功能对称性观察尺度,版本2:区分有效性和开发简单表格的建议
Mary Rahlin1, Steven Miller2, Bernadette Sarmiento3
1Board-Certified Clinical Specialist in Pediatric Physical Therapy, Department of Physical Therapy, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
Physiotherapy theory and practice
|December 3, 2025
概括
功能对称性观察量表-V2 (FSOS-V2) 显示得分偏差影响婴儿对称性评估. 建议对其进行修订,以提高其可靠性和有效性,以便在先天性肌肉结症的临床使用中使用.
科学领域:
- 儿科物理治疗 儿科物理治疗
- 婴儿运动发展 婴儿运动发展
- 临床评估工具 临床评估工具
背景情况:
- 功能对称性观察尺度-V2 (FSOS-V2) 是一种基于视频的工具,用于评估先天性肌肉的婴儿运动对称性.
- 虽然FSOS-V2具有良好的有效性和内部可靠性,但其内部可靠性较差至中等.
- 以前的数据表明,潜在的得分偏差与婴儿年龄和运动发育有关,影响了尺度的歧视性有效性.
研究的目的:
- 为了评估FSOS-V2.2的区分有效性.
- 使用现有的可靠性数据进行单个项目分析.
- 为修改FSOS-V2进行更短,更可靠的形式制定建议.
主要方法:
- 从50名患有先天性肌肉 (CMT) 的婴儿的FSOS-V2可靠性数据的二次分析.
- 分析FSOS-V2得分,婴儿年龄和总运动里程碑之间的相关性.
- 项目响应理论 (IRT) 建模用于单个项目分析和规模修改建议.
主要成果:
- 一个评级者的得分与婴儿年龄和运动里程碑有显著的相关性,表明潜在的评分偏差.
- 通过IRT建模,提供了删除项目和调整尺度的具体建议.
- 证据表明得分偏差影响了分辨器有效性和评分器间可靠性的证据得到证实.
结论:
- FSOS-V2中的评分偏差损害了其分辨值的有效性和评分器间的可靠性.
- 修订尺度以更短的形式和完善评分准则是必要的.
- 这些修改对于准确和一致地评估CMT婴儿的对称性至关重要.
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