Reliability of the Motor Learning Strategies Rating Instrument in physiotherapy intervention for children with cerebral palsy.
Reliability of the Motor Learning Strategies Rating Instrument in physiotherapy intervention for children with cerebral palsy.
复制标题
运动学习策略评定仪在脑瘫儿童物理治疗干预中的可靠性。
DOI：
10.1111/dmcn.14177
复制
发表时间：
2019
影响因子：
3.8
通讯作者：
Wright,FVirginia
中科院分区：
文献类型：
--
作者：
Ryan,JenniferL;Levac,DanielleE;Wright,FVirginia
AimTo评估运动学习策略评估工具（MLSRI-20）的可靠性在步态为基础的，视频记录的物理治疗干预脑瘫（CP）的儿童。Method 30个视频的18名儿童与CP，年龄在6至17岁，参与传统的或Lokomat为基础的物理治疗干预使用MLSRI-20进行了评级。物理治疗师评分员在对每个视频进行评分后提供了一般和特定项目的反馈，这些反馈在解释可靠性结果时使用。评价者间信度组内相关系数（ICC）为0.78，95%置信区间（CI）为0.53-0.89，变异系数（CV）为11.8%。内部可靠性ICC为0.89，95%CI为0.76-0.95，CV为7.8%。评定者反馈确定了任务描述和治疗师言语解释作为评定者间可靠性相关评分挑战的来源。解释MLSRI-20是一种可靠的工具，用于测量物理治疗师在视频记录干预期间使用运动学习策略的程度。这些结果对记录和分析CP儿童物理治疗干预的运动学习内容具有临床和研究意义。本文补充了运动学习策略评定工具（MLSRI-20）可供训练有素的物理治疗师评估者使用。测量运动学习策略可以识别脑瘫儿童物理治疗干预中的有效“成分”。MLSRI-20促进了在脑瘫儿童中的共同语言，运动学习
AimTo evaluate the reliability of the Motor Learning Strategies Rating Instrument (MLSRI‐20) in gait‐based, video‐recorded physiotherapy interventions for children with cerebral palsy (CP).MethodThirty videos of 18 children with CP, aged 6 to 17 years, participating in either traditional or Lokomat‐based physiotherapy interventions were rated using the MLSRI‐20. Physiotherapist raters provided general and item‐specific feedback after rating each video, which was used when interpreting reliability results.ResultsBoth interrater and intrarater reliability of the MLSRI‐20 total score was good. The interrater reliability intraclass correlation coefficient (ICC) was 0.78 with a 95% confidence interval (CI) of 0.53–0.89 and a coefficient of variation (CV) of 11.8%. The intrarater reliability ICC was 0.89 with a 95% CI of 0.76–0.95 and CV of 7.8%. Rater feedback identified task delineation and interpretation of therapist verbalizations as sources of interrater reliability‐related scoring challenges.InterpretationThe MLSRI‐20 is a reliable tool for measuring the extent to which a physiotherapist uses motor learning strategies during a video‐recorded intervention. These results have clinical and research implications for documenting and analyzing the motor learning content of physiotherapy interventions for children with CP.What this paper addsThe Motor Learning Strategies Rating Instrument (MLSRI‐20) is reliable for use by trained physiotherapist raters.Measuring motor learning strategies can identify active ‘ingredients’ in physiotherapy interventions for children with cerebral palsy.The MLSRI‐20 promotes a common language in motor learning.