Reliability and Validity of the Quality of Upper Extremity Skills Test in Children with Cerebral Palsy (original) (raw)
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Reliability of quality of upper extremity skills test in children with cerebral palsy
2012
Aim: To investigate reliability of the Quality of Upper Extremity Skills Test (QUEST) scores for children with cerebral palsy (CP) aged 2-12 years. Method: Thirty-one QUESTs from 24 children with CP were rated once by two raters and twice by one rater. Internal consistency of total scores, inter-and intra-rater reliability findings for total, domain, and item scores were calculated. Results: Total scores inter-rater reliability, Intra-class Correlation Coefficient (ICC) was 0.86, and for intra-rater reliability, ICC was 0.96. Domains had high reliability (ICC > 0.80) within raters and between raters except for grasp (moderate at ICC = 0.67). Item inter-rater reliability was moderate or better for 80% of items; item intra-rater reliability was moderate or better for 87% of items. Total score internal consistency was high (α = 0.97). Implications: The QUEST has proven reliability for children with CP aged 18 months to 8 years. This study demonstrates strong reliability for children aged 2-12 years. PMID: 21838618 [PubMed-as supplied by publisher] 2. Disabil Rehabil. 2011 Aug 19. [Epub ahead of print] Effect of treatment environment on modified constraint-induced movement therapy results in children with spastic hemiplegic cerebral palsy: a randomized controlled trial.
Physical Therapy, 2019
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 measuremen...
Quantification of upper extremity function and range of motion in children with cerebral palsy
Developmental Medicine & Child Neurology, 2008
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.
Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación, 2023
Introduction: The purpose of this study is to assess the evolution of motor coordination deficits in upper limbs in children with cerebral palsy (CP). Methods: This is a narrative review of studies monitoring the PRISMA guidelines that were followed during the design, research, and reporting. Results: The articles were screened by reading the titles and abstracts or full articles. This process resulted in a total of 11 studies that met the selection criteria and were therefore included in the narrative review and considered eligible for quality assessment through the MINORS scale, NIH quality assessment tool for Observational Cohort and Cross-Sectional Studies and CASP checklist. Conclusion: Factors that include body structures and functions, time and age of the child, the relationship between factors, and assessment tools can influence the assessment and presentation of upper limb coordination in children with CP. High level research that focuses on interventions that address the factors found in this review are warranted.
2021
Introduction: Upper extremity disorders limits the performance in the activities of daily living, especially, in bilateral (two-handed) activities. Objective: This study was designed to develop a performance-based upper extremity motor control test (PB-UE-MCT) and to measure its psychometric properties (including, convergent validity, intrarater reliability, and interrater reliability) for people with cerebral palsy (CP). Method: The PB-UE-MCT was developed in three phases, including planning, construction, and psychometric evaluation. The participants included 50 people with CP with an age range of 6 to 18 years. To measure internal consistency, Cronbach's alpha was run (n=50). Intrarater and interrater reliability was measured for 25 participants. To assess convergent validity, the correlations of the PB-UE-MCT with the Manual Ability Classification System (MACS) and with the Selective Control Upper Extremity Scale (SCUES) were calculated. Results: The values obtained for Cron...
Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy
Iranian Journal of Pediatrics, 2017
Background: There is a lack of evidence about the upper extremity impairments and function in children with diparetic cerebral palsy. Objectives: This study was planned to investigate the upper extremity impairments, dexterity, grip strength and function in the daily living activities in children with diparetic cerebral palsy (CP). Methods: Eighteen children with diparetic CP and 15 typical peers between the ages 5-12 years were included in the study. Manual Ability Classification System (MACS) was used for the classification of upper extremity fine motor skills; WeeFIM for activities of daily living; Abilhand-Kids for the manual abilities; and Pediatric Evaluation of Disability Inventory (PEDI) for the disability in the daily living activities respectively. Grip strength was evaluated with Jamar Hand Dynamometer, hand functions were assessed with Nine-hole Peg Test and Jebsen-Taylor test. Results: Children with diparetic CP were affected in manual abilities and functions, grip strength, activities of daily living, and levels of disability and the results were statistically significant (P < 0.05). Conclusions: As a conclusion, upper extremity impairments, dexterity, grip strength, and functions in the activities of daily living are affected in children with diparetic CP. Physiotherapy interventions for upper extremities and hand should be included as well as the lower extremities in the treatment of the spastic diparetic children.
Fundamental movement skills testing in children with cerebral palsy
Disability and Rehabilitation, 2011
Purpose. To examine the inter-rater reliability and comparative validity of product-oriented and process-oriented measures of fundamental movement skills (FMS) among children with cerebral palsy (CP). Method. Thirty children with CP aged 6 to 14 years (Mean=9.83 SD 2.5), and classified in Gross Motor Function Classification System (GMFCS) levels I-III performed tasks of catching, throwing, kicking, horizontal jumping, and running. Process-oriented assessment was undertaken using a number of components of the Test of Gross Motor Development (TGMD-2), while product-oriented assessment included measures of time taken, distance covered and number of successful task completions. Cohen's Kappa, Spearman's rank correlation coefficient, and tests to compare correlated correlation coefficients were performed. Results. Very good inter-rater reliability was found. Process-oriented measures for running and jumping had significant associations with GMFCS, as did seven product-oriented measures for catching, throwing, kicking, running, and jumping. Product-oriented measures of catching, kicking, and running had stronger associations with GMFCS than the corresponding process-oriented measures. Conclusion. Findings support the validity of process-oriented measures for running and jumping, and of product-oriented measures of catching, throwing, kicking, running, and jumping. However, product-oriented measures for catching, kicking, and running appear to have stronger associations with functional abilities of children with CP, and are thus recommended for use in rehabilitation processes.