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功能对称性观察尺度,版本2:可靠性,构造有效性和临床使用潜力

Mary Rahlin¹, Bernadette Sarmiento

¹Department of Physical Therapy (Dr Rahlin), Rosalind Franklin University of Medicine and Science, North Chicago, Illinois; Independent Practitioner (Ms Sarmiento), Skokie, Illinois.

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association

|July 10, 2024

概括

功能对称性观察尺度,版本2 (FSOS-V2) 显示,对于单个治疗师评估先天性肌肉 (CMT) 的婴儿来说,可靠性很好. 治疗者间的可靠性需要进一步改进,以实现一致的多治疗师使用.

科学领域:

儿科儿科儿科
康复医学康复医学康复医学
生物机械分析生物机械分析

背景情况:

先天性肌肉 (CMT) 是一种常见的儿科疾病,影响头部和部的姿势.
准确评估姿势和运动对称性对于有效的CMT管理至关重要.
功能对称性观察尺度,版本2 (FSOS-V2) 是一个旨在评估CMT婴儿对称性的工具.

研究的目的:

为了评估FSOS-V2.2的内测器和内测器之间的可靠性.
评估FSOS-V2在被诊断为CMT的婴儿中的构造有效性.
确定FSOS-V2对治疗决策的临床实用性.

主要方法:

基于视频的FSOS-V2评估被四名检查员使用,对50名婴儿进行CMT两次的视频进行评分.
评估者内部的可靠性是通过比较同一评估者的两个会议的分数来评估的.
通过比较四个评级机构的得分来评估评级者之间的可靠性.
通过将FSOS-V2得分与从仰卧照片上测量的头部倾斜角度相关联来检查构造有效性.

主要成果:

这项研究包括50名患有CMT的1至16个月龄的婴儿.
发现FSOS-V2的内射器可靠性是中等到良好的.
测试者之间的可靠性表现为差到中等的结果,表明不同测试者之间的差异性.
这项研究支持FSOS-V2.2的构造有效性.

结论:

该FSOS-V2可靠的重复使用由一个临床医生做出临床决策在CMT的婴儿.
建议进行进一步的研究,以增强FSOS-V2的心理测量特性,特别是关于测量器间可靠性的研究.
这些发现表明,FSOS-V2可以在临床环境中成为评估CMT对称性的宝贵工具.

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