脑震荡挑战评估：一种用于儿科脑震荡的新型大运动评估工具的开发与可靠性
The Concussion Challenge Assessment: Development and reliability of a novel gross motor assessment tool for paediatric concussion.
作者信息
Tanel Michelle R, Gupta Christopher, Wilson Katherine E, Murphy James, Wright F Virginia, Reed Nick
机构信息
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
出版信息
Front Sports Act Living. 2022 Dec 14;4:1027339. doi: 10.3389/fspor.2022.1027339. eCollection 2022.
AIMS
The aim of this study was to develop a gross motor performance clinical assessment tool, the Concussion Challenge Assessment (CCA), for paediatric concussion populations.
METHODS
An expert panel evaluated tasks from the Acquired Brain Injury Challenge Assessment to determine relevant tasks for a paediatric concussion population. These tasks were administered to a convenience sample of 854 healthy youth. An analysis of the response options for each task, considering task difficulty, was performed. The test-retest reliability of each task was considered to finalise the tool.
RESULTS
The Acquired Brain Injury Challenge Assessment was reduced to six tasks (three coordination, two speed and agility, and one strength) to create the CCA. Population-specific 4-point response options were generated, which, upon examination of task difficulty, were revised as 5-point response sets to better capture performance differences. The test-retest reliability results led to acceptance of all six: three performance tasks and three exertion tasks.
CONCLUSION
This development of the CCA is an important step in creating a gross motor performance assessment tool that can assist in the determination of when youth are able to safely return to activity following a concussion.
目的
本研究的目的是为儿科脑震荡患者开发一种粗大运动表现临床评估工具，即脑震荡挑战评估（CCA）。
方法
一个专家小组评估了获得性脑损伤挑战评估中的任务，以确定适合儿科脑震荡患者的相关任务。这些任务被应用于854名健康青少年的便利样本。对每个任务的反应选项进行了分析，同时考虑了任务难度。每个任务的重测信度被纳入考量以最终确定该工具。
结果
获得性脑损伤挑战评估被精简为六项任务（三项协调性任务、两项速度和敏捷性任务以及一项力量任务）以创建CCA。生成了针对特定人群的4分制反应选项，在检查任务难度后，将其修订为5分制反应集，以便更好地体现表现差异。重测信度结果使得所有六项任务（三项表现任务和三项用力任务）均被采纳。
结论
CCA的开发是创建一种粗大运动表现评估工具的重要一步，该工具可协助确定青少年在脑震荡后何时能够安全恢复活动。
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