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克罗地亚视觉功能分类系统的验证以及脑中亚型特异性的差异

Ana Katušić¹, Sonja Alimović², Andrea Paulik²

¹Departments of Motoric Disorders, Chronic Diseases and Art Therapies.

International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation

|September 10, 2025

概括

克罗地亚视觉功能分类系统 (VFCS) 是可靠和有效的,用于评估脑 (CP) 的儿童的视力. 它有助于在CP类型中区分视觉能力,帮助康复规划.

科学领域:

眼科医生眼科眼科
儿科儿科儿科
康复医学康复医学康复医学

背景情况:

大脑 (CP) 显著影响儿童的视觉功能.
标准化工具对于评估和管理这一群体的视力障碍至关重要.
视觉功能分类系统 (VFCS) 为视觉能力的分级提供了一个框架.

研究的目的:

评估克罗地亚版VFCS的可靠性和构造有效性.
评估VFCS在不同CP亚型和功能分类中区分视觉功能的能力.
支持将VFCS整合到CP儿童的多学科护理中.

主要方法:

使用克罗地亚VFCS评估了95名患有CP的儿童 (4-18岁).
同时的评估包括总运动功能分类系统 (GMFCS),手动能力分类系统 (MACS) 和通信功能分类系统 (CFCS).
使用kappa统计和类内相关系数 (ICC) 确定可靠性;通过斯皮尔曼相关性和克鲁斯卡尔-瓦利斯测试探索有效性.

主要成果:

克罗地亚VFCS表现出极好的interrater (κ=0.87) 和intrarater可靠性 (κ=0.92),其ICCs>0.90.
在CP亚型之间观察到VFCS水平的显著差异 (χ2=8.30,P=0.016).
与GMFCS,MACS和CFCS的中等相关性表明了不同的视觉和运动/沟通能力.

结论:

克罗地亚VFCS是一种可靠,有效和临床敏感的工具,用于评估CP儿童的视觉功能.
初步证据表明,VFCS可以根据CP亚型区分视觉功能.
这些发现支持VFCS在全面评估和个人化康复计划中用于患有CP的儿童.

关键词:

视觉功能分类系统视觉功能分类系统脑性麻脑性麻是一种疾病.可靠性的可靠性亚型差异的分类差异

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