使用二,三和四类顺序评分尺度比较单脚式测试的可靠性
Yongni Zhang1, Yifan Liu1, Zhicheng Pan2
1Duquesne-China Health Institute, Duquesne University, Pittsburgh, PA, United States of America.
PeerJ
|October 20, 2025
概括
三种类型的顺序尺度提供了最好的细节和可靠性的平衡,用于评估下肢受伤的单腿式测试 (SLST) 运动质量. 这一发现有助于临床医生可靠地评估患者的运动模式.
科学领域:
- 生物力学 生物力学
- 运动科学 运动科学
- 临床评估 临床评估
背景情况:
- 单腿式测试 (SLST) 是评估下肢功能的一个有价值的工具.
- 现有证据支持SLST在各种视觉评分方法中的可靠性和有效性.
- 然而,用于可靠评估SLST运动质量的最佳顺序类别数量仍未确定.
研究的目的:
- 为了确定最有信息和最可靠的数量顺序分数类别的视觉评分SLST.
- 为了比较SLST评估的2,3和4类顺序尺度的可靠性.
主要方法:
- 评估了58名下肢受伤的受试者.
- 通过一个治疗师在1周间隔对SLST进行评分来确定评分内部的可靠性.
- 两位治疗师独立对SLST进行评分,从而确定了评价者之间的可靠性.
- 两,三,四类顺序尺度被用来评价干部偏差,部引和下肢内部旋转.
- 使用未加权的卡帕 (κ) 值量化可靠性.
主要成果:
- 总体而言,二类尺度 (κ=0.60) 的评价者内可靠性最高,四类尺度 (κ=0.20) 的可靠性最低.
- 总体上,评价者之间的可靠性在3类量表中最高 (κ=0.61),在4类量表中最低 (κ=0.33).
- 对于特定的运动部件,三类尺度显示了 raters 和运动部件之间可靠性的良好平衡.
结论:
- 三类顺序尺度为SLST的关键运动部件的视觉评分提供了评估细节和可靠性之间的最佳平衡.
- 这种尺度推用于评估下肢受伤患者的干偏差,部引和下肢内部旋转.
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