构建修正后的身体和神经系统细微体征检查(PANESS)步态和站姿测量的效度和信度

IF 0.8 Q4 PSYCHOLOGY, DEVELOPMENTAL Journal of Motor Learning and Development Pub Date : 2021-08-01 DOI:10.1123/JMLD.2020-0027
Ghazala T. Saleem, Jeanne Langan, Jacob I. McPherson, B. Slomine, E. M. Mahone, M. Denckla, S. Suskauer
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引用次数: 2

摘要

目的:为了方便儿科人群的准确诊断和提供量身定制的治疗,适当的评估是必不可少的。鉴于姿势控制的多成分结构,理解评估的潜在构念对于选择和解释评估是有价值的。本研究探讨了体态和站姿变量在细微体征修正生理和神经检查中的构念效度,这是一种用于评估轻度神经缺陷青少年站立姿势控制的测量方法。方法:数据来自350名10-19岁的健康参与者。进行了变量旋转的探索性因素分析。个体负荷≥0.4用于因子指定。结果:根据证据,确定并标记了三个潜在因素,即动态稳定性、运动策略/协调和潜在的运动系统-肌肉骨骼力量。结论:这些简单,易于管理的步态和站姿测量的细微体征的身体和神经检查有助于评估与轻度神经运动损伤相关的青少年站立姿势控制的三种结构。这些信息将潜在地帮助临床实践识别有姿势控制缺陷的青少年,建立适合发育的干预措施,并在研究中完善对病理的理解和对姿势控制组成部分的影响。
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Construct Validity and Reliability of the Revised Physical and Neurological Examination of Subtle Signs (PANESS) Gaits and Stations Measures
Purpose: To facilitate precise diagnosis and provide tailored treatment of postural anomalies in the pediatric population, appropriate assessments are essential. In light of the multicomponent structure of postural control, understanding underlying constructs of an assessment is valuable in selecting and interpreting assessments. This study investigates the construct validity of the Gaits and Stations variables in the Revised Physical and Neurological Examination of Subtle Signs, a measure used to evaluate standing postural control in youth with mild neurological deficits. Methods: Data were included from 350 healthy participants ages 10–19 years old. An exploratory factor analysis with varimax rotation was performed. Individual loadings of ≥0.4 were used for factor designation. Results: Three latent factors were identified and labeled, based on evidence, as dynamic stability, movement strategies/coordination, and underlying motor systems—musculoskeletal strength. Conclusions: These brief, easily administered Gaits and Stations measures of the Physical and Neurological Examination of Subtle Signs facilitate evaluation of three constructs of standing postural control relevant to youth with mild neuromotor impairments. This information will potentially assist in clinical practice to identify youth with postural control deficits and establish developmentally appropriate interventions and in research to refine understanding of pathology and the impact on components of postural control.
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来源期刊
Journal of Motor Learning and Development
Journal of Motor Learning and Development Medicine-Orthopedics and Sports Medicine
CiteScore
2.20
自引率
15.40%
发文量
13
期刊介绍: The Journal of Motor Learning and Development (JMLD) publishes peer-reviewed research that advances the understanding of movement skill acquisition and expression across the lifespan. JMLD aims to provide a platform for theoretical, translational, applied, and innovative research related to factors that influence the learning or re-learning of skills in individuals with various movement-relevant abilities and disabilities.
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