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金冬梅,曾鑫鑫,薛晶晶,李 睿,洪忠秋,郑修元.中文版改良躯干损伤量表在脑卒中患者中的信度与效度研究[J].中国康复医学杂志,2021,(7):787~792
中文版改良躯干损伤量表在脑卒中患者中的信度与效度研究    点此下载全文
金冬梅  曾鑫鑫  薛晶晶  李 睿  洪忠秋  郑修元
中山大学孙逸仙纪念医院,广州市,510120
基金项目:广东省自然科学基金自由申请项目(2017A030313663);逸仙临床研究培育项目(SYS-Q-201803)
DOI:10.3969/j.issn.1001-1242.2021.07.004
摘要点击次数: 1133
全文下载次数: 1095
摘要:
      摘要 目的:翻译挪威版改良躯干损伤量表( the Trunk Impairment Scale-modified to Norwegian Version, mTIS),并探讨其在脑卒中患者应用中的信度与效度,为其临床应用提供客观依据。 方法:将挪威版mTIS翻译为中文版mTIS。共入组30例病例,在入组第一天,评定者A与B同时但独立对患者进行中文版mTIS量表评估,评定者A再对患者进行Fugl-Meyer量表的下肢运动部分(The Fugl-Meyer Assessment of Lower Extremity, FMA-LE)、改良Barthel指数(Modified Barthel Index, MBI)、Berg平衡量表(Berg Balance Scale, BBS)和脑卒中患者姿势评定量表(Postural Assessment Scale for Stroke Patient, PASS)评估。在入组第二天,评定者A再进行一次中文版mTIS评估。采用组内相关系数法(Intra-class Correlation Coefficient, ICC))分析评定者内部的重测信度和评定者间信度,采用Pearson相关系数法检测效度。 结果:在信度研究中,评定者A与B之间的中文版mTIS总分、动态坐位平衡分量表得分、协调分量表得分的ICC分别为0.978,0.967,0.902,评定者A两次评定结果之间的中文版mTIS总分、动态坐位平衡分量表得分、协调分量表得分的ICC分别为0.971,0.969,0.901。在效度研究中,中文版mTIS得分与FMA-LE得分的相关系数r=0.806,P<0.05;与MBI得分的相关系数r=0.802,P<0.05;与BBS得分的相关系数r=0.734,P<0.05;与PASS得分的相关系数r=0.775,P<0.05。 结论:中文版改良躯干损伤量表在脑卒中患者应用中具有良好的重测信度、评定者间信度和较好的效度。
关键词:脑卒中  躯干控制  量表  信度  效度
The reliability and validity of Chinese version of the modified trunk impairment scale in stroke patients    Download Fulltext
Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120
Fund Project:
Abstract:
      Abstract Objective: To translate the trunk impairment scale-modified to Norwegian version (mTIS) and explore its reliability and validity in stroke patients,to establish an objective basis for its clinical application among stroke survivors in China. Method: Firstly, translated mTIS into Chinese version of mTIS. A total of 30 subjects from the Department of Rehabilitation Medicine and Neurology of Sun Yat-sen Memorial Hospital were recruited. On the first day of recruitment, the assessor A and assessor B evaluated patients with the Chinese version of the mTIS simultaneously but independently. Whereafter, the rater A assessed the The Fugl-Meyer Assessment of Lower Extremity (FMA-LE), Modified Barthel Index (MBI), Berg Balance Scale (BBS) and Posture Assessment Scale for Stroke Patient (PASS). On the second day of enrollment, rater A conducted mTIS evaluation again. The intra-class correlation coefficient (ICC) was used to explore reliability and the Pearson correlation coefficient was used to analyze validity. Result: In the reliability study, the ICC of the total scores, dynamic sitting balance and coordination scores between rater A and rater B respectively were 0.978, 0.967, 0.902 and respectively were 0.971, 0.969, 0.901 between the two assessments of rater A. In the validity study. the correlation coefficient of mTIS scores with FMA-LE, MBI, BBS and PASS scores were 0.806, 0.802, 0.734, 0.775, respectively (P<0.05). Conclusion: The Chinese version of mTIS shows great test-retest reliability, inter-rater reliability and good validity among stroke patients in China.
Keywords:stroke  trunk control  scale  reliability  validity
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