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《杜氏肌营养不良症患儿躯干控制测量量表的信度和效度》。

Reliability and Validity of the Trunk Control Measurement Scale in Children With Duchenne Muscular Dystrophy.

机构信息

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Department of Orthotics and Prosthetics, Gulhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey.

出版信息

Percept Mot Skills. 2024 Dec;131(6):2167-2181. doi: 10.1177/00315125241286622. Epub 2024 Sep 22.

Abstract

While trunk control is essential for daily activities and motor function, there is currently sparse information regarding the psychometric properties of the outcome measures used for assessing trunk control in Duchenne muscular dystrophy (DMD), characterized by proximal muscle weakness. The Trunk Control Measurement Scale (TCMS) was developed to assess trunk control in children with cerebral palsy. We aimed to examine the reliability and validity of the Turkish version of the TCMS for children with DMD. We determined the functional level of 52 children with DMD (median age: 8.83 years) with the Vignos Scale, and we further evaluated them with the Motor Function Measure (MFM), a gold standard for determining the validity of the TCMS. Internal consistency of the Turkish TCMS was excellent with a Cronbach's alpha of .95. Intraclass correlation coefficient (ICC) values for intra-rater reliability were between 0.90-0.96 and for inter-rater reliability were between 0.91-0.95. We reported positive moderate to strong correlations between the TCMS and trunk flexors strength ( < .001, r = 0.77), back extensors strength ( < .001, r = 0.68) and MFM ( < .001, r = 0.85). Thus, we found the Turkish version of TCMS to be a reliable and valid instrument for assessing trunk control of children with DMD in clinical and research settings.

摘要

虽然躯干控制对于日常活动和运动功能至关重要,但目前关于评估杜兴肌营养不良症(DMD)患者躯干控制的结果测量的心理测量特性的信息很少,DMD 的特征是近端肌肉无力。躯干控制测量量表(TCMS)是为评估脑瘫儿童的躯干控制而开发的。我们旨在检验 TCMS 土耳其语版本在 DMD 儿童中的可靠性和有效性。我们使用 Vignos 量表确定了 52 名 DMD 儿童(中位年龄:8.83 岁)的功能水平,并使用运动功能测量(MFM)进一步对其进行评估,MFM 是确定 TCMS 有效性的金标准。TCMS 的土耳其语内部一致性非常好,Cronbach's alpha 为.95。内部评估者间可靠性的组内相关系数(ICC)值在 0.90-0.96 之间,而外部评估者间可靠性的 ICC 值在 0.91-0.95 之间。我们报告了 TCMS 与躯干屈肌强度(<0.001,r=0.77)、躯干伸肌强度(<0.001,r=0.68)和 MFM(<0.001,r=0.85)之间存在正的中度至强相关性。因此,我们发现 TCMS 的土耳其语版本是一种可靠且有效的工具,可在临床和研究环境中评估 DMD 儿童的躯干控制。

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