用于评估颈椎疾病的 mJOA 量表儿科改编版的可靠性和有效性。

IF 1.6 Q3 CLINICAL NEUROLOGY
Spine deformity Pub Date : 2024-11-01 Epub Date: 2024-07-18 DOI:10.1007/s43390-024-00931-x
Olga M Sergeenko, Dmitry M Savin, Alexey V Evsyukov, Alexander V Burtsev
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引用次数: 0

摘要

目的:本研究旨在评估日本矫形协会(mJOA)量表儿科版在患有各种颈椎病的儿科患者中的有效性和可靠性:由一名神经外科医生进行初步评估,然后由一名神经科医生在 1-2 天内进行独立评估,以测试评分者之间的可靠性。同一临床医生在不同的时间点(初次评估后 1 个月至 1 年)使用改编的 mJOA 量表对同组儿童进行评估,以检验评分者内部的可靠性。在已知组别有效性方面,对两组预后不同的病症进行了儿科 mJOA 量表评估比较。同时效度根据麦考密克量表进行评估,而收敛效度则是在儿科mJOA量表首次评估两年或两年以上后,使用成人mJOA量表对患者进行重新评估:共招募了 169 名患有各种颈椎病的 6 个月至 18 岁(平均年龄:10 ± 4.6 岁)儿童患者。病症包括寰枢椎旋转固定(AARF)、Chiari I型异常、先天性颈椎侧弯、寰枢椎脱位(AAD)和不稳定(AAI)、颈椎狭窄和外伤以及先天性颈胸脱位。大多数患者接受了颈椎手术,平均随访时间为(6.9 ± 2.97)年。小儿mJOA量表的评分者间可靠性很高(r = 0.99,p 结论:小儿mJOA量表的评分者间可靠性很高:儿科版 mJOA 量表是评估儿科颈椎病患者的可靠有效工具。其高度的可靠性和有效性支持其在临床实践和研究中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reliability and validity of the pediatric adaptation of the mJOA scale for evaluating cervical spine disorders.

Purpose: The study aimed to evaluate the validity and reliability of the pediatric adaptation of the Japanese Orthopedic Association (mJOA) scale in pediatric patients with various cervical spine pathologies.

Methods: Initial assessments were performed by a neurosurgeon, followed by an independent evaluation by a neurologist within 1-2 days to test inter-rater reliability. The same clinician assessed the same group of children using the adapted mJOA scale at different point in time (between 1 month and 1 year after the initial assessment) to test intra-rater reliability. For known-groups validity, the pediatric mJOA scale assessments were compared between two groups of pathologies with different prognosis. Concurrent validity was assessed against the McCormick scale, and convergent validity was tested by reassessing patients using the adult mJOA scale two or more years after the initial assessment by pediatric one.

Results: A cohort of 169 pediatric patients aged 6 months to 18 years (mean age: 10 ± 4.6 years) with various cervical spine pathologies was recruited. Pathologies included atlanto-axial rotatory fixation (AARF), Chiari type I anomaly, congenital cervical spine scoliosis, atlanto-axial dislocation (AAD) and instability (AAI), cervical spine stenosis and trauma, and congenital cervicothoracic dislocations. The majority of patients underwent cervical spine surgery and were followed up for an average of 6.9 ± 2.97 years. The pediatric mJOA scale demonstrated high inter-rater reliability (r = 0.99, p < 0.0001) and strong intra-rater reliability (r = 0.82, p < 0.0001). Significant differences in pediatric mJOA scores were observed between patients with expected-intact neurological status and those with expected-pathological neurological status (p < 0.0001). The pediatric mJOA scale showed a strong correlation with the McCormick grading system (r = 0.97, p < 0.001) and good correlation with the adult mJOA scale during long-term follow-up (r = 0.82, p < 0.0001).

Conclusions: The pediatric version of the mJOA scale is a reliable and valid tool for assessing pediatric patients with cervical spine disorders. Its high reliability and validity support its use in both clinical practice and research.

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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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