Self‐report of pain in young people and adults with spastic cerebral palsy: interrater reliability of the revised Face, Legs, Activity, Cry, and Consolability (r‐FLACC ) scale ratings
| Autor: | Stephen G. Schilling, Rita Ayyangar, Claire Z. Kalpakjian, Margaret A. Fox, Heidi J. Haapala, Rebecca Parten |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Posture Video Recording Pain Validity Physical examination Motor Activity Cerebral palsy Young Adult 03 medical and health sciences 0302 clinical medicine Spastic cerebral palsy Developmental Neuroscience 030225 pediatrics Item response theory medicine Spastic Humans Physical Examination Pain Measurement Observer Variation medicine.diagnostic_test Cerebral Palsy Reproducibility of Results Middle Aged medicine.disease Facial Expression Inter-rater reliability Muscle Spasticity Pediatrics Perinatology and Child Health FLACC scale Physical therapy Female Clinical Competence Self Report Neurology (clinical) Psychology 030217 neurology & neurosurgery |
| Zdroj: | Developmental Medicine & Child Neurology. 61:69-74 |
| ISSN: | 1469-8749 0012-1622 |
| DOI: | 10.1111/dmcn.13980 |
| Popis: | Aim People with cerebral palsy (CP) are often unable to express pain owing to cognitive or speech impairments. Reports that rely on observation can be inaccurate, because behaviours such as grimacing, common in people with spastic CP, resemble pain expressions. We examined preliminary validity and reliability of the revised Face, Legs, Activity, Cry, and Consolability (r-FLACC) scale in people with spastic CP. Method Forty-eight young people and adults (35 females, 13 males; mean [SD] age 29y 2mo [13y]) were video-recorded during a standard examination, rating their pain (0-10) afterwards. Two raters completed the r-FLACC using the video recordings. Interrater reliability was assessed with an unconditional cross-classified random-effects model and item response theory approach; Pearson correlations measured agreement between raters and participants. Results Mean (SD) participant (n=48) pain scores were 2.48 (2.5) and mean (SD) r-FLACC scores were 1.46 (1.68). There was moderate agreement between raters (intraclass coefficient 0.41 and 0.57 respectively) but low agreement between participants and raters (r=0.26). There were no significant effects for raters (lay observers, nurses, physicians, and inexperienced raters). Interpretation Results provide mixed support for the interrater reliability of the r-FLACC in people with spastic CP. What this paper adds The revised Face, Legs, Activity, Cry, and Consolability (r-FLACC) scale can be reliably used by experts and lay raters for people with spastic cerebral palsy (CP). Support is mixed for interrater reliability of the r-FLACC scale used with people with spastic CP. |
| Databáze: | OpenAIRE |
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