Quantification of upper extremity function and range of motion in children with cerebral palsy
| Autor: | Michelle J. Naughton, Leah Passmore, Peter J. Evans, Rachel Richardson, L. Andrew Koman, Beth P. Smith, Rafael M M Williams |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Intraclass correlation Functional Laterality Cerebral palsy Physical medicine and rehabilitation Occupational Therapy Developmental Neuroscience medicine Humans Spasticity Range of Motion Articular Child Neurologic Examination Observer Variation business.industry Cerebral Palsy Diplegia Reproducibility of Results Intra-rater reliability medicine.disease Inter-rater reliability Orthopedics Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female Neurology (clinical) Psychomotor Disorders medicine.symptom business Range of motion Kappa |
| Zdroj: | Developmental Medicine & Child Neurology. 50:910-917 |
| ISSN: | 1469-8749 0012-1622 |
| DOI: | 10.1111/j.1469-8749.2008.03098.x |
| Popis: | This study evaluated the hypothesis that upper extremity function and range of motion can be quantified reliably in children with cerebral palsy (CP) in a busy clinical setting. The specific aim was to determine the inter- and intrarater reliability of a modified House Functional Classification (MHC) system to evaluate upper extremity function and a standardized instrument to document upper extremity range of motion (Upper Extremity Rating Scale [UERS]). Sixty-five children with CP (43 males, 22 females, mean age 9y 2mo, SD 4y 1mo) with spasticity involving the upper extremity (quadriplegia n=22; hemiplegia n=36; diplegia n=7; Gross Motor Functional Classification System Levels I n=41, II n=6, III n=3, IV n=5, V n=10) were evaluated independently by occupational therapists and orthopedic surgeons using both instruments at several visits. Inter- and intrarater reliability were determined for both instruments by calculating measures of agreement (weighted kappa values and intraclass correlation coefficients [ICCs]). Interrater agreement (ICC=0.94) and intrarater agreement (ICC=0.96) on the MHC were good to excellent. Similarly, inter-rater agreement (kappa 0.66-0.81) and intrarater agreement (kappa 0.64-0.88) on the UERS was either good or excellent. The MHC and the UERS provide standardized, reliable, reproducible, and efficient instruments that can be used by occupational therapists and orthopedic surgeons to evaluate the upper extremities of children with CP. |
| Databáze: | OpenAIRE |
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