Yıl: 2020 Cilt: 7 Sayı: 2 Sayfa Aralığı: 155 - 160 Metin Dili: İngilizce DOI: 10.5152/ArcHealthSciRes.2020.575433 İndeks Tarihi: 30-10-2020

Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample

Öz:
Objective: Assessment of high-risk infants is critical for setting early physiotherapy needs and evaluating the effects of clinical practices. The aim of this study was to analyze the inter-rater reliability of the infant motor profile (IMP) performed on high-risk infants with different risk factors.Material and Methods: IMP videos of 47 infants (18 female and 29 male) with an average corrected age of 10.13±5.13 months were recorded. There were 56 videos in total; three pediatric physiotherapists scored five domains, namely variation, variability, symmetry, fluency, and performance. Spearman Correlation Analysis was used to evaluate the inter-rater reliability.Results: Considering the Spearman values for the inter-rater reliability, it was found that the values ranged between low (r=0.467) and very high (r=0.941). The highest reliability was very high (r= 0.898–0.929) for the domain of performance, and the lowest reliability was low-high (r=0.467–0.735) for the symmetry domain. The results of inter-rater reliability were acceptable for the IMP total score and all the domain scores in this study.Conclusion: These results show that the use of IMP by physiotherapists for the assessment of 3-24-month-old high-risk infants is reliable. We recommend that it be used in our country in determining early physiotherapy needs.
Anahtar Kelime:

3-24 Aylık Yüksek Riskli Bebeklerde Infant Motor Profilinin Gözlemciler Arası Güvenirliği: Türkiye Örneği

Öz:
Amaç: Riskli bebeklerin değerlendirilmesi; erken fizyoterapi ihtiyacını belirlemek ve klinik uygulamaların etkilerini değerlendirmek için önemlidir. Bu çalışmanın amacı Infant Motor Profilinin (IMP) farklı risk faktörlerine sahip riskli bebeklerde güvenirliğini incelemektir. Gereç ve Yöntem: Yaş ortalamaları 10,13±5,13 ay olan 47 (18 kız, 29 erkek) bebeğin IMP videosu kaydedildi. Toplam 56 video mevcuttu. Üç pediatrik fizyoterapist ölçeğin; varyasyon, değişkenlik, simetri, akıcılık ve performans olmak üzere beş boyotunu puanladı. Gözlemciler arası güvenirliği değerlendirmek için Spearman Korelasyon Analizi kullanıldı. Bulgular: Gözlemciler arası güvenirlik için Spearman değerleri incelendiğinde değerlerin zayıf (r=0,467) ile çok yüksek (r=0,941) arasında değişmekte olduğu, en iyi güvenirliğin performans alt ölçeği için çok yüksek (r= 0,898-0,929) olarak, en düşük güvenirliğin ise simetri alt ölçeği için zayıf-yüksek (r=0,467-0,735) olduğu bulundu. Çalışmamızda IMP toplam puanı ve tüm alt ölçek puanları için gözlemciler arası güvenirlik sonuçları kabul edilebilir düzeydeydi. Sonuç: Bu bulgular; IMP’in fizyoterapistler tarafından 3-24 aylık riskli bebekleri değerlendirmek için kullanımının güvenilir olduğunu göstermektedir. Ülkemizde erken fizyoterapi ihtiyacının belirlenmesinde IMP kullanılmasını öneriyoruz.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Barbara J, Kliegman R, Kliegman S. The High-Risk İnfant. In: Behrman RE. editors. Nelson Text Book of Pediatrics. 17th ed, Philadelphia: Saunders. 2004: pp. 547-50.
  • 2. Kavuncuoğlu S, Öztürk E, Aldemir EY, Ceylan Y, Özbek S. Riskli Gebelik Nedeni ile İzlenen Annelerden Doğan Preterm Bebeklerin Erken Dönem Morbidite ve Mortalite Sonuçları. İstanbul Kanuni Sultan Süleyman Tıp Dergisi (IKSST) 2010; 2: 27-30.
  • 3. Walker K, Holland AJ, Halliday R, Badawi N. Which High‐Risk Infants Should We Follow‐Up and How Should We Do It? J Paediatr Child Health 2012; 48: 789-93.
  • 4. Walker K, Badawi N, Holland AJ, Halliday R. Developmental Outcomes Following Major Surgery: What Does the Literature Say? J Paediatr Child Health 2011; 47: 766-70.
  • 5. Heineman KR, Bos AF, Hadders‐Algra M. The Infant Motor Profile: A Standardized and Qualitative Method to Assess Motor Behaviour in Infancy. Dev Med Child Neurol 2008; 50: 275-82.
  • 6. Hadders-Algra M. The Neuronal Group Selection Theory: A Framework to Explain Variation in Normal Motor Development. Dev Med Child Neurol 2000; 42: 566-72.
  • 7. Hadders-Algra M. The Neuronal Group Selection Theory: Promising Principles for Understanding and Treating Developmental Motor Disorders. Dev Med Child Neurol 2000; 42: 707-15.
  • 8. Hecker E, Baer GD, Stark C, Herkenrath P, Hadders-Algra M. Inter-and Intrarater Reliability of the Infant Motor Profile in 3-to 18-Month-Old Infants. Pediatr Phys Ther 2016; 28: 217-22.
  • 9. Heineman KR, Middelburg KJ, Bos AF, Eidhof L, Bastide‐Van Gemert L, Den Heuvel ER, et al. Reliability and Concurrent Validity of the Infant Motor Profile. Dev Med Child Neurol 2013; 55: 539-45.
  • 10. Heineman KR, La Bastıde‐Van Gemert S, Fidler V, Middelburg KJ, Bos AF, Hadders‐Algra M. Construct validity of the Infant Motor Profile: Relation with Prenatal, Perinatal, and Neonatal Risk Factors. Dev Med Child Neurol 2010; 52: 209-15
  • 11. Mukaka MM. A Guide to Appropriate Use of Correlation Coefficient in Medical Research. Malawi Med J. 2012; 24: 69-71.
  • 12. Besios T, Hristara-Papadopoulou A, Iakovidis P, Mauromoustakos S, Tzioumakis Y, Vliagofti O, et al. Comparative Reliability of the Infant Motor Profile (IMP) in the Greek Language for Infants 3 to 18 Months. Open J Pediatr 2018; 8: 1-7
  • 13. Mendonça B, Sargent B, Fetters L. Cross‐cultural Validity of Standardized Motor Development Screening and Assessment Tools: A Systematic Review. Dev Med Child Neurol 2016; 58: 1213-22.
  • 14. Chomicz-Wlazły J. Motor Development in Infants-Conditioning Factors and Assessment Methods. Pediatr Pol 2019; 94: 39-45.
  • 15. Krumlinde‐Sundholm L, Ek L, Eliasson AC. What Assessments Evaluate Use of Hands in Infants? A Literature Review. Dev Med Child Neurol 2015; 57: 37-41.
  • 16. Rezaei DA, Acar G, Turkdogan D, Unver O, Narter FK. Relationships Among 3 Movement Analysis Tests in Preterm Infants. Pediatr Phys Ther 2019; 31: 251-6.
  • 17. Karch D, Heinemann K. Physiotherapeutic Interventions: Bobath, Vojta, and Motor Learning Approaches. In: Panteliadis C.P. editors. Cerebral Palsy:A Multidisciplinary Approach.Thessaloniki Springer; 2018. pp. 155-64.
APA NUMANOĞLU AKBAŞ A, Çankaya Ö, Seyhan Bıyık K, Kerem Günel M (2020). Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. , 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
Chicago NUMANOĞLU AKBAŞ Ayşe,Çankaya Özge,Seyhan Bıyık Kübra,Kerem Günel Mintaze Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. (2020): 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
MLA NUMANOĞLU AKBAŞ Ayşe,Çankaya Özge,Seyhan Bıyık Kübra,Kerem Günel Mintaze Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. , 2020, ss.155 - 160. 10.5152/ArcHealthSciRes.2020.575433
AMA NUMANOĞLU AKBAŞ A,Çankaya Ö,Seyhan Bıyık K,Kerem Günel M Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. . 2020; 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
Vancouver NUMANOĞLU AKBAŞ A,Çankaya Ö,Seyhan Bıyık K,Kerem Günel M Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. . 2020; 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
IEEE NUMANOĞLU AKBAŞ A,Çankaya Ö,Seyhan Bıyık K,Kerem Günel M "Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample." , ss.155 - 160, 2020. 10.5152/ArcHealthSciRes.2020.575433
ISNAD NUMANOĞLU AKBAŞ, Ayşe vd. "Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample". (2020), 155-160. https://doi.org/10.5152/ArcHealthSciRes.2020.575433
APA NUMANOĞLU AKBAŞ A, Çankaya Ö, Seyhan Bıyık K, Kerem Günel M (2020). Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. Archives of health science and research (Online), 7(2), 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
Chicago NUMANOĞLU AKBAŞ Ayşe,Çankaya Özge,Seyhan Bıyık Kübra,Kerem Günel Mintaze Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. Archives of health science and research (Online) 7, no.2 (2020): 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
MLA NUMANOĞLU AKBAŞ Ayşe,Çankaya Özge,Seyhan Bıyık Kübra,Kerem Günel Mintaze Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. Archives of health science and research (Online), vol.7, no.2, 2020, ss.155 - 160. 10.5152/ArcHealthSciRes.2020.575433
AMA NUMANOĞLU AKBAŞ A,Çankaya Ö,Seyhan Bıyık K,Kerem Günel M Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. Archives of health science and research (Online). 2020; 7(2): 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
Vancouver NUMANOĞLU AKBAŞ A,Çankaya Ö,Seyhan Bıyık K,Kerem Günel M Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample. Archives of health science and research (Online). 2020; 7(2): 155 - 160. 10.5152/ArcHealthSciRes.2020.575433
IEEE NUMANOĞLU AKBAŞ A,Çankaya Ö,Seyhan Bıyık K,Kerem Günel M "Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample." Archives of health science and research (Online), 7, ss.155 - 160, 2020. 10.5152/ArcHealthSciRes.2020.575433
ISNAD NUMANOĞLU AKBAŞ, Ayşe vd. "Inter-rater Reliability of Infant Motor Profile in 3–24-Month-Old High-Risk Infants: Turkey Sample". Archives of health science and research (Online) 7/2 (2020), 155-160. https://doi.org/10.5152/ArcHealthSciRes.2020.575433