Bye Elizabeth, Glinsky Joanne, Yeomans Jayne, Hungerford Amy, Patterson Helen, Chen Lydia, Harvey Lisa
John Walsh Centre for Rehabilitation Research, Sydney Medical School/Northern, University of Sydney, St Leonards, NSW, Australia.
Spinal Injury Unit, Prince of Wales Hospital, Randwick, NSW, Australia.
Physiother Theory Pract. 2021 Oct;37(10):1126-1131. doi: 10.1080/09593985.2019.1685033. Epub 2019 Nov 1.
: To determine the inter-rater reliability of the 13-point manual muscle test (MMT) in two upper limb muscle groups of people with tetraplegia: The study was conducted at three spinal cord injury (SCI) units.: Sixty people with complete or incomplete tetraplegia.: The inter-rater reliability of the 13-point MMT was investigated. Strength of the elbow flexors and/or wrist extensors in people with tetraplegia was measured by two physiotherapists on the same day.: The weighted kappa coefficient (95% confidence interval) reflecting the agreement between the two strength assessments by two different assessors for the wrist extensors and elbow flexors were 0.96 (0.93 to 0.99) and 0.94 (0.89 to 0.99), respectively. Repeat measurements by different physiotherapists were within 1 of 13 points of each other 82% of the time for wrist extensors and 87% of the time for the elbow flexors.: The 13-point MMT is a reliable measure of strength in the wrist extensors and elbow flexors of people with tetraplegia.
确定13分制徒手肌力测试（MMT）在四肢瘫患者两个上肢肌肉群中的评分者间信度。
在三个脊髓损伤（SCI）单元进行。
60例完全性或不完全性四肢瘫患者。
由两名物理治疗师在同一天测量四肢瘫患者肘屈肌和/或腕伸肌的力量，以此研究13分制MMT的评分者间信度。
反映两名不同评估者对腕伸肌和肘屈肌两次力量评估一致性的加权kappa系数（95%置信区间）分别为0.96（0.93至0.99）和0.94（0.89至0.99）。不同物理治疗师的重复测量结果，腕伸肌有82%的时间彼此相差在13分制的1分以内，肘屈肌有87%的时间彼此相差在13分制的1分以内。
13分制MMT是评估四肢瘫患者腕伸肌和肘屈肌力量的可靠方法。
