The test of infant motor performance: reliability in spinal muscular atrophy type I.

The test of infant motor performance: reliability in spinal muscular atrophy type I.
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DOI:
10.1097/pep.0b013e318181ae96
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发表时间:
2008-01-01
期刊:
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association
影响因子:
--
通讯作者:
Iannaccone, Susan T
Iannaccone, Susan T
中科院分区:
其他
文献类型:
--
作者:
Finkel, Richard S;Hynan, Linda S;Iannaccone, Susan T

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目得:本文的目的是确定可靠性测试的婴儿运动表现(TIMP)在婴儿脊髓性肌萎缩症,I型(SMA-I)。方法:评分员间的可靠性培训进行了17个物理治疗师评估6名婴儿肌张力减退和无力(5录像,1活)。然后,8名经过培训的评估人员在他们自己的中心进行了一项重测信度研究,对11名经基因证实患有SMA-I的婴儿进行了2次测试,间隔约1个月(5名男孩,6名女孩;年龄范围37-501天; 3名接受肺支持)。评价者间可靠性培训课程的总体加权Kappa值为0.61(95%置信区间为0.59-0.63)。对于重测信度研究,TIMP总分的组内相关系数为0.85(95%置信区间:0.54-0.96)。两个疗程之间的测试分数无显著差异(Bradley-Blackwood检验无显著性)。结论:SMA-I婴儿可以可靠地获得TIMP评分。
PURPOSE: The aim of this article was to determine reliability of the Test of Infant Motor Performance (TIMP) in infants with spinal muscular atrophy, type I (SMA-I).METHODS: Interrater reliability training was undertaken by 17 physical therapist evaluators using 6 infants with hypotonia and weakness (5 videotaped, 1 live). Eight trained evaluators then conducted a test-retest reliability study at their own center, performing 2 tests approximately 1 month apart on each of 11 infants with genetically confirmed SMA-I (5 boys, 6 girls; age range 37-501 days; 3 on pulmonary support).RESULTS: The interrater reliability training session had an overall weighted Kappa of 0.61 (95% confidence interval 0.59-0.63). For the test-retest reliability study, the intraclass correlation coefficient for the TIMP Total Score was 0.85 (95% confidence interval: 0.54-0.96). The test scores were not significantly different between the 2 sessions (Bradley-Blackwood test was nonsignificant).CONCLUSION: TIMP scores can be reliably obtained in infants with SMA-I.