挪威早产儿中 Alberta 婴儿运动量表和 Peabody 发育运动量表-2 的同时和预测效度。
Concurrent and predictive validity of the Alberta Infant Motor Scale and the Peabody Developmental Motor Scales-2 administered to infants born preterm in Norway.
机构信息
Clinic of Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, St. Olavs Hospital, Postboks 3250 Torgarden, 7006, Trondheim, Norway.
Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Postboks 8900, 7491, Trondheim, Norway.
出版信息
BMC Pediatr. 2023 Nov 23;23(1):591. doi: 10.1186/s12887-023-04402-6.
BACKGROUND
The correlation between the Alberta Infant Motor Scale (AIMS) and the Peabody Developmental Motor Scales-2 (PDMS-2) has not previously been assessed in Norwegian infants. Our purpose was to investigate the concurrent validity of the AIMS and the PDMS-2 in a group of high-risk infants, and to investigate the predictive validity of the two tests for atypical motor function at 24 months post term age (PTA).
METHODS
This is a retrospective study of the AIMS and the PDMS-2 administered to infants born preterm with gestational age ≤ 32 weeks (n = 139) who had participated in a randomized controlled trial of early parent-administered physiotherapy. The infants' motor development had been assessed using the AIMS and the PDMS-2 at 6- and 12-months. The primary outcome was PDMS-2 at 24-months PTA. To explore the correlation between the two tests we used Spearman's rho. Bland Altman plots were used to detect if there were systematic differences between the measurements. Receiver-operating characteristics curves were used to calculate area under the curve as an estimate of diagnostic accuracy of the AIMS and the PDMS- with respect to motor outcome at 24 months.
RESULTS
The correlation between the AIMS and the PDMS-2 (total motor and locomotion subscale), at 6 months, was r = 0.44 and r = 0.76, and at 12 months r = 0.56 and r = 0.80 respectively. The predictive validity for atypical motor function at 24 months, assessed using the area under the curve at 6- and at 12- months, was for the AIMS 0.87 and 0.86, respectively, and for the PDMS-2 locomotion subscale 0.82 and 0.76 respectively.
CONCLUSION
The correlation between the AIMS and the PDMS-2 locomotion subscale, at 6- and 12- months PTA, was good to excellent in a group of infants born preterm in Norway. And the AIMS and the locomotion subscale of the PDMS-2 were equally good predictors for atypical motor outcomes at 24 months PTA. These findings indicate that the AIMS and the locomotion subscale of the PDM-2, could be used interchangeable when assessing motor development in infants at 6- or 12 months of age.
TRIAL REGISTRATION
ClinicalTrials.gov NCT01089296.
背景
艾伯塔婴儿运动量表（AIMS）与皮博迪发育运动量表-2（PDMS-2）之间的相关性此前尚未在挪威婴儿中进行评估。我们的目的是在一组高危婴儿中研究 AIMS 和 PDMS-2 的同时效度，并研究这两种测试在 24 个月校正胎龄（PTA）时对非典型运动功能的预测效度。
方法
这是一项回顾性研究，对在早产儿中进行的 AIMS 和 PDMS-2 进行了研究，早产儿的胎龄为 32 周（n=139），他们参加了一项早期父母给予的物理疗法的随机对照试验。婴儿的运动发育在 6 个月和 12 个月时使用 AIMS 和 PDMS-2 进行评估。主要结局是 24 个月 PTA 的 PDMS-2。为了探讨这两种测试之间的相关性，我们使用了斯皮尔曼的 rho。Bland-Altman 图用于检测测量值之间是否存在系统差异。受试者工作特征曲线用于计算曲线下面积，作为 AIMS 和 PDMS-2 在 24 个月时运动结局的诊断准确性的估计。
结果
6 个月时 AIMS 和 PDMS-2（总运动和运动亚量表）之间的相关性为 r=0.44 和 r=0.76，12 个月时 r=0.56 和 r=0.80。使用 6 个月和 12 个月的曲线下面积评估 24 个月时的非典型运动功能的预测有效性，AIMS 分别为 0.87 和 0.86，PDMS-2 运动亚量表分别为 0.82 和 0.76。
结论
在挪威一组早产儿中，AIMS 和 PDMS-2 运动亚量表在 6 个月和 12 个月 PTA 之间的相关性良好至优秀。AIMS 和 PDMS-2 的运动亚量表对 24 个月 PTA 的非典型运动结果具有同等良好的预测性。这些发现表明，在 6 或 12 个月龄婴儿的运动发育评估中，AIMS 和 PDMS-2 的运动亚量表可以互换使用。
试验注册
ClinicalTrials.gov NCT01089296。
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