世界卫生组织《残疾评定量表》在残疾运动员功能评定中的应用

Assessment of the Function of Disabled Athletes Using Disability Assessment Schedule Ⅱ(WHO-DAS Ⅱ)

目的评估WHO《残疾评定量表》(WHO-DASⅡ)应用于残疾运动员功能评定的信度和效度。方法用WHO-DASⅡ测试56名肢体残疾者(26名轮椅篮球运动员和30名普通残疾人),10 d后进行重测,同时以Barthel指数分级和轮椅篮球运动分级作为效标进行效度测试。结果残疾运动员WHO-DASⅡ总分及各领域分值的重测相关系数分别为:0.978、0.807、0.938、0.877、0.998、0.935、0.986,均P<0.01;WHO-DASⅡ总分及各领域分值与Barthel指数之间的相关系数分别为-0.77、0.17、-0.71、-0.82-、0.33、-0.73-、0.61;与运动分级之间的相关系数分别为-0.741-、0.378-、0.806、-0.541、-0.293、-0.510、-0.677。结论可以应用WHO-DASⅡ对残疾运动员进行功能评定、分析及分级。

Objective To evaluate the reliability and validity of the of Disability Assessment Schedule Ⅱ of World Health Organization （WHO-DAS Ⅱ） applied in assessment of the function of disabled athletes. Methods 56 disabled people,26 wheelchair basketball athletes and 30 patients,were sampled and completed WHO-DAS Ⅱ questionnaire. The test and re-test had been administrated in 10 days. Barthel Index （BI） and Sports Classification Test had been implemented for the functioning assessment. Results The test-retest reliability for WHO-DASⅡin six dimensions were： 0. 978, 0. 807, 0. 938, 0. 877, 0. 998, 0. 935, 0. 986 and all were in very significant level （P〈0.01）. There were negative correlation between WHO-DAS Ⅱ scores and BI in total and in every dimension, the correlation coefficients were.. -0.77, -0. 17, -0.71, 0.82, --0.33, -0.73, -0.61. The correlation coefficients between WHO-DASⅡ total and six dimensional scores and the grade of sports classification were： - 0. 741, - 0. 378, -0. 806, -0. 541, -0. 293, -0. 510, -0. 677. Conclusion WHI-DASⅡ can be used in assessing the function of disabled athletes.