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首页> 外文OA文献 >Assessment of upper-limb capacity, performance, and developmental disregard in children with cerebral palsy: validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R)
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Assessment of upper-limb capacity, performance, and developmental disregard in children with cerebral palsy: validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R)

机译：评估大脑性麻痹儿童的上肢能力，表现和发育障碍：修订后的视频观察Aarts和Aarts模块的有效性和可靠性：确定发育障碍（VOAA-DDD-R）

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Aim To investigate the validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R). Method Upper-limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of affected upper-limb use and the frequency of specific behaviours during a task in which bimanual activity was demanded (stringing beads) and stimulated (decorating a muffin). Developmental disregard was defined as the difference in duration of affected upper-limb use between both tasks. Raters were two occupational and one physical therapist who received 3 hours of training. Construct validity was determined by comparing children with CP with typically developing children. Intrarater, interrater, and testretest reliability were determined using the intraclass correlation coefficient. Standard errors of measurement and smallest detectable differences were also calculated. Results Twenty-five children with CP (15 females, 10 males; mean age 4y 9mo [SD 1y 7mo], range 2y 9mo8y; Manual Ability Classification System levels IIII) scored lower on capacity (p=0.052) and performance (p0.001), and higher on developmental disregard (p0.001) than 46 age- and sex-matched typically developing children (23 males; mean age 5y 3mo [SD 1y 5mo], range 2y 6mo8y). The intraclass correlation coefficients (0.791.00) indicated good reliability. Absolute agreement was high, standard errors of measurement ranged from 4.5 to 6.8%, and smallest detectable differences ranged from 12.5 to 19.0%. Interpretation The VOAA-DDD-R can be reliably and validly used by occupational and physical therapists to assess upper-limb capacity, performance, and developmental disregard in children (2y 6mo8y) with CP.
机译：目的旨在研究经修订的视频观测Aarts和Aarts模块的有效性和可靠性：确定发展无视（VOAA-DDD-R）。方法通过测量受影响的上肢使用的持续时间以及在需要进行双向活动（穿珠）和刺激的任务中特定行为的频率，评估单侧痉挛性脑瘫（CP）患儿的上肢容量和表现（装饰松饼）。发展无视被定义为两个任务之间受影响的上肢使用持续时间的差异。评分者为两名职业和一名理疗师，接受了3个小时的培训。通过将患有CP的儿童与通常发育的儿童进行比较来确定构建体的有效性。使用类内相关系数确定了内部评价者，个体间和重新测试的可靠性。还计算了标准测量误差和最小可检测差异。结果25名儿童CP（15名女性，10名男性；平均年龄4y 9mo [SD 1y 7mo]，范围2y 9mo8y；手动能力分类系统IIII级）在能力（p = 0.052）和表现方面得分较低（p <0.001 ），并且在发育忽视方面（p <0.001）高于46位年龄和性别相匹配的典型发育中的儿童（23位男性；平均年龄5y 3mo [SD 1y 5mo]，范围2y 6mo8y）。组内相关系数（0.791.00）表明良好的可靠性。绝对一致性很高，测量的标准误差范围为4.5至6.8％，最小可检测差异范围为12.5至19.0％。解释VOAA-DDD-R可以被职业和物理治疗师可靠，有效地用来评估患有CP的儿童（2y 6mo8y）的上肢能力，表现和发育上的忽视。

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