Psychometric Evaluation of 2 New Upper Extremity Functional Strength Tests in Children With Cerebral Palsy
Autor: | Koen J F M Dekkers, Eugene Rameckers, Andrew M. Gordon, Lucianne Speth, Yvonne J M Janssen-Potten, Rob J. E. M. Smeets |
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Přispěvatelé: | Dekkers, Koen J.F.M., Smeets, Rob J.E.M., Janssen-Potten, Yvonne J.M., Gordon, Andrew M., Speth, Lucianne A.W.M., RAMECKERS, Eugene, Promovendi PHPC, Revalidatiegeneeskunde, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Psychometrics Intraclass correlation Physical Therapy Sports Therapy and Rehabilitation Context (language use) Isometric exercise MANUAL ABILITY VALIDATION Cerebral palsy Upper Extremity 03 medical and health sciences Grip strength 0302 clinical medicine Physical medicine and rehabilitation medicine Humans 030212 general & internal medicine Longitudinal Studies Muscle Strength Child Hand Strength business.industry Cerebral Palsy Reproducibility of Results medicine.disease Arm Hemiplegia Confidence interval Inter-rater reliability RELIABILITY Female business 030217 neurology & neurosurgery METHODOLOGICAL QUALITY SYSTEM |
Zdroj: | Physical Therapy, 99(8), 1107-1115. Oxford University Press |
ISSN: | 0031-9023 |
Popis: | Background For children with unilateral spastic cerebral palsy (USCP), reduced muscle strength can lead to activity limitations. However, none of the existing measures of upper extremity strength measure strength in the context of functional activities in which strength must be maintained for several seconds. Objective The objective of this study was to evaluate the psychometric properties of 2 newly developed functional hand and upper extremity muscle-strength tests (Cup-Task and Box-Task) in children aged 7 to 12 years with USCP. Design A longitudinal study design was used. Methods A standardized protocol with detailed descriptions of all procedures and measurements was used to determine test-retest reliability, interrater reliability, and criterion validity. Results A total of 86 children (53 males, 33 females, mean age = 9.3 years) with USCP participated in this study, with a subset performing each measurement. Only the results of children who were able to perform the measurement were included for analysis. Excellent test-retest reliability (intraclass correlation coefficients = 0.887–0.944; 95% confidence intervals = 0.713–0.969) and interrater reliability (intraclass correlation coefficients = 0.896–0.960; 95% confidence intervals = 0.813–0.980) were observed. The Cup-Task Affected-Hand and Box-Task were moderately correlated with maximum isometric grip strength. The Cup-Task Nonaffected-Hand had a low correlation with maximum isometric grip strength. Limitations Age, sex, and manual ability were not normally distributed, which could have influenced the results. Conclusions For children with USCP who can perform the tasks, the Cup-Task and Box-Task are reliable and valid instruments for measuring functional upper extremity muscle strength. |
Databáze: | OpenAIRE |
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