6-18岁脑瘫儿童改良功能性伸手测验的可靠性：观察性横断面研究

Brain disorders (Amsterdam, Netherlands) Pub Date : 2024-11-06 DOI:10.1016/j.dscb.2024.100172

Abhijeet Arun Deshmukh, Mayuri Anil Tijare, Maneesha Shrikrishna Deshpande

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引用次数: 0

摘要

背景坐姿平衡在脑瘫儿童中起着重要作用。改良功能性伸手试验（mFRT）是评估儿童静态和动态坐姿平衡的可靠工具，但其在脑瘫儿童中的可靠性尚未得到证实。方法和材料随机选取90名6至18岁的脑瘫儿童进行横断面观察研究。儿童向前和向两侧伸手。在儿童坐着双脚分开与肩同宽的情况下，连续进行三次向前伸手和向两侧伸手的试验，并计算三次试验的平均值。结果mFRT测试在所有方向（前伸、左侧伸和右侧伸）的可靠性都得到了验证。比较了各年龄组的伸展值。性别与 mFRT 进行了比较。将 GMFCS 水平与 mFRT 进行了比较。讨论本研究发现，在 6-18 岁的脑瘫儿童中，mFRT 在所有方向上都具有极佳的评分者内部信度（测试-重复测试信度）；前伸测试 r = 0.996，左侧伸测试 r = 0.974，右侧伸测试 r = 0.988。结论mFRT在6-18岁脑瘫儿童中具有良好的评分者内部可靠性。

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Reliability of modified functional reach test in children with cerebral palsy aged 6–18 years: An observational cross-sectional study

Background

Balance in sitting plays an important role among children with cerebral palsy. The modified functional reach test(mFRT) is reliable tool to evaluate both static and dynamic sitting balance among children but the reliability of mFRT has not been proven among cerebral palsy children.

Objective

To find the reliability of mFRT(forward reach, left lateral and right lateral reach), cerebral palsy children.

Methods and Material

An observational cross-sectional study on 90 children with cerebral palsy aged 6-to-18 years was randomly selected. The children reached forward and at both the lateral directions. Three successive trials of forward reach and lateral reaches with the child sitting with feet shoulder width apart were performed and the mean of 3 trials was calculated. Reliability of mFRT test in all the directions (forward, left and right lateral) was found out.

Results

Reliability of mFRT test was found out in all the directions. The values of reach in age groups were compared. The genders were compared with the mFRT. GMFCS levels were compared with mFRT. BMI was correlated with mFRT.

Discussion

This study found excellent intra rater reliability(test-retest reliability) of mFRT in children with cerebral palsy aged 6–18years, in all directions; forward reach test r = 0.996, left lateral reach test r = 0.974, right lateral reach test r = 0.988. This test can be used to evaluate the dynamic sitting balance of children with cerebral palsy of age 6–18 years in both genders.