中文版上肢技巧质量测试量表信度和效度的初步研究

目的：探讨中文版上肢技巧质量测试量表（QUEST）的信度和效度,为其在国内临床应用提供理论依据.方法：经原著者允许并授权后,将英文版QUEST量表翻译成中文.研究对象为70例在康复中心就诊的痉挛型脑瘫儿童,随机选取30例检测重测信度（间隔2周）,随机选取30例检测评分者间信度.50例同时接受Peabody精细运动发育量表（PDMS-FM）与中文版QUEST量表测试,分析PDMS-FM原始分与中文版QUEST量表各分测试原始分之间的相关性,确定两者之间的平行效度.结果：中文版QUEST量表的各分测试原始分具有良好的重测信度及评估者间信度（ICC值＞0.90）,中文版QUEST量表与PDMS-FM测试的各项分测试原始分测试具有良好的平行效度（Pearson相关系数为0.717～0.921）.结论：本次研究确立了中文版QUEST量表具有良好的信度和效度,是一种可以有效评估痉挛型脑瘫患儿上肢技巧质量的工具.

Reliability and validity of the Chinese version of the quality of upper extremity skills test in children with spastic cerebral palsy

Objective：To investigate the reliability and validity of the Chinese version of the quality of upper extremity skills test for children in order to guide the clinical practice.Methods：After we got the original writers＇ permission and authorization,the English version of the QUEST was translated into Chinese.Seventy children with spastic cerebral palsy were recruited as paticipants？30 of them were recruited for the test-retest reliability,with an interval of 2 weeks,and 30 of them were selected for inter-rater reliability：Parallel validity was analyzed by calculating the correlations between different raw scores of QUEST and PDMS-FM of 50 children.Results：Different raw scores of QUEST possessed excellent test-retest and inter-rater reliablities （ICC＞0.90）.Good parallel validity （Pearson r=0.717 0.921） was found between different raw scores of the Chinese version of QUEST and PDMS-FM.Conclusion：Reliability and validity of Chinese version of QUEST were determined in this study.It can be used as an effective measuring tool to evaluate upper extremity skills of children with spastic cerebral palsy.