Şahin Ebru, Dilek Banu, Karakaş Ali, Engin Onur, Gülbahar Selmin, Faruk Dadaş Ömer, Peker Minuse Özlen, El Özlem
Department of Physical Medicine and Rehabilitation, Medicine Faculty of Dokuz Eylül University, Izmir, Turkey.
Department of Physical Medicine and Rehabilitation, Karadeniz Ereğli State Hospital, Zonguldak, Turkey.
Turk J Phys Med Rehabil. 2020 Jun 24;66(4):444-451. doi: 10.5606/tftrd.2020.4091. eCollection 2020 Dec.
The aim of the present study is to develop a Turkish version of the ABILHAND-Kids Survey, which evaluates upper extremity function in children with cerebral palsy (CP), and to carry out a validity and reliability study of the survey for Turkish CP patients.
Between November 2016 and March 2017, a total of 109 pediatric CP patients (62 males, 47 females; mean age 9.3±2.9 years; range, 6 to 15 years) followed in our outpatient clinic were included. The demographic characteristics and type of CP of the patients were recorded. A functional evaluation was made using the ABILHAND-Kids and Manual Ability Classification System (MACS) surveys. The reliability of the surveys was tested based on internal consistency (Cronbach's α) and test-retest (intraclass correlation coefficient [ICC]) methods. The validity of the approach was evaluated using converted scores from an ABILHAND-Kids Rasch analysis and a correlation of the MACS levels.
The ICC value for the test/retest reliability was 0.98 and internal consistency was 0.94. A strong negative correlation was found between the Turkish version of the ABILHAND-Kids and MACS surveys (r=-0.849; p<0.001). A Rasch analysis indicated good item fit, unidimensionality, and model fit.
The Turkish version of the ABILHAND-Kids survey is a reliable and valid scale for the assessment of manual ability in Turkish children with CP.
本研究旨在开发一份土耳其语版的ABILHAND-Kids问卷，用于评估脑瘫（CP）患儿的上肢功能，并对该问卷在土耳其CP患者中的有效性和可靠性进行研究。
2016年11月至2017年3月期间，纳入了在我们门诊随访的109例小儿CP患者（男62例，女47例；平均年龄9.3±2.9岁；范围6至15岁）。记录患者的人口统计学特征和CP类型。使用ABILHAND-Kids问卷和手动能力分类系统（MACS）进行功能评估。基于内部一致性（Cronbach's α）和重测（组内相关系数[ICC]）方法测试问卷的可靠性。使用ABILHAND-Kids Rasch分析的转换分数和MACS水平的相关性评估该方法的有效性。
重测信度的ICC值为0.98，内部一致性为0.94。发现土耳其语版的ABILHAND-Kids问卷与MACS问卷之间存在强负相关（r=-0.849；p<0.001）。Rasch分析表明项目拟合良好、单维度性和模型拟合良好。
土耳其语版的ABILHAND-Kids问卷是评估土耳其CP患儿手动能力的可靠且有效的量表。
