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[研究名称]:脑瘫青少年使用量角器测量被动活动度的可靠性研究。

Reliability of Inclinometer-Derived Passive Range of Motion Measures in Youth with Cerebral Palsy.

机构信息

Department of Rehabilitation, Laval University , Quebec City , Quebec , Canada.

Centre for Interdisciplinary Research in Rehabilitation and Social Integration , Quebec City , Quebec , Canada.

出版信息

Phys Occup Ther Pediatr. 2019;39(6):655-668. doi: 10.1080/01942638.2019.1597822. Epub 2019 May 30.

Abstract

: This study evaluated, for youth with cerebral palsy (CP), the reliability of passive range of motion (PROM) measures taken with an inclinometer, a device that may be simpler to use than a goniometer. : The PROM for elbow and wrist extension, ankle dorsal flexion (knee flexed 90° and fully extended), and the knee popliteal angle of 30 youth with CP (18 boys, 12 girls, 7.0 ± 3.8 years old, classified in Gross Motor Function Classification levels I-V) was measured using an inclinometer. Two physical therapists took the measures during two different sessions, a maximum of 1 week apart. : Good mean intra-rater inter-session, inter-rater intra-session, and inter-rater inter-session reliability (ICC = 0.75-0.89), was found for the elbow, ankle, and knee sites. Absolute reliability for these sites and conditions was 7-14° (90% confident) and 10-16° (95% confident). Reliability values for wrist extension were comparable, albeit slight lower. : Similar to published values for goniometry, inclinometery yields reliable upper and lower limb PROM measures from ambulatory and non-ambulatory youth with CP whether measures are carried out by different evaluators within or across sessions or whether measures are performed by the same evaluator across sessions.

摘要

本研究评估了使用测斜仪测量脑瘫(CP)青少年被动关节活动度(PROM)的可靠性,测斜仪可能比量角器更易于使用。使用测斜仪测量了 30 名 CP 青少年(18 名男孩,12 名女孩,7.0±3.8 岁,按粗大运动功能分类水平 I-V 分类)的肘部和腕部伸展、踝关节背屈(膝关节屈曲 90°并完全伸展)以及膝关节腘窝角。两名物理治疗师在两次不同的治疗中进行测量,两次治疗之间的时间间隔最长为 1 周。研究发现,肘部、踝关节和膝关节的组内、组间和组间测量者间的平均可靠性(ICC=0.75-0.89)较好。这些部位和条件的绝对可靠性为 7-14°(90%置信区间)和 10-16°(95%置信区间)。腕部伸展的可靠性值相似,尽管稍低。与量角器的已发表值相似,测斜仪可从可移动和不可移动的 CP 青少年中获得可靠的上下肢 PROM 测量值,无论测量是由不同的评估者在治疗室内或跨治疗室内进行,还是由同一名评估者在跨治疗室内进行。

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