| BackgroundCerebral palsy rehabilitation is a comprehensive and long arduous process. Influencing factors are extremely complicated, which resulted in that the implementation of the cerebral palsy rehabilitation is more difficult. Children with cerebral palsy needed to be diagnosed,besides they also needed to do a series of measurement evaluation. And gross motor function measure-88,gross motor cerebral palsy is the most widely used assessment scales. Because one year after birth,children are at a critical period of brain development, when brain damage is still in relatively minor stage, the most important thing is for the time being has not been fixed in this period movement patterns and abnormal posture, all aspects of the strong plasticity. However, assessment of not more than 1 year old children were difficult,because they had short attention span, so their assessment is divided into several assessment usually to complete.ObjectiveThis thesis aims to revise the pediatric cerebral palsy gross motor function measure, Test reliability, validity,and preliminary applications.Methods1.Determine the gross motor function measure face validity and content validityFirst met the inclusion criteria were randomly selected subjects (Zhengzhou Children’s Hospital Rehabilitation 50 cases of cerebral palsy patients) were pre-test gross motor function measure-88, based on the experimental results, the six experts on the basis of clinical experience gross motor function measure-88 entry gradually eliminated and amend, as a standard to evaluate the school children 0-1 years old with cerebral palsy patients. Based on the above expert opinion, in terms of understandability, readability, professional concept and meaning habits of gross motor function measure-88 amended to ensure smooth express statements, in line with Chinese habits and avoid jargon biased expression.2.Testing the revised gross motor function measureBy random sampling, selected subjects that met inclusion criteria (Children’s Hospital of Zhengzhou City,300 cases of children with cerebral palsy rehabilitation patients) were administered test.188 cases were male, female 112 cases. The mean age was from June to August. Based on the assessment, the analysis of the revised letter of cerebral palsy gross motor scale, validity.3. Statistical methodSPSS17.0 and AMOS 17.0 statistical software were used to establish a database, and having multiple regression analysis, correlation analysis, variance analysis ect. on the data. P<0.05 was considered statistically significant.Result1. Correlation between subscales and total scaleDiscrimination according to the project level and total score sort, former 27% of children and 27% of children after scoring on each item t test, and found that, except in the T4 project were not significant differences on other projects significantly. Excluding discernment low T4 project, the remaining 42 projects. In the remaining 42 projects, each project and subscale total score was significantly correlated. Supine and stand up to distinguish between scale projects with the total score of the correlation coefficient between 0.496-0.895, seats can distinguish scale projects with the total score of the correlation coefficient between 0.502-0.924, crawl and stand knee distinguish potential energy the correlation coefficient scale projects with total score between 0.784-0.948 correlation coefficient legislation distinguish potential energy projects with the total score of the scale in between 0.786-0.965, walking can distinguish scale projects associated with the total score coefficient between 0.827-0.928.2.Validity regression analysis of the each subscaleIn the case of children’s motor function as independent variables.Movement Scale total score is the dependent variable, stepwise multiple regression analysis found. According to standardized regression coefficients explained, sitting high energy region can predict children with cerebral palsy, supine and stand up energy region can sitting area, climb and stand knee energy region, Li potential energy area, can walk a total area of these five factors can explain 99.7% of the variance.3.AMOS model fit analysisAMOS model fit based on analysis of data, modeling in AMOS, the fit is good. The original model in two dimensions and dimensions are explained as part of a five dimensions, multiple correlation coefficients between them were 0.31,0.07. After correction obtain the following model, chi-square value is less than the 0.170, P=0.918> 0.05, you can determine the model fit the data. Differences models now established is 0.170, fit index is very considerable. P represents a significant, if significantly greater than 0.05 can be found for the model fit the data moderately. In this study, a P value of 0.085, more than 0.05, it is possible to determine the model fit the data.4.Structural equation model (AMOS) in the fit indexIn this study, RMR=0.055. NFI and RFI are more close to 1, which is the fitting degree of the model. PRATIO refers to the saving ratio.Smaller values represents the parameter estimation of the number. The PRATIO=0.2 parameter is less.5.gross motor function measure internal consistency reliability of each energy area gross motor function measure of the five sub-scales internal consistency reliability analysis. The results showed that the homogeneity reliability of each subscale Cronbach a coefficients were supine and stand energies 0.88,0.94 energies sitting, crawling and knee area stand potential energy 0.93,0.944 vertical potential energy area, walking and running, and jump to area 0.86. A coefficient of total scale was 0.96.Conclusions1.Preliminary Revision of gross motor function measure is more suitable for children 0-1 years old with cerebral palsy.2.The revised gross motor function measure has good reliability and validity, which can reflect the behind degree of cerebral palsy children’s gross motor. At the same time, the revised scale has certain clinical value on the rehabilitation of children with cerebral palsy. |
PDF Full Text Request