Gerber Corinna N, Plebani Anael, Labruyère Rob
a Department of Health Sciences and Technology , ETH Zurich , Zurich , Switzerland.
b Pediatric Rehab Research Group , Rehabilitation Center for Children and Adolescents, University Children's Hospital Zurich , Affoltern am Albis , Switzerland.
Disabil Rehabil. 2019 Jan;41(2):226-234. doi: 10.1080/09638288.2017.1386726. Epub 2017 Oct 12.
The aims were to (i) provide a German translation of the Melbourne Assessment 2 (MA2), a quantitative test to measure unilateral upper limb function in children with neurological disabilities and (ii) to evaluate its reliability and aspects of clinical utility.
After its translation into German and approval of the back translation by the original authors, the MA2 was performed and videotaped twice with 30 children with neuromotor disorders. For each participant, two raters scored the video of the first test for inter-rater reliability. To determine test-retest reliability, one rater additionally scored the video of the second test while the other rater repeated the scoring of the first video to evaluate intra-rater reliability. Time needed for rater training, test administration, and scoring was recorded.
The four subscale scores showed excellent intra-, inter-rater, and test-retest reliability with intraclass correlation coefficients of 0.90-1.00 (95%-confidence intervals 0.78-1.00). Score items revealed substantial to almost perfect intra-rater reliability (weighted kappa k = 0.66-1.00) for the more affected side. Score item inter-rater and test-retest reliability of the same extremity were, with one exception, moderate to almost perfect (k = 0.42-0.97; k = 0.40-0.89). Furthermore, the MA2 was feasible and acceptable for patients and clinicians.
The MA2 showed excellent subscale and moderate to almost perfect score item reliability. Implications for Rehabilitation There is a lack of high-quality studies about psychometric properties of upper limb measurement tools in the neuropediatric population. The Melbourne Assessment 2 is a promising tool for reliable measurement of unilateral upper limb movement quality in the neuropediatric population. The Melbourne Assessment 2 is acceptable and practicable to therapists and patients for routine use in clinical care.
旨在（i）对墨尔本评估量表第二版（MA2）进行德语翻译，该量表是用于测量神经功能障碍儿童单侧上肢功能的定量测试，以及（ii）评估其可靠性和临床效用方面。
将MA2翻译成德语并经原作者批准回译后，对30名患有神经运动障碍的儿童进行两次MA2测试并录像。对于每位参与者，两名评分者对第一次测试的视频进行评分以评估评分者间信度。为确定重测信度，一名评分者额外对第二次测试的视频进行评分，而另一名评分者重复对第一次视频进行评分以评估评分者内信度。记录评分者培训、测试实施和评分所需的时间。
四个分量表得分显示出极好的评分者内、评分者间和重测信度，组内相关系数为0.90 - 1.00（95%置信区间0.78 - 1.00）。得分项目显示，对于受影响较重的一侧，评分者内信度从实质到几乎完美（加权kappa系数k = 0.66 - 1.00）。同一肢体的得分项目评分者间和重测信度，除一个例外，从中度到几乎完美（k = 0.42 - 0.97；k = 0.40 - 0.89）。此外，MA2对患者和临床医生来说是可行且可接受的。
MA2显示出极好的分量表信度以及中度到几乎完美的得分项目信度。康复意义在神经儿科人群中，关于上肢测量工具心理测量特性的高质量研究匮乏。墨尔本评估量表第二版是可靠测量神经儿科人群单侧上肢运动质量的有前景的工具。墨尔本评估量表第二版对治疗师和患者来说可接受且可行，可用于临床护理的常规使用。
