Gerrity M S, Gaylord S, Williams M E
Department of Medicine and Program on Aging, University of North Carolina Medical School, Chapel Hill.
Med Care. 1993 Jul;31(7):617-28. doi: 10.1097/00005650-199307000-00004.
The Timed Manual Performance test is gaining wider use as a measure of functional status in research and clinical settings. It is a rather lengthy 27-item test, however, requiring the use of a large cumbersome panel of doors. The authors, therefore, studied 1,286 community-dwelling elderly subjects recruited through their primary care provider to: 1) reduce the number of items in the Timed Manual Performance (TMP) test and 2) assess the reliability and validity of the shorter versions of the TMP compared with the 27-item TMP. Using principal components analysis, we identified two shorter measures, TMP (Doors) consisting of five board tasks and TMP (Table) consisting of six table tasks. Timed Manual Performance (Doors) and TMP (Table) involve less equipment than the original TMP and have higher rates of completion. Furthermore, not only are these tests reliable (alpha = 0.79 and 0.82 for TMP [Doors] and TMP [Table], respectively), they appear to be better measures of manual performance compared with the 27-item TMP.
定时手动操作测试作为一种衡量功能状态的方法，在研究和临床环境中得到了越来越广泛的应用。然而，这是一项相当冗长的包含27个项目的测试，需要使用一大组笨重的门。因此，作者对通过初级保健提供者招募的1286名社区居住的老年人进行了研究，目的是：1）减少定时手动操作（TMP）测试中的项目数量；2）评估与27项TMP相比，较短版本的TMP的可靠性和有效性。通过主成分分析，我们确定了两个较短的测量方法，即由五项木板任务组成的TMP（门）和由六项桌子任务组成的TMP（桌子）。定时手动操作（门）和TMP（桌子）相比原始的TMP所需设备更少，完成率更高。此外，这些测试不仅可靠（TMP[门]和TMP[桌子]的α系数分别为0.79和0.82），而且与27项TMP相比，它们似乎是更好的手动操作测量方法。
