Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy -
Department of Developmental Neuroscience, IRCCS Stella Maris Foundation, Pisa, Italy -
Eur J Phys Rehabil Med. 2020 Jun;56(3):272-278. doi: 10.23736/S1973-9087.20.06079-7. Epub 2020 Jan 23.
Movement Disorders - Childhood Rating Scale for age 4-18 (MD-CRS 4-18) is a tool aimed to evaluate movement disorders in developmental age, validated since 2008 and applied in the literature. Psychometric properties, including inter- and intra-reliability and construct validity have been evaluated over time on children and adolescents with different types of movement disorders.
The aim of the study is to revise the Movement Disorders - Childhood Rating Scale 4-18 (MD-CRS 4-18 R) and evaluate its psychometric properties, compared to previous version of the scale, in dyskinetic cerebral palsy.
This is a measurement-focused study of video recorder sessions.
Video session carried out inpatient and outpatient.
This measurement-focused study was carried out on a cohort of 57 participants with DCP (37 males; mean age 9 years and 6 months ±3 years and 8 months) evaluated through video-recorded sessions by experienced scorers using MD-CRS 4-18 and MR-CRS 4-18 R.
Inter-rater reliability, intra-rater reliability of MD-CRS 4-18 and MD-CRS 4-18 R were performed.
This study supports the relevant contribution of MD-CRS 4-18 R to identify the severity of movement disorders in dyskinetic cerebral palsy, as indicated by the higher ICC values on Index II compared to previous MD-CRS 4-18 results. Standard Error Measurement (SEM) and Minimally Detectable Difference (MDD) of MD-CRS 4-18 R in DCP were all very low, with SEMs ranging from 0.01 to 0.02 and MDD from 0.03 to 0.06.
Data obtained with MD-CRS 4-18 R are in accordance with previous scale on individuals with movement disorders due to different etiologies, tested with MD-CRS 4-18.
MD-CRS 4-18 R is able to verify natural history of the disease and represents a standardized clinical outcome measure in the evaluation and follow-up of children with DCP. Also MD-CRS 4-18 Revised form is a feasible tool, now easier to understand than the previous one, more available for incoming clinical trials.
运动障碍-儿童评定量表 4-18 岁（MD-CRS 4-18）是一种旨在评估发育年龄运动障碍的工具，自 2008 年以来经过验证，并在文献中应用。随着时间的推移，已经对患有不同类型运动障碍的儿童和青少年进行了信度和效度的评估，包括内部和内部信度和结构效度。
本研究旨在修订运动障碍-儿童评定量表 4-18（MD-CRS 4-18 R），并评估其在运动障碍性脑瘫中的心理测量特性，与量表的前一版本相比。
这是一项以视频记录为重点的研究。
视频会话在住院和门诊进行。
这项以测量为重点的研究是在一组 57 名 DCP 参与者（37 名男性；平均年龄 9 岁零 6 个月±3 岁零 8 个月）中进行的，通过经验丰富的评分者使用 MD-CRS 4-18 和 MD-CRS 4-18 R 对视频记录进行评估。
进行了 MD-CRS 4-18 的重测信度和内部信度的评估。
这项研究支持 MD-CRS 4-18 R 对识别运动障碍性脑瘫运动障碍严重程度的重要贡献，这一点从指数 II 上的 ICC 值高于以前的 MD-CRS 4-18 结果。MD-CRS 4-18 R 在 DCP 中的标准误差测量（SEM）和最小可检测差异（MDD）均非常低，SEM 范围为 0.01 至 0.02，MDD 为 0.03 至 0.06。
与以前用 MD-CRS 4-18 测试的不同病因运动障碍患者的数据一致。
MD-CRS 4-18 R 能够验证疾病的自然病史，并代表 DCP 儿童评估和随访的标准化临床结局测量。MD-CRS 4-18 修订表格也是一种可行的工具，现在比以前更容易理解，更便于进行新的临床试验。
