CAJ | 학술논문

　　目的分析脑瘫粗大运动功能测试量表(GMFM)的内容效度。方法由3名从事GMFM临床评估2年以上的康复医生和治疗师确定GMFM每一项所包含的概念，召开小组讨论会最终确定GMFM每项所包含的概念。由两名熟悉《国际功能、残疾和健康分类》青少年版(ICF-CY)术语和详细分类的康复医生根据联系规则，通过讨论将GMFM概念与ICF-CY类目编码进行匹配，在意见不一致时，由第三方做出非正式决定。分析GMFM项目与类目编码关联的分布状况。结果88个GMFM项目与12个二级类目、27个三级类目匹配，均以利于一级类目b7神经肌肉骨骼和运动有关的功能和d4活动；其中86个项目与d4下级类目关联，47个同时与b7下级类目关联，2个项目只与b7下级类目关联；16个项目与ICF-CY新增的1个二级类目和3个三级类目发生16次关联。结论 GMFM评估内容主要集中于ICF-CY框架中的活动类，尤其是活动中“改变和保持身体姿势”以及“步行和移动”；与身体功能有关联的GMFM项目主要涉及“手臂的支撑功能”。
　　목적분석뇌탄조대운동공능측시량표(GMFM)적내용효도。방법유3명종사GMFM림상평고2년이상적강복의생화치료사학정GMFM매일항소포함적개념，소개소조토론회최종학정GMFM매항소포함적개념。유량명숙실《국제공능、잔질화건강분류》청소년판(ICF-CY)술어화상세분류적강복의생근거련계규칙，통과토론장GMFM개념여ICF-CY류목편마진행필배，재의견불일치시，유제삼방주출비정식결정。분석GMFM항목여류목편마관련적분포상황。결과88개GMFM항목여12개이급류목、27개삼급류목필배，균이리우일급류목b7신경기육골격화운동유관적공능화d4활동；기중86개항목여d4하급류목관련，47개동시여b7하급류목관련，2개항목지여b7하급류목관련；16개항목여ICF-CY신증적1개이급류목화3개삼급류목발생16차관련。결론 GMFM평고내용주요집중우ICF-CY광가중적활동류，우기시활동중“개변화보지신체자세”이급“보행화이동”；여신체공능유관련적GMFM항목주요섭급“수비적지탱공능”。
Objective To analyze the content validity of Gross Motor Function Measure (GMFM) for cerebral palsy. Methods Concept contained in each item of GMFM was determined by 3 rehabilitation physicians or therapists who evaluated with GMFM for more than 2 years. All the concepts extracted were discussed in a meeting. The terms finalized were linked to the categories of International Classifica-tion of Functioning, Disability and Health Child and Youth version (ICF-CY) by 2 rehabilitation physicians who are familiar with the terms of ICF-CY according to the linking rules after discussion. Third party would intervene informally if there was a disagreement. The distribu-tion of the ICF-CY categories involved were analyzed. Results 88 items from the GMFM linked to 27 categorise of 3rd level within 12 cate-gories of 2nd level, belong to b7 Neuromusculoskeletal and Movement-related Functions and d4 Activities. 86 items linked to d4x, and 47 of then linked to b7x too. 2 items linked to b7x only. 16 items linked to the categories added to ICF-CY 16 times, involved 3 3rd level catego-ries in a 2nd level category. Conclusion GMFM mainly focused on the activities in the framework of ICF-CY, especially the activities of changing and maintaining functional as well as the body posture and walking or moving. For the body function, the GMFM mainly focus on the support from arms.