Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Australia.
Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Australia.
Res Dev Disabil. 2018 Jun;77:40-48. doi: 10.1016/j.ridd.2018.04.001. Epub 2018 Apr 12.
In rural and remote communities children with motor difficulties have less access to rehabilitation services. Telerehabilitation technology is a potential method to overcome barriers restricting access to healthcare in these areas. Assessment is necessary to guide clinical reasoning; however it is unclear which paediatric assessments can be administered remotely. The Movement Assessment Battery for Children - 2nd Edition is commonly used by various health professionals to assess motor performance of children.
The aim of this study was to investigate the feasibility and concurrent validity of performing the Movement Assessment Battery for Children - 2nd Edition remotely via telerehabilitation technology compared to the conventional in-person method.
Fifty-nine children enrolled in a state school (5-11 years old) volunteered to perform one in-person and one telerehabilitation mediated assessment. The order of the method of delivery and the therapist performing the assessment were randomized. After both assessments were complete, a participant satisfaction questionnaire was completed by each child.
The Bland-Altman limits of agreement for the total test standard score were -3.15 to 3.22 which is smaller than a pre-determined clinically acceptable margin based on the smallest detectable change.
This study establishes the feasibility and concurrent validity of the administration of the Movement Assessment Battery for Children - 2nd Edition via telerehabilitation technology. Overall, participants perceived their experience with telerehabilitation positively.
在农村和偏远社区，有运动障碍的儿童获得康复服务的机会较少。远程康复技术是克服这些地区医疗保健获取障碍的一种潜在方法。评估是指导临床推理所必需的；然而，目前尚不清楚哪些儿科评估可以远程进行。儿童运动评估第二版（Movement Assessment Battery for Children - 2nd Edition）被各种医疗保健专业人员广泛用于评估儿童的运动表现。
本研究旨在探讨通过远程康复技术进行儿童运动评估第二版（Movement Assessment Battery for Children - 2nd Edition）远程评估的可行性和同时效度，与传统的面对面方法进行比较。
59 名参加州立学校的儿童（5-11 岁）自愿接受一次面对面和一次远程康复介导评估。交付方法的顺序和执行评估的治疗师是随机的。完成两次评估后，每个孩子都完成了一份参与者满意度问卷。
总测试标准分数的 Bland-Altman 一致性界限为-3.15 至 3.22，小于基于最小可检测变化的预定临床可接受范围。
本研究确立了通过远程康复技术进行儿童运动评估第二版（Movement Assessment Battery for Children - 2nd Edition）管理的可行性和同时效度。总体而言，参与者对远程康复的体验评价积极。
