Inter-rater reliability study of the modified Oxford Grading Scale and the Peritron manometer
Inter-rater reliability study of the modified Oxford Grading Scale and the Peritron manometer
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DOI：
10.1016/j.physio.2010.06.007
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发表时间：
2011-06-01
期刊：
影响因子：
3.3
通讯作者：
Bo, Kari
中科院分区：
文献类型：
--
作者：
Jorge Ferreira, Cristine Homsi;Barbosa, Patricia Brentegani;Bo, Kari
目的评价改良牛津评分量表和Peritron测压计的评分者间信度。设计所有参与者进行了两次评估，第一次由一名检查员进行，30天后由第二名检查员进行。阴道挤压压力的测量结果进行了比较，从触诊test.Participants的19名妇女，平均年龄为23.7岁（范围21至28岁）。结果阴道触诊的评分者间的可靠性是公平的（kappa = 0.33，95%置信区间0.09至0.57）。使用Peritron压力计，19例病例中有11例（58%）检查者之间的差异小于10 cmH（2）O。触诊测试没有区分弱，中度，良好和强烈的肌肉收缩。本研究发现公平的评价者间的信度为改良牛津评分量表和中度评价者间的信度为Peritron manometer.Conclusions阴道挤压压力测量使用Peritron manometer的评价者间的可靠性是可以接受的，可以用于在临床实践中进行重新评估由不同的检查者。然而，出于研究目的，理想的情况是由一名检查员对受试者进行评估和重新评估。阴道触诊在临床评估骨盆底肌肉收缩的正确性方面很重要，但本研究不支持使用改良牛津分级量表作为测量和区分骨盆底肌肉力量的可靠有效方法。(C)2010年，物理治疗特许协会。由爱思唯尔有限公司出版。保留所有权利。
Objective To evaluate the inter-rater reliability of the modified Oxford Grading Scale and the Peritron manometer.Design All participants were evaluated twice, first by one examiner and 30 days later by a second examiner. Measurements of vaginal squeeze pressure were compared with the results from the palpation test.Participants Nineteen women with a mean age of 23.7 years (range 21 to 28 years).Results Inter-rater reliability for vaginal palpation was fair (kappa = 0.33, 95% confidence interval 0.09 to 0.57). Using the Peritron manometer, the difference between examiners was less than 10 cmH(2)O in 11 of the 19 (58%) cases. The palpation test did not differentiate between weak, moderate, good and strong muscle contractions. This study found fair inter-rater reliability for the modified Oxford Grading Scale and moderate inter-rater reliability for the Peritron manometer.Conclusions The inter-rater reliability of vaginal squeeze pressure measurement using the Peritron manometer is acceptable and can be used in re-evaluations performed by different examiners in clinical practice. However, for research purposes, the ideal situation would be for a single examiner to assess and re-assess the subject. Vaginal palpation is important in the clinical assessment of correctness of a pelvic floor muscle contraction, but this study does not support the use of the modified Oxford Grading Scale as a reliable and valid method to measure and differentiate pelvic floor muscle strength. (C) 2010 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.