Gok Mustafa, Oner Ridvan, Ozgezmez Ferit Tufan, Aydin Elif, Tosun Ayse Fahriye, Cullu Emre
Adnan Menderes Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 09010 Efeler, Aydın, Türkiye.
Jt Dis Relat Surg. 2025 Jan 2;36(1):148-154. doi: 10.52312/jdrs.2025.2023. Epub 2024 Dec 9.
The aim of this study was to measure the reliability of the expanded and revised Melbourne Cerebral Palsy Hip Classification System (r-MCPHCS) across different medical specialties.
Anteroposterior pelvic radiographs of a total of 44 patients (20 males, 24 females; median 16.7 years; range, 12 to 32 years) with cerebral palsy (CP) were analyzed between January 2005 and December 2020. Four medical specialists (an orthopedic surgeon, a pediatric neurologist, a radiologist, and a physical medicine and rehabilitation specialist) were included in the study. The time gap between the first and the second assessment was at least three months. The intra- and inter-observer intraclass correlation coefficient (IntraOb. and InterOb. ICCs) were calculated. An ICC of >0.8 was considered excellent fit.
The median IntraOb. ICC was found to be 0.93 (range, 0.89 to 0.97), the median InterOb. ICC was found to be 0.88 for the first assessment (A) and 0.93 for the second assessment (B). Both results were interpreted as excellent in terms of compatibility.
Our study results suggest that r-MCPHCS is a well-designed, reliable and reproducible scale that is easy to use among different medical specialists.
本研究旨在评估扩展并修订后的墨尔本脑性瘫痪髋关节分类系统（r-MCPHCS）在不同医学专业中的可靠性。
对2005年1月至2020年12月期间共44例脑性瘫痪（CP）患者（20例男性，24例女性；年龄中位数16.7岁；范围12至32岁）的骨盆前后位X线片进行分析。研究纳入了四名医学专家（一名骨科医生、一名儿科神经科医生、一名放射科医生和一名物理医学与康复专家）。首次评估与第二次评估之间的时间间隔至少为三个月。计算观察者内和观察者间组内相关系数（IntraOb.和InterOb. ICCs）。ICC>0.8被认为拟合良好。
观察者内ICC中位数为0.93（范围0.89至0.97），观察者间ICC第一次评估（A）中位数为0.88，第二次评估（B）中位数为0.93。就兼容性而言，两个结果均被解释为良好。
我们的研究结果表明，r-MCPHCS是一个设计良好、可靠且可重复的量表，在不同医学专家中易于使用。
