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《粗大运动发育测试第三版》在发育性协调障碍儿童中的信度

Reliability of the Test of Gross Motor Development Third Edition Among Children with Developmental Coordination Disorder.

作者信息

Roczniak Laine, Jutras Mylène, Lévesque Caroline, Fortin Carole

机构信息

Physiotherapy Department, Centre de réadaptation Marie Enfant of CHU Sainte-Justine, Montreal, Quebec, Canada.

École de réadaptation, Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada.

出版信息

Phys Occup Ther Pediatr. 2025;45(1):41-54. doi: 10.1080/01942638.2024.2378050. Epub 2024 Jul 15.

Abstract

AIM

The Test of Gross Motor Development Third Edition (TGMD-3) is used to assess the development of fundamental movement skills in children from 3 to 10 years old. This study aimed to evaluate the intra-rater, inter-rater, and test-retest reliability and to determine the minimal detectable change (MDC) value of the TGMD-3 in children with developmental coordination disorder (DCD).

METHODS

The TGMD-3 was administered to 20 children with DCD. The child's fundamental movement skills were recorded using a digital video camera. Reliability was assessed at two occasions by three raters using the generalizability theory.

RESULTS

The TGMD-3 demonstrates good inter-rater reliability for the locomotor skills subscale, the ball skills subscale, and the total score (φ = 0.77 - 0.91), while the intra-rater reliability was even higher (φ = 0.94 - 0.97). Test-retest reliability was also shown to be good (φ = 0.79-0.93). The MDC was determined to be 10 points.

CONCLUSION

This study provides evidence that the TGMD-3 is a reliable test when used to evaluate fundamental movement skills in children with DCD and suggests that an increase of 10 points represents a significant change in the motor function of a child with DCD.

摘要

目的

《粗大运动发育测试第三版》(TGMD - 3)用于评估3至10岁儿童基本运动技能的发育情况。本研究旨在评估发育协调障碍(DCD)儿童中TGMD - 3的评分者内信度、评分者间信度和重测信度,并确定其最小可检测变化(MDC)值。

方法

对20名DCD儿童进行TGMD - 3测试。使用数码摄像机记录儿童的基本运动技能。由三名评分者在两个时间点使用概化理论评估信度。

结果

TGMD - 3在移动技能分量表、球类技能分量表和总分方面显示出良好的评分者间信度(φ = 0.77 - 0.91),而评分者内信度更高(φ = 0.94 - 0.97)。重测信度也显示良好(φ = 0.79 - 0.93)。确定MDC为10分。

结论

本研究提供了证据表明,TGMD - 3用于评估DCD儿童基本运动技能时是一项可靠的测试,并表明增加10分代表DCD儿童运动功能有显著变化。

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