先天性肌性斜颈严重程度分类系统的评分者间及评分者内信度
Interrater and Intrarater Reliability of the Congenital Muscular Torticollis Severity Classification System.
作者信息
Oledzka Magdalena M, Kaplan Sandra L, Sweeney Jane K, Coulter Colleen, Evans-Rogers Debbie L
机构信息
Pediatric Rehabilitation (Dr Oledzka), Hospital for Special Surgery, New York; Doctoral Programs in Physical Therapy (Dr Kaplan), Rutgers, The State University of New Jersey, Newark, New Jersey; Doctoral Programs in Pediatric Science (Dr Sweeney), Rocky Mountain University of Health Professions, Provo, Utah; Orthotics and Prosthetics Department (Dr Coulter), Children's Healthcare of Atlanta, Atlanta, Georgia; Texas Women's University (Dr Evans-Rogers), Denton, Texas.
出版信息
Pediatr Phys Ther. 2018 Jul;30(3):176-182. doi: 10.1097/PEP.0000000000000510.
PURPOSE
To establish inter- and intrarater reliability for determining severity grades of the congenital muscular torticollis severity classification system (CMT-SCS).
METHODS
A prospective reliability study with 145 physical therapists recorded severity ratings on 24 randomly-ordered patient cases including age of infant, cervical range of motion, and presence or absence of sternocleidomastoid mass. To compute intrarater reliability, cases were randomly reordered and graded by 82 of the original raters.
RESULTS
For the CMT-SCS, overall reliability was good with an interrater reliability intraclass correlation coefficient (ICC) (2,1) of 0.83 (95% confidence interval [CI], 0.74-0.91) and an intrarater reliability ICC (3,1) of 0.81 (95% CI, 0.66-0.91).
CONCLUSIONS
The CMT-SCS has good reliability for infants up to 12 months of age. Physical therapists can use the scale for initial assessment of infants suspected to have CMT. The CMT-SCS should be standard documentation for infants with CMT.
目的
建立先天性肌性斜颈严重程度分类系统（CMT-SCS）中评定者间和评定者内的可靠性。
方法
一项前瞻性可靠性研究，145名物理治疗师对24例随机排序的患者病例记录严重程度评分，包括婴儿年龄、颈椎活动范围以及胸锁乳突肌肿块的有无。为计算评定者内可靠性，病例重新随机排序，由82名原评定者进行分级。
结果
对于CMT-SCS，总体可靠性良好，评定者间可靠性组内相关系数（ICC）（2,1）为0.83（95%置信区间[CI]，0.74 - 0.91），评定者内可靠性ICC（3,1）为0.81（95%CI，0.66 - 0.91）。
结论
CMT-SCS对12个月以下婴儿具有良好的可靠性。物理治疗师可使用该量表对疑似患有CMT的婴儿进行初步评估。CMT-SCS应作为CMT婴儿的标准记录文件。
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