用儿童修改的功能步态评估获得的数据的可靠性和有效性
Amanda Chiao1, Jessie N Patterson, Graham D Cochrane
1Department of Surgery, Texas Tech University Health Sciences Center, Paul Foster School of Medicine, El Paso, Texas (Dr Chiao); Boys Town National Research Hospital, Omaha, Nebraska (Drs Patterson and Janky); Department of Otolaryngology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Dr Cochrane); Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama (Dr Christy).
概括
修改为儿童的功能步行评估 (FGA-mC) 有效地识别了儿科耳植入物使用者的前庭损失. 该工具在评估儿童的步行功能方面显示出良好的可靠性和有效性.
科学领域:
- 儿科听力学 儿科听力学
- 评估前庭功能功能评估
- 步态分析 步态分析
背景情况:
- 耳植入可以影响前庭功能.
- 静脉损失 (VL) 可能会影响儿童的步态和平衡.
- 需要标准化的评估来评估功能性结果.
研究的目的:
- 为了研究为儿童修改的功能步行评估 (FGA-mC) 在带有耳植入物的儿童中.
- 评估FGA-mC在患有或没有前体损失的儿科群体中的可靠性和有效性.
- 为了确定FGA-mC得分是否可以区分有前庭损失和没有前庭损失的儿童.
主要方法:
- 59名儿童 (耳植入器使用者) 完成了FGA-mC和前庭/功能测试.
- 通过20名儿童的视频录像评估了评价者之间的和评价者内部的可靠性.
- 在10名重复FGA-mC的儿童中评估了测试重复测试的可靠性.
主要成果:
- 没有VL的儿童在FGA-mC上得分明显高于双边VL的儿童.
- 在FGA-mC的切割分数<26有效地识别了具有良好的歧视性,敏感性和特异性的VL.
- FGA-mC表现出良好的inter-rater,intra-rater可靠性和构造有效性,但测试-重新测试可靠性较差.
结论:
- FGA-mC是一个有价值的工具,用于评估带有耳植入物的儿童的步态.
- 降低FGA-mC的表现表明这个人群的前庭损失.
- 对于儿科使用,FGA-mC具有良好的整体可靠性和有效性.
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