Comparison of Subjective and Objective Measures of Movement Performance in Children With Cerebral Palsy

Abstract

SUMMARY This study evaluated the use of accelerometry to measure the quality of movement in children with cerebral palsy. Accelerometer scores based on a previously described test were correlated with scores on a newly developed clinical test shown to be both valid and reliable. Low correlations were obtained between clinical test scores and accelerometer scores. Although the accelerometer test has been shown to be effective in distinguishing between able‐bodied children and those with cerebral palsy, it is not sufficiently sensitive to distinguish between levels of movement quality in the latter population. The accelerometer may measure a different aspect of movement from that measured by the clinical test, and does not appear to be a valid test of the quality of movement in children with cerebral palsy. RÉSUMÉ Comparaison des mesures subjectives el objectives de la performance du mouvement chez l'enfant IMC Cette étude fait appel á l'accélérometre pour mesurer la qualité du mouvement chez l'enfant IMC. I. es scores d'accélérometrie basés sur un test antérieurement décrit étaient corréles avec les scores d'un nouveau test clinique qui s'est révéléà la fois valide et fidèle. De faibles corrélations ont été observées entre les scores au test clinique et les scores d'accélérométrie. Bien que le test d'accélérométrie se soil révélé efficace dans la distinction entre un enfant capable et un enfant IMC, il n'a pas montré de sensibilité suffisante pour permettre une distinction entre les niveaux de qualité de mouvement dans cette dernière population. l'accéléromètre peut mesurer un aspect différent du mouvement que celui apprécié par le test clinique, et il n'apparaît pas un test valide de la qualité du mouvement chez l'enfant IMC. ZUSAMMENFASSUNG Vergleich subjektiver und objektiver Parameter der Bewegungsfähigkeit bet Kindern mil Cerebralparese In dieser Studie wurde die Anwendung der Accelerometrie zur Beurteilung der Bewegungsqualität bei Kindern mit Cerebralparese umersucht. Accelerometrie‐Scores, basierend auf einem zuvor beschriebenen Test, wurden mit den Scores eines neu entwickelten klinischen Tests, der sich als gut und zuverlässig erwiesen hat, korreliert. Es fanden sich niedrige Korrelationen zwischen den klinischen Test‐Scores und den Accelerometrie‐Scores. Obwohl sich der Accelerometrie Test als geeignet erwiesen hatte, zwischen gesunden Kindern und Patienten mit Cerebralparese zu unterscheiden, ist er nicht empfindlich genug, graduelle Unterschiede der Bewegungsqualität bei den Patienten mit Cerebralparese aufzuzeigen. Das Accelerometer mag einen anderen Aspekt der Bewegung messen als der klinische Test und erscheint kein zuverlässiger Test für die Beurteilung der Bewegungsqualitat bei Kindern mit Cerebralparese zu sein. RESUMEN Comparación entre mediciones objetivas y subjetivas de la realizacion del movimiento en niñ os conparalisis cerebral Este estudió evaluo el uso de la acelcrometria para medir la calidad del movimiento en niños con parálisis cerebral. Los puntajes de la acelcrometria basados en u...

Validation of the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) for Children with Hemiplegic Cerebral Palsy

“…Following a comprehensive review of existing evaluation tools, the PEDI was selected for comparison on the basis of the fact that it had been validated, had been used as a benchmark for the validation of other tools, and was familiar to the occupational therapists at our institution following its use in a previous study 38,42,49,56 . The JTT was also selected for the determination of concurrent validity for similar reasons, including its widespread use in the literature and its consideration of nondominant extremity function 33,37,40,48,50,54 . The fair correlation between the self-care scaled score of the PEDI and the spontaneous functional analysis score of the SHUEE was a consequence of a narrow range of relatively high scores on the PEDI and a wider range of scores on the SHUEE.…”

“…Standardized clinical tests of hand and upper extremity function in children have been developed to improve the quality of the information that is available for clinical decisionmaking and outcome assessment 14,[32][33][34][35][36][37][38][39][40][41][42][43] . Such tests typically have focused on elements of impairment, with little emphasis on the assessment of disability and societal limitations.…”

Pilot Study: Investigating the Effects of Kinesio Taping® in an Acute Pediatric Rehabilitation Setting

“…The Melbourne Assessment was developed to measure function in children with cerebral palsy (Bach, Reddihough, Burgess, Johnson, & Byrt, 1994, Reddihough, Bach, Burgess, Oke, & Hudson, 1990. The test-retest reliability of the Melbourne Assessment consisted of a study population of 20 children with cerebral palsy of varying types and severity and indicated that the Melbourne Assessment was highly reliable with the sample population.…”

Melbourne Assessment of Unilateral Upper Limb Function: construct validity and correlation with the Pediatric Evaluation of Disability Inventory

“…The Melbourne Assessment was developed and designed by two occupational therapists and a paediatrician, following extensive investigation of techniques for objectively measuring upper-limb movement in children with CP (Reddihough et al 1987(Reddihough et al , 1990(Reddihough et al , 1991Bach et al 1994). The Melbourne Assessment has three purposes as detailed in the manual.…”