全身运动细化评估在高危儿运动发育中的信度研究

doi:10.11852/zgetbjzz2017-25-03-06

中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (3): 234-236.DOI: 10.11852/zgetbjzz2017-25-03-06

全身运动细化评估在高危儿运动发育中的信度研究

尹欢欢,杨红,曹佳燕,臧菲菲,史惟,朱晓芸

复旦大学附属儿科医院康复科,卫生部新生儿疾病重点实验室,上海 201102

收稿日期:2016-08-10 发布日期:2017-03-15 出版日期:2017-03-15
通讯作者: 杨红,E-mailhyang@shmu.edu.cn
作者简介:尹欢欢(1990-),女,山东人,硕士在读,主要研究方向为高危儿神经发育评估与早期康复。

Reliability of detailed assessment of general movements for motor development in high risk infants

YIN Huan-huan,YANG Hong,CAO Jia-yan,ZANG Fei-fei,SHI Wei,ZHU Xiao-yun

Rehabilitation Department,Children's Hospital of Fudan University,Key Laboratory of Neonatal Diseases,Ministry of Health,Shanghai 201102,China

Received:2016-08-10 Online:2017-03-15 Published:2017-03-15
Contact: YANG Hong,E-mailhyang@shmu.edu.cn

摘要/Abstract

摘要： 目的研究全身运动细化评估的信度,为其应用于高危儿运动发育随访的临床工作建立相应的基础。方法纳入接受全身运动评估的87例高危儿的90个录像,周龄在34~58周之间。由评估者采用“早产儿和足月儿全身运动细化评分表”和“3～5月龄婴儿细化评分表”进行评分,获得全身运动评估的最优性评分。计算不同评估者间和同一评估者两次评估间的组内相关系数(ICC值)。结果扭动阶段全身运动细化评估评估者间总项目分的信度ICC值为0.941,各亚类分的信度ICC值为0.881～0.933;两位评估者总项目分的重测信度ICC值分别为0.983和0.879,各亚类分的重测信度ICC值为0.876～0.943。不安阶段全身运动细化评估评估者间总项目分的ICC值为0.976,各亚类分的信度ICC值为0.819～0.909;两位评估者总项目分的重测信度ICC值分别为0.955和0.959,各亚类分的重测信度ICC值为0.588～0.905。结论全身运动细化评估具有良好的评估者间信度和重测信度,可以应用于高危儿运动发育随访的临床工作之中。

关键词: 全身运动, 细化评估, 高危儿, 信度, 录像分析

Abstract: Objective To study the reliability of the detailed assessment of general movements,and establish a corresponding basis for its application in high risk infants follow-up clinical work for motor development. Methods The analysis was based on 90 video recordings of 87 infants who had been videoed from 34 to 58 weeks postmenstrual age.The motor optimality score was assessed according to the detailed assessment of "Preterm and Term General Movement" and "Assessment of Motor Repertoire-3 to 5 Months".The intraclass correlation coefficient (ICC) of inter-raters and test-retest reliability were investigated. Results The inter-raters ICC values of the total score of the detailed assessment in writhing movements was 0.941,while the inter-raters ICC values were 0.881 to 0.933 of the subgroups;The test-retest ICC values of the total score was 0.983 and 0.879,while the test-retest ICC values were 0.876 to 0.943 of the subgroups.The inter-raters ICC values of the total score of the detailed assessment in fidgety movements was 0.976,while the inter-raters ICC values were 0.819 to 0.909 of the subgroups;The test-retest ICC values of the total score was 0.955 and 0.959,while the test-retest ICC values were 0.588 to 0.905 of the subgroups. Conclusion The detailed assessment of general movements is reliable in inter-raters and test-retest as applied in high risk infants,and can be used for its follow-up clinical work for motor development.

Key words: general movements, detailed assessment, high risk infants, reliability, video assessment

中图分类号:

R179

尹欢欢,杨红,曹佳燕,臧菲菲,史惟,朱晓芸. 全身运动细化评估在高危儿运动发育中的信度研究[J]. 中国儿童保健杂志, 2017, 25(3): 234-236.

YIN Huan-huan,YANG Hong,CAO Jia-yan,ZANG Fei-fei,SHI Wei,ZHU Xiao-yun. Reliability of detailed assessment of general movements for motor development in high risk infants[J]. journal1, 2017, 25(3): 234-236.

参考文献

[1] Prechtl HF,Einspieler C,Cioni G,et al.An early marker for neurological deficits after perinatal brain lesions[J].Lancet,1997,9062(349):1361-1363.
[2] Einspieler C,Prechtl HF.Prechtl's assessment of general movements:a diagnostic tool for the functional assessment of the young nervous system[J].Ment Retard Dev Disabil Res Rev,2005,11(1):61-67.
[3] 杨红,史惟,邵肖梅,等.全身运动质量评估对高危新生儿神经学发育结局信度和预测效度的研究[J].中国循证儿科杂志,2007,2(3):172-180.
[4] Nakajima Y,Einspieler C,Marschik PB,et al.Does a detailed assessment of poor repertoire general movements help to identify those infants who will develop normally?[J].Early Human Development,2006,82(1):53-59.
[5] Fjrtoft T,Einspieler C,Adde L,et al.Inter-observer reliability of the “Assessment of Motor Repertoire-3 to 5 Months” based on video recordings of infants[J].Early Human Development,2009,85(5):297-302.
[6] 杨红,邵肖梅.全身运动质量评估[J].中国循证儿科杂志,2007,2(2):138-143. [7] Prechtl HF.The optimality concept[J].Early Hum Dev,1980,4(3):201-205.
[8] 杨忠秀,朱萍,王雨晴,等.全身运动质量评估在高危儿随访中的临床应用价值[J].中国儿童保健杂志,2012,20(9):847-849.
[9] 史惟,杨红,施炳培,等.国内外脑性瘫痪定义、临床分型及功能分级新进展[J].中国康复理论与实践,2009,15(9):801-803.
[10] Colver A,Fairhurst C,Pharoah POD.Cerebral palsy[J].Lancet,2014(383):1240-1249.
[11] Einspieler C,Marschik PB,Prechtl HFR.Human motor behavior[J].Zeitschrift für Psychologie / Journal of Psychology,2008,216(3):147-153.
[12] Einspieler C,Prechtl HF.Prechtl's assessment of general movements:a diagnostic tool for the functional assessment of the young nervous system[J].Ment Retard Dev Disabil Res Rev,2005,11(1):61-67.
[13] Hadders-Algra M.General movements:a window for early identification of children at high risk for developmental disorders[J].The Journal of Pediatrics,2004,145(Suppl 2):12-18.
[14] 李云,龚春丹,张莺,等.全身运动质量评估技术在高危儿随访中的应用研究[J].中国儿童保健杂志,2011,19(5):485-486.
[15] Yang H,Einspieler C,Shi W,et al.Cerebral palsy in children:Movements and postures during early infancy,dependent on preterm vs full term birth[J].Early Human Development,2012,88(10):837-843.
[16] 臧菲菲,杨红,曹佳燕,等.扭动运动全身运动评估在极低出生体重早产儿运动发育随访中的应用研究[J].中国儿童保健杂志,2015,23(5):530-533.
[17] Einspieler C,Marschik PB,Pansy J,et al.The general movement optimality score:a detailed assessment of general movements during preterm and term age[J].Developmental Medicine & Child Neurology,2016,58(4):361-368.
[18] Yuge M,Marschik PB,Nakajima Y,et al.Movements and postures of infantsaged 3 to 5 months[J].Early Human Development,2011,87:231-237.

全身运动细化评估在高危儿运动发育中的信度研究

Reliability of detailed assessment of general movements for motor development in high risk infants

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	王慧, 王丽娟, 童连, 汪军, 张雅萍, 张卿. 母亲生育年龄及喂养行为与高危儿早期运动发育的相关分析[J]. 中国儿童保健杂志, 2023, 31(4): 422-426.
[2]	沈修姝, 汪军. 全身运动评估的临床应用研究进展[J]. 中国儿童保健杂志, 2023, 31(2): 167-170.
[3]	贾妮, 许梦雪, 丁美琦, 严双琴, 章青兰, 王宝珍, 李园园, 关宏岩. 中文版亲子互动-喂养量表的信效度初步研究[J]. 中国儿童保健杂志, 2022, 30(8): 839-844.
[4]	赵明月, 项栋良, 张春艳, 乌云塔娜, 杨海凤, 李爽, 王琰, 王艳. 高危儿早期干预的研究进展[J]. 中国儿童保健杂志, 2022, 30(5): 531-534.
[5]	王佳, 黄静, 梁亚红, 席静, 王艳艳. 青少年直觉进食量表的编制及信效度检验[J]. 中国儿童保健杂志, 2022, 30(5): 553-557.
[6]	郑瑞璇, 章丽丽, 周自云, 曹佳妍, 周星, 钱雨倩, 堵飞宇, 程灶火. 婴幼儿孤独症筛查问卷的初步编制和信效度分析[J]. 中国儿童保健杂志, 2022, 30(4): 376-380.
[7]	肖婷, 肖湘, 储康康, 柯晓燕. 中文版量化的婴幼儿孤独症筛查量表信效度研究[J]. 中国儿童保健杂志, 2022, 30(4): 381-385.
[8]	黄楹, 张海峰, 童连. 婴幼儿回应性照护评价量表的初步编制与评价[J]. 中国儿童保健杂志, 2022, 30(4): 386-391.
[9]	胡燕. 高危儿营养支持热点问题思考[J]. 中国儿童保健杂志, 2022, 30(2): 117-119.
[10]	刘喜红. 高危儿的营养支持与健康管理[J]. 中国儿童保健杂志, 2022, 30(2): 120-123.
[11]	文竹, 李焱, 林裕雄, 孙智信, 江文庆. 认知缓慢特质量表中文版修订及信效度评估[J]. 中国儿童保健杂志, 2022, 30(12): 1297-1303.
[12]	王晓娟, 许梦雪, 张梦楠, 任霞, 江媛媛, 张雪娇, 杨琳, 吴建新, 张霆, 朱宗涵, 关宏岩. 学龄前儿童园外运动行为问卷的初步编制及信效度研究[J]. 中国儿童保健杂志, 2022, 30(12): 1304-1308.
[13]	孙亚茹, 刘婷, 尹翠艳, 王欣, 牛玉硕, 李葵南, 杨秀玲. 儿童乘车风险行为诊断量表的汉化及信效度检验[J]. 中国儿童保健杂志, 2022, 30(10): 1063-1067.
[14]	冯围围, 王惠珊, 张彤, 杨玉凤, 许志飞, 潘晓平, 王广海, 徐韬, 中国婴幼儿睡眠状况评估量表常模制定工作协作组. 中国婴儿睡眠状况评估量表的信效度验证及全国常模构建[J]. 中国儿童保健杂志, 2022, 30(10): 1073-1077.
[15]	郝朝丽, 吴茜茜, 韩清梅, 曾佩, 郭津. 目标-活动-运动强化疗法对脑瘫高危儿早期干预的应用进展[J]. 中国儿童保健杂志, 2022, 30(10): 1104-1107.