Interrater Reliability of the Melbourne Assessment of Unilateral Upper Limb Function for Children With Hemiplegic Cerebral Palsy
Interrater Reliability of the Melbourne Assessment of Unilateral Upper Limb Function for Children With Hemiplegic Cerebral Palsy
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DOI：
10.5014/ajot.2011.001222
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发表时间：
2011-07-01
影响因子：
2.9
通讯作者：
Malone, Jeni
中科院分区：
文献类型：
--
作者：
Spirtos, Michelle;O'Mahony, Paul;Malone, Jeni
OBJECTIVE.我们检验了墨尔本单侧上肢功能评估的评分者间信度。3名职业治疗师对34名6岁1个月至14岁5个月的偏瘫型脑瘫儿童进行了独立的录像评估。在95%的置信区间内计算总评分、类别评分和项目评分的组内相关系数（ICC）。评分员总分之间的相关性很高（ICC = 0.961）。评分员之间测试成分的相关性最高的是流畅性（ICC = 0.902），其次是运动范围（ICC = 0.866），最低的相关性是运动质量（ICC = 0.683）。各测验项目得分的ICC值在368 ~ 899之间。本研究证明了总评分的高评分者间可靠性，从临床和研究的角度来看，一些单独的组件和项目的评分需要进一步考虑。
OBJECTIVE. We examined the interrater reliability of the Melbourne Assessment of Unilateral Upper Limb Function.METHOD. Three occupational therapists independently scored 34 videotaped assessments of children with hemiplegic cerebral palsy aged 6 yr, 1 mo, to 14 yr, 5 mo. Intraclass correlation coefficients (ICCs) at a 95% confidence interval were calculated for total scores, category scores, and item scores.RESULTS. The correlation between raters' total scores was high (ICC = .961). The highest correlation for test components between raters was found for fluency (ICC = .902), followed by range of movement (ICC = .866), and the lowest correlation was found for quality of movement (ICC = .683). The ICCs for individual test item scores varied and ranged from 368 to 899.CONCLUSION. This study demonstrated high interrater reliability for total scores, with scoring of some individual components and items requiring further consideration from both a clinical and a research perspective.