01，MDC为2.80。