SHUEE on the evaluation of upper limb in cerebral palsy

Tedesco, Ana Paula; Nicolini‐Panisson, Renata D’Agostini; Jesus, Aline de

doi:10.1590/1413-78522015230400967

Cited by 12 publications

(11 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SHUEE has been used in Brazil and seems to help in clinical reasoning and decision-making process, besides enabling the formal measurement of the results of the therapies employed. 9,25,27 The fact that the sample calculation was estimated from the analysis of convergent validity and based on the original study of SHUEE may constitute a limitation of this study. However, no previous studies have calculated the α-C for SHUEE, which would enable the sample calculation based on this item.…”

Section: Discussionmentioning

confidence: 99%

“…SHUEE proposes combining this usual evaluation with a video-based assessment that covers the functional analysis and the positioning of the segments during the activity. From this perspective, SHUEE has been used in the literature to demonstrate the results after surgical 24,25 and conservative treatments, such as the use of BTX-A 24 and Constraint-Induced Movement Therapy, 26 in children and adolescents with unilateral CP. SHUEE has been used in Brazil and seems to help in clinical reasoning and decision-making process, besides enabling the formal measurement of the results of the therapies employed.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Brazilian Version of the Shriners Hospital Upper Extremity Evaluation (Shuee): Translation, Cultural Adaptation, and Evaluation of Psychometric Properties

Nicolini‐Panisson

Tedesco²,

Davids

et al. 2020

Rev. paul. pediatr.

Self Cite

View full text Add to dashboard Cite

Objective: To validate the upper limb assessments tool, Shriners Hospital Upper Extremity Evaluation (SHUEE), for individuals with hemiplegic cerebral palsy in the Brazilian population. Methods: Validation study to translate and culturally adapt the Manual and the instrument. The psychometric properties evaluated were reliability and convergent validity. Reliability was determined by internal consistency (Cronbach’s α coefficient), ceiling and floor effect, sensitivity to changes, and intra- and interobserver agreement. Convergent validity was performed using the Pediatric Motor Activity Log, the self-care scale of the Pediatric Evaluation of Disability Inventory, and the Manual Ability Classification System. Results: We evaluated 21 individuals with hemiplegic cerebral palsy, with a mean age of 8.7±4.0 years. After the instrument was translated, there was no need for cultural adaptation. The total Cronbach’s α coefficient was 0.887 (95% confidence interval [95%CI] 0.745-0.970). We calculated sensitivity to changes in five subjects who underwent treatment with Botulinum Toxin Type A and physical therapy, with a significant difference between pre- and post-treatment evaluations in the Spontaneous Functional Analysis and Dynamic Positional Analysis. Convergent validity showed a significant correlation of the Spontaneous Functional Analysis and Dynamic Positional Analysis with the scales evaluated. All items of SHUEE presented high intra- and interobserver agreement. Conclusions: The results revealed that the Brazilian version of the SHUEE demonstrated good reliability and convergent validity, suggesting that it is an adequate and reliable tool for individuals with hemiplegic cerebral palsy in the Brazilian population.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Brazilian Version of the Shriners Hospital Upper Extremity Evaluation (Shuee): Translation, Cultural Adaptation, and Evaluation of Psychometric Properties

Nicolini‐Panisson

Tedesco²,

Davids

et al. 2020

Rev. paul. pediatr.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Tedesco et al studied 19 children with spastic hemiplegia out of whom five underwent surgery 12. SHUEE analysis was done at a mean of 1 year postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Validation and reliability has been established by its originating authors 91011. However, there is only one other report of its validation and use by other investigators 12. There are no studies reporting its use in Indian children.…”

Section: Introductionmentioning

confidence: 99%

An Assessment of the Applicability of Shriners Hospital Upper Extremity Evaluation as a Decision-making Tool and Outcome Measure in Upper Limb Cerebral Palsy in Indian Children

Jose

Radhakrishna

Sahoo

et al. 2019

IJOO

View full text Add to dashboard Cite

Background: The aim of this study was to assess the applicability and performance of the Shriners Hospital Upper Extremity Evaluation (SHUEE) and to determine its usefulness in clinical decision-making and as an outcome measure with reference to Indian children suffering from cerebral palsy. Materials and Methods: The SHUEE videos of 40 children with cerebral palsy with spastic hemiplegia or asymmetrical diplegia were analyzed and scored. Seven children had undergone upper extremity surgery based on a preoperative evaluation. All seven had a postoperative evaluation. Pre- and postoperative scores were compared. Intra- and interobserver reliability was assessed. The level of familiarity and comfort of the children with the assigned tasks was gauged. Results: Analysis of the scores revealed that patients could be categorized into three discrete groups based on the modified House scores and Spontaneous Functional Analysis (SFA) scores, which helps in identifying the patients who would benefit from surgical intervention. In the seven children who were operated, there was a mean increase in the postoperative SFA (2.97, P = 0.259), Dynamic Positional Analysis (3.15, P = 0.229) and Grasp/Release Analysis (4.96, P = 0.334) scores, though the differences were not statistically significant. There was excellent intraobserver ( r - 0.98) and interobserver reliability ( r - 0.97, 0.96) based on the intraclass correlation coefficient. The children were familiar with the assigned tasks and were not duly uncomfortable while attempting to perform them. Conclusions: SHUEE is a useful modality to assess upper limb function in Indian children with cerebral palsy, and can be used as a decision-making tool and mode of documentation.

show abstract

“…Despite having proved their validity in assessing UL motor function, these scoring systems are still considered a descriptive and subjective evaluation. Moreover, these scoring systems rely on the clinicians' expertise, leading to non-consideration of pathological mechanisms, limited accuracy and an underestimation of child's actual performance [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Robot-Assisted Therapy Influence on Kinematic and EMG Activity in the Upper Limb for Children with Cerebral Palsy

Raouafi¹,

Raison²,

Achiche³

2020

Preprint

View full text Add to dashboard Cite

Aim: To develop an index for quantitative assessment of the upper limb motor function in children with cerebral palsy before and after robot-assisted therapy. Method: An upper limb motor function index was developed using kinematic, surface electromyography and three-axis inertial measurements unit data collected from 15 children with cerebral palsy (CP) and 15 typically developed children. Children with CP underwent 18 robot-assisted therapy sessions with the REAplan device. All children were evaluated, using kinematic data from the REAplan, electromyography and three-axis inertial measurements unit readings from its accelerometer. A principal component analysis was conducted to produce an evaluation index, which is able to detect the deviation from the upper limb motor function of typically developing children group. Children with CP were evaluated twice before and after the intervention with Box and Blocks test and Finger-To-Nose test. The discriminative and concurrent validity of the upper limb motor function index were investigated. Results: The upper limb motor function index was higher in children with CP post therapy (p<0.001). Finger-To-Nose test values improved after robot-assisted therapy (p<0.03). A weak but positive correlation was observed between upper limb motor function index and clinical tests (r=0.012, p=0.95 and r=0.13, p= 0.54 for Box and Blocks test and Finger-To-Nose test respectively). Interpretation: The upper limb motor function index successfully differentiated between the typically developing children and children with CP and was effective in assessing the improvement of the upper limb motor function after robot-assisted therapy. The upper limb motor function index could be extended to assess and monitor rehabilitation therapies of other populations, such as those with stroke and Parkinson’s disease.

show abstract

SHUEE on the evaluation of upper limb in cerebral palsy

Cited by 12 publications

References 20 publications

Brazilian Version of the Shriners Hospital Upper Extremity Evaluation (Shuee): Translation, Cultural Adaptation, and Evaluation of Psychometric Properties

Brazilian Version of the Shriners Hospital Upper Extremity Evaluation (Shuee): Translation, Cultural Adaptation, and Evaluation of Psychometric Properties

An Assessment of the Applicability of Shriners Hospital Upper Extremity Evaluation as a Decision-making Tool and Outcome Measure in Upper Limb Cerebral Palsy in Indian Children

Robot-Assisted Therapy Influence on Kinematic and EMG Activity in the Upper Limb for Children with Cerebral Palsy

Contact Info

Product

Resources

About