Hughes K A, Bell F
Division of Physiotherapy, Glasgow Caledonian University, Scotland.
Arch Phys Med Rehabil. 1994 Oct;75(10):1100-7. doi: 10.1016/0003-9993(94)90085-x.
A form that will guide clinicians through a reliable and valid visual assessment of hemiplegic gait was designed. Six hemiplegic patients were filmed walking along an instrumented walkway. These films were shown to three physiotherapists who used the form to rate the patients' gait. Each physiotherapist rated the six patients at both stages of recovery, repeating this a further two times. This resulted in 108 completed forms. Within-rater reliability is statistically significant for some raters and some individual form sections. Between-rater reliability is significant for some sections. Detailed analysis has shown that parts of the form have caused reduced reliability. These are mainly sections that ask for severity judgments or are duplicated. Some indication of normal gait should be included on the form. To test validity fully the form should be tested on a group of patients who all have significant changes in each objective gait measurement.
设计了一种表格，用于指导临床医生对偏瘫步态进行可靠且有效的视觉评估。拍摄了六名偏瘫患者在装有仪器的通道上行走的视频。这些视频展示给三名物理治疗师，他们使用该表格对患者的步态进行评分。每位物理治疗师在患者恢复的两个阶段对这六名患者进行评分，并再重复两次。这产生了108份填好的表格。对于一些评分者和某些单独的表格部分，评分者内部信度具有统计学意义。对于某些部分，评分者间信度具有显著性。详细分析表明，表格的某些部分导致了信度降低。这些主要是要求进行严重程度判断或重复的部分。表格中应包含一些正常步态的指标。为了全面测试效度，该表格应在一组在每项客观步态测量中都有显著变化的患者身上进行测试。
