The Reliability and Validity of Data Obtained With the Functional Gait Assessment Modified for Children.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI:10.1097/PEP.0000000000001183

Amanda Chiao, Jessie N Patterson, Graham D Cochrane, Jennifer B Christy, Kristen L Janky

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引用次数: 0

Abstract

Purpose: This study investigated the Functional Gait Assessment modified for Children (FGA-mC) in children with cochlear implant and with and without vestibular loss (VL), and the FGA-mC's reliability and validity.

Methods: Fifty-nine children completed the FGA-mC and vestibular and functional testing. Twenty children were video-recorded to assess the FGA-mC's inter- and intra-rater reliability, and 10 repeated the FGA-mC for test-retest reliability. Ten physical therapists reviewed the videos, scored the child's FGA-mC performance, and provided test administration feedback.

Results: Children without VL had significantly higher FGA-mC scores compared to children with bilateral VL and a <26 cutoff score was identified for normal function versus VL with good discrimination, sensitivity and specificity. The FGA-mC had good inter- and intra-rater reliability, construct validity, but poor test-retest reliability.

Conclusions: The FGA-mC shows decreased performance in children with bilateral VL compared to children without VL. There was overall good-to-excellent reliability and validity of the FGA-mC, supporting its use for a pediatric population.

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改进儿童功能步态评估数据的信度和效度。

目的：研究人工耳蜗植入儿童及有无前庭功能丧失儿童的功能步态评估（FGA-mC），以及FGA-mC的信度和效度。方法：59例患儿完成FGA-mC及前庭功能检查。对20名儿童进行录像，以评估FGA-mC在评分者之间和评分者内部的信度，10名儿童重复FGA-mC进行重测信度。10名物理治疗师回顾视频，对孩子的FGA-mC表现进行评分，并提供测试管理反馈。结果：无VL患儿的FGA-mC评分明显高于双侧VL患儿。结论：与无VL患儿相比，双侧VL患儿的FGA-mC评分下降。FGA-mC的总体信度和效度从良好到优异，支持其在儿科人群中的应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.