| 何 璐,徐开寿,严晓华,郑 韵,靳晓坤,麦坚凝.中文版高肌张力评估工具用于脑性瘫痪儿童评估的心理测量学特征分析[J].中国康复医学杂志,2014,29(8):726~730 |
| 中文版高肌张力评估工具用于脑性瘫痪儿童评估的心理测量学特征分析 点此下载全文 |
| 何 璐 徐开寿 严晓华 郑 韵 靳晓坤 麦坚凝 |
| 广州市妇女儿童医疗中心神经康复科，广州，510120 |
| 基金项目：广州市科技计划项目；广东省医学科研基金资助项目（A2013514） |
| DOI： |
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| 摘要
目的：分析中文版高肌张力评估工具（HAT）在脑性瘫痪儿童人群评估中的信度、效度等心理测量学特征，为HAT在国内推广应用提供临床依据。
方法：33例4—13岁（男24例，女9例，平均月龄84.24±34.36）的脑性瘫痪儿童参加此项研究，使用校正Kappa（PABAK）测定HAT的重测信度、评价者间信度；以小儿神经专科医师对33例脑性瘫痪儿童的高肌张力类型评价结果为效标确定HAT的效度。
结果：HAT在鉴别肢体高肌张力类型方面具有良好的重测信度（PABAK=0.82—1），同时具有良好的评价者间信度（PABAK=0.77—1）；HAT与小儿神经专科医师的高肌张力类型评价结果间具有极好的一致性（PABAK=0.81—1）。
结论：中文版HAT的信度和效度指标满足心理测量学要求，可以作为测量中国脑性瘫痪儿童的高肌张力类型的工具。 |
| 关键词：高肌张力评估工具 高肌张力 脑性瘫痪 信度 效度 |
| A study on the psychometric characters of Chinese version of hypertonia assessment tool for children with cerebral palsy Download Fulltext |
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| Guangzhou Women and Children's Medical Center, Guangzhou, 510120 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To analyze the psychometric characters of Chinese version of hypertonia assessment tool (HAT) for children with cerebral palsy: reliability and validity.
Method: The HAT was administered in 33 children (24 males and 9 females, mean age 84.24 months, SD 34.36 months, age range 4—13 years) with cerebral palsy. Pediatric neurological examination provided the gold standard diagnosis. Test-retest reliability, interrater reliability and criterion validity were assessed using prevalence and bias-adjusted kappa (PABAK).
Result: Test-retest reliability was good for assessing types of hypertomia: spasticity, dystonia and the absence of rigidity(PABAK=0.82—1). Interrater reliability was excellent for the three subtypes of hypertonia(PABAK=0.87—1), but was substantial for item 4 which was identified the spasticity(PABAK=0.77).Criterion validity was excellent for assessing types of hypertomia: spasticity,dystonia and the absence of rigidity(PABAK=0.81—1).
Conclusion: This study extends the reliability and validity of Chinese version of HAT with supporting its use in clinical practice and research and satisfying the psychometric demands. Chinese version of HAT can be utilized to classify the hypertonia for children with cerebral palsy in China. |
| Keywords:hypertonia assessment tool hypertonia cerebral palsy reliability validity |
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