ICF-CY活动项在脑性瘫痪儿童中信度和效度的研究

目的：分析研究国际功能、健康和残疾分类儿童青少年版（ICF-CY）活动项在脑性瘫痪儿童中信度和效度;探讨ICF-CY活动项的临床实用价值.方法：选择50例脑性瘫痪儿童,采用ICF-CY活动项、粗大运动功能评定量表、Peabody运动发育量表、PEDI儿童能力评估量表进行评定.评定者间信度采用kappa一致性分析方法;同步效度采用Spearman相关分析.结果：ICF-CY活动项除“利用交通工具到处移动”外的14个类目kappa值为0.650～0.902,信度中到优;ICF-CY活动项除“利用交通工具到处移动”外其他项目的总分与GMFM-88、Peabody、PED1评分的Spearman相关系数分别为-0.967、-0.832、-0.874（P＜0.01）.结论：采用ICF-CY活动项对脑性瘫痪儿童进行运动评定可靠有效.

Reliability and validity of the ICF-CY motor sets for the children with cerebral palsy

Objective：To analyze and study the reliability and validity of the lnternational Classification of Function-ing,Disability and Health-Children and Youth Version （ICF CY） motor sets for the children with cerebral palsy and the clinical values of ICF-CY motor sets.Methods：Fifty children with cerebral palsy were involved in this study.The functional evaluation was assessed by ICF-CY motor sets,the Gross Motor Function Measure （GMFM-88）,Peabody motor developmental measure scale and PEDI children ability evaluation measure scale.The inter-rater reliability was analyzed using Kappa correlation statistics.The concurrent criterion validity was analyzed by Spearman rank correlation coefficients.Result：Except ＂moving around by using the means of transport＂,Kappa values of the other categories were 0.650-0.902 from moderate to excellent.Correlation analyses showed that the total score of the ICF-CY motor sets except ＂moving around by using the means of transport＂ was highly associated with scores of GMFM-88,Peabody and PEDI.Spearman＇s rho in GMFM-88,Peabody and PEDI was-0.967,-0.832,-0.874,respectively （P＜0.01）.Conclusion：The ICF-CY motor sets are reliable and valid as a measurement for the children with cerebral palsy.