中文版上肢技巧质量量表在脑性瘫痪患儿上肢功能评定中的信度和效度

Reliability and validity of the Chinese version of the quality of upper extremity skills test on upper limb function of children with cerebral palsy

目的:评估中文版上肢技巧质量量表(quality of upper extremity skills test,QUEST)在痉挛型脑瘫患儿上肢功能评定中的信度和效度。方法:将英文版QUEST翻译并完善成中文版,研究对象为75例在我院就诊的痉挛型脑瘫儿童,检测其重测信度及评定者间信度。同时进行Peabody运动发育量表的精细运动部分(peabody developmental motor scale fine motor,PDMS-FM),精细运动能力(fine motor function measure scale,FMFM),分析PDMS-FM原始分、FMFM各区分数与中文版QUEST各分测试项原始分之间的相关性,评估量表的平行效度。结果:中文版QUEST分测试项得分及总分具有优良的重测信度及评估者间信度(ICC值均>0.890),中文版QUEST分测试项原始分与PDMS-FM、FMFM各区原始分间具有较好的平行效度(Pearson/Spearson秩相关系数分别为r1=0.563—0.816、r2=0.389—0.830)。结论:中文版QUEST量表具有良好的信度和效度,可以作为评估痉挛型脑瘫患儿上肢运动功能的首选方法。

Objective： To investigate the reliability and validity of the Chinese version of the quality of upper extremity skills test（QUEST） applying to measure the upper limb function in children with cerebral palsy.Method： English version QUEST was translated and improved into Chinese version. Seventy-five children with spastic cerebral palsy participated. All children accepted QUEST assessments, and the test- retest reliability and inter- rater reliability data were collected. Peabody developmental motor scale fine motor（PDMS- FM） and fine motor function measure scale（FMFM） assessments were taken at the same time. The correlation between the PDMS-FM, FMFM original points and QUEST raw score of each domain were analysed.Result： Four domains scores and total of Chinese version QUEST have excellent test-retest reliability and interrater reliability（ICC0.890）. The strong association between QUEST and PDMS- FM（Pearson/Spearson r1=0.563—0.816）, and the correlation index with FMFM（Pearson/Spearson r2=0.389—0.830） was demonstrated.Conclusion： The study confirmed that the Chinese version QUEST has good reliability and validity. It can be the first assessment tool as the evaluation of upper limb movement in spastic cerebral palsy children.