Nordmark E, Hägglund G, Jarnlo G B
Department of Physical Therapy, University Hospital, Lund, Sweden.
Scand J Rehabil Med. 1997 Mar;29(1):25-8.
The Gross Motor Function Measure (GMFM), an instrument comprising five dimensions devised by Russell and co-workers (7) to measure gross motor function in children with cerebral palsy (CP) or brain damage, enables changes in performance status to be evaluated after therapy or when monitored over time. We analysed its inter-rater and intra-rater reliability on the three most difficult dimensions. A video-recording of three children with CP performing test tasks was assessed on two occasions at an interval of six months by each of the 15 physiotherapists using the GMFM manual but without previous experience or training in the use of the instrument. Mean percentage scores were similar at the first and second assessments. Both inter- and intra-rater reliabilities were good, inter-rater reliability being 0.77 and 0.88 at the first and second assessments, respectively, and intra-rater reliability 0.68 at the second assessment. The findings suggest the GMFM to be a useful and reliable instrument for assessing motor function and treatment outcome in CP.
粗大运动功能测量量表（GMFM）是由拉塞尔及其同事设计的一种包含五个维度的工具，用于测量脑瘫（CP）或脑损伤儿童的粗大运动功能，它能够评估治疗后或长期监测时运动表现状态的变化。我们分析了该量表在三个最难维度上的评分者间信度和评分者内信度。15名物理治疗师使用GMFM手册，在没有该工具使用经验或培训的情况下，间隔六个月对三名CP儿童执行测试任务的视频记录进行了两次评估。第一次和第二次评估的平均百分比得分相似。评分者间信度和评分者内信度均良好，评分者间信度在第一次和第二次评估时分别为0.77和0.88，评分者内信度在第二次评估时为0.68。研究结果表明，GMFM是评估CP儿童运动功能和治疗效果的一种有用且可靠的工具。
