{"title":"ABILHAND-kids young CP：测量2 - 7岁脑瘫幼儿的手能力。","authors":"Carlyne Arnould, Julie Paradis, Massimo Penta, Jean-Louis Thonnard, Yannick Bleyenheuft","doi":"10.2340/jrm.v57.42691","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Hand dysfunction is one of the main factors contributing to daily activity limitations in children with cerebral palsy (CP). As a latent -variable, manual ability is not easily measurable, especially in young children. This study aimed to develop ABILHAND-Kids Young CP, a Rasch-built manual ability measure in young children with CP.</p><p><strong>Design: </strong>Prospective study/questionnaire develop-ment.</p><p><strong>Subjects/patients: </strong>107 CP children aged 2 to 7 (59% unilateral CP).</p><p><strong>Methods: </strong>Responses of children's parents to an 80-item experimental questionnaire were analyzed using RUMM2020 software to select items presenting the best psychometric qualities.</p><p><strong>Results: </strong>ABILHAND-Kids Young CP includes 17 items with well-discriminated response categories and defines a valid, unidimensional, and linear scale. It presents high measurement precision (R = 0.94) and is invariant allowing the measurement of young children with CP whatever their age, gender, clinical form, and Manual Ability Classification System (MACS) levels. Its measures are significantly related to age (r = 0.22), school education, clinical form, MACS (r = -0.63) and Pediatric Evaluation of Disability Inventory (r = 0.74) (all p < 0.001, except age at p = 0.023).</p><p><strong>Conclusion: </strong>ABILHAND-Kids Young CP is a unidimensional and linear scale specifically developed to measure manual ability in young children with CP. Its psychometric properties show promising potential in monitoring children's evolution related to neurorehabilitation.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42691"},"PeriodicalIF":2.3000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379724/pdf/","citationCount":"0","resultStr":"{\"title\":\"ABILHAND-kids young CP: a measure of manual ability in young children with cerebral palsy aged 2 to 7.\",\"authors\":\"Carlyne Arnould, Julie Paradis, Massimo Penta, Jean-Louis Thonnard, Yannick Bleyenheuft\",\"doi\":\"10.2340/jrm.v57.42691\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Hand dysfunction is one of the main factors contributing to daily activity limitations in children with cerebral palsy (CP). 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引用次数: 0
摘要
目的：手部功能障碍是脑瘫（CP）患儿日常活动受限的主要因素之一。手工能力作为一个潜在变量，不容易测量，特别是在幼儿中。本研究旨在开发一套Rasch-built - manual - capacity - kids Young CP量表。设计：前瞻性研究/问卷开发。受试者/患者：107名2 - 7岁CP儿童（59%为单侧CP）。方法：采用RUMM2020软件对80项实验问卷进行分析，筛选出最能体现儿童心理测量品质的项目。结果：ABILHAND-Kids - Young CP包括17个具有良好区分反应类别的项目，并定义了有效的单维线性量表。它具有很高的测量精度（R = 0.94），并且无论其年龄，性别，临床形式和手工能力分类系统（MACS）水平如何，它都可以测量患有CP的幼儿。其测量值与年龄（r = 0.22）、学校教育程度、临床形式、MACS （r = -0.63）和儿童残疾量表评估（r = 0.74）显著相关（p均为p）。结论：ABILHAND-Kids Young CP是一种专门用于测量幼儿CP的单维线性量表，其心理测量特性在监测儿童神经康复相关进化方面具有良好的潜力。
ABILHAND-kids young CP: a measure of manual ability in young children with cerebral palsy aged 2 to 7.
Objective: Hand dysfunction is one of the main factors contributing to daily activity limitations in children with cerebral palsy (CP). As a latent -variable, manual ability is not easily measurable, especially in young children. This study aimed to develop ABILHAND-Kids Young CP, a Rasch-built manual ability measure in young children with CP.
Subjects/patients: 107 CP children aged 2 to 7 (59% unilateral CP).
Methods: Responses of children's parents to an 80-item experimental questionnaire were analyzed using RUMM2020 software to select items presenting the best psychometric qualities.
Results: ABILHAND-Kids Young CP includes 17 items with well-discriminated response categories and defines a valid, unidimensional, and linear scale. It presents high measurement precision (R = 0.94) and is invariant allowing the measurement of young children with CP whatever their age, gender, clinical form, and Manual Ability Classification System (MACS) levels. Its measures are significantly related to age (r = 0.22), school education, clinical form, MACS (r = -0.63) and Pediatric Evaluation of Disability Inventory (r = 0.74) (all p < 0.001, except age at p = 0.023).
Conclusion: ABILHAND-Kids Young CP is a unidimensional and linear scale specifically developed to measure manual ability in young children with CP. Its psychometric properties show promising potential in monitoring children's evolution related to neurorehabilitation.
期刊介绍：
Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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