Objective Test of the Quality of Motor Function of Children With Cerebral Palsy: Preliminary Study

Reddihough, Dinah; Bach, Timothy Michael.; Burgess, G.; Oke, Lin; Hudson, Irene L.

doi:10.1111/j.1469-8749.1990.tb08103.x

Cited by 11 publications

(7 citation statements)

References 12 publications

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“…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.…”

Section: Psychometric Properties Of the Melbourne Assessmentmentioning

confidence: 99%

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

Bourke-Taylor

2003

Develop Med Child Neuro

107

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The Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment) is an evaluation tool that objectively measures upper‐extremity function in children with cerebral palsy (CP). This study investigates how well performance on the Melbourne Assessment relates to the child's actual performance in functional tasks. Eighteen children with CP (5 to 14 years of age; nine males, nine females) were assessed using the Melbourne Assessment and the Pediatric Evaluation of Disability Inventory (PEDI). Five children had spastic quadriplegia, eight had spastic diplegia, two had spastic hemiplegia and diplegia, two had athetosis, and one had hypotonic quadriplegia with mobile ventilator dependence. Children's performances were statistically correlated using Spearman's rho to establish the relation between these tools. Very high correlation coefficients were calculated between the Melbourne Assessment and self‐care (0.939) and mobility domains (0.783) of the PEDI and the overall functional skills section of the PEDI (0.718). The Melbourne Assessment demonstrates excellent construct validity for upper limb functioning.

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Section: Psychometric Properties Of the Melbourne Assessmentmentioning

confidence: 99%

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

Bourke-Taylor

2003

Develop Med Child Neuro

107

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“…Previous investigations have demonstrated that the accelerometer can distinguish between normal children and children with movement disorders (Reddihough et al 1990). However, the sensitivity of the technique to finer differences in movement quality has not been established.…”

Section: Discussionmentioning

confidence: 99%

“…Over the past four years efforts have been made by our group to develop an objective test, based on accelerometry, which might be sensitive enough to detect subtle changes in the quality of motor function of children with cerebral palsy. Initially a uni-axial accelerometor was used (Reddihough et al 1987), but in later investigations a tri-axial accelerometer was used to test unconstrained movement patterns (Reddihough et al 1990). These investigations showed that particular characteristics of the acceleration power spectrum had good retest reliability and discriminated between able-bodied and disabled children.…”

Section: Dinah Reddihough Tim Bach Greg Burgess Lin Oke Irene Hudsonmentioning

confidence: 99%

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

Bach

Reddihough

Burgess

et al. 1991

Develop Med Child Neuro

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SUMMARY The outcome of an eight‐week period of additional occupational therapy, aimed at improving fine motor skills, was assessed by accelerometry and a rating scale based on the Erhardt Developmental Prehension Assessment. 10 children with cerebral palsy received their regular occupational therapy, while a similar group had an additional 30‐minute session each day. No difference was found between groups at the end of the study. The difficulties of designing this type of project are discussed and the assessment methods described. RÉSUMÉ Mesures subjectives et objectives pour étudier le résultat de traitements supplémentaires chez les enfants avec IMC Le résultat d'une période du huit semaines d'une rééducation ergothérapique supplémentaire visant à améliorer l'activité motrice fine a été appréciée par Developmental Prehension Assessment. 10 enfants IMC bénefiérent d'un traitement d'ergothérapie habituelle tandis qu'un groupe semblable bénéficiat d'une session supplémentaire de 30 minutes chaque jour. Aucune difference n'a été notée entre les groupes à la fin de l'étude. Les difficultés pour établir ce type de projet sont discutées et les méthodes d'évaluation sont décrites. ZUSAMMENFASSUNG Subjetive und objektive Beurteilung des Erfolgs einer zusätzlichen Therapie bei Kindern mit Cerebralparese Der Erfolg einer zusätzlichen Beschäftigungstherapie über den Zeitraum von acht Wochen, mit dem Ziel, die Feinmotorik zu verbessern, wurde mit Hilfe der Akzelerometrie und einer Einstufung nach der Erhardt Developmental Prehension Assessment beurteilt. 10 Kinder mit Cerebralparese erhielten ihre regelmäßige Beschäftigungstherapie, während eine entsprechende Gruppe täglich zusätzlich 30 Minuten behandelt wurde. Am Ende der Studie fand sich kein Unterschied zwischen den Gruppen. Die Schwierigkeiten der Planung eines solchen Projektes werden diskutiert und die Methoden der Beurteilung werden beschrieben. RESUMEN Medidas subjetivas y objetivas para estudiar el curso de una terapia adicionel en niños con parálisis cerebral Se evaluó el curso seguido durante un periodo de ocho semanas de terapia ocupacional adicionada que pretendia mejorar la motilidad fina. Se utilizó la acelerometría y una escala de proporción basada en el Erhardt Developmental Prehension Assessment. 10 niños con parálisis cerebral recibieron su terapia ocupacional habitual, mientras que un grupo similar recibia una sesión añadida de 30 minutos cada dia. No se halló ninguna diferencia entre ambos grupos al final de este estudio. Se discuten las dificultades para el diseño de este tipo de proyecto y se describen los métodos de evaluaciön.

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“…For test-retest reliability, the MHC, Quality of Upper Extremities Skills Test (QUEST), [28][29][30][31][32][33] UERS, Peabody Developmental Motor Scales-2-Fine Motor abilities (PDMS-2 FM), 41 VOAA-DDD-R, ABILHANDKids, 50 Münchner ADL-Fragebogen (M-ADL), 52 the PMAL "how often" scale, 53 and the Shriners Hospital for Children CP Computer-Adapted Testing battery-Upper Extremities 49 showed limited positive evidence. All other assessments (House-Classification, 21 Modified Ashworth Scale [MAS], [18][19][20] Mowery Classification, 21 47 and Accelerometry [25][26][27] ) were found to have unknown, conflicting, or negative levels of evidence for reliability (Table 2).…”

Section: Reliabilitymentioning

confidence: 99%

Reliability and Responsiveness of Upper Limb Motor Assessments for Children With Central Neuromotor Disorders

Gerber

Labruyère

Hedel

2015

Neurorehabil Neural Repair

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Background. To investigate the effectiveness of upper limb rehabilitation, sound measures of upper limb function, capacity, and performance are paramount. Objectives. This systematic review investigates reliability and responsiveness of upper limb measurement tools used in pediatric neurorehabilitation. Methods. A 2-tiered search was conducted up to July 2014. The first search identified upper limb motor assessments for 1-to 18-year-old children with neuromotor disorders. The second search examined the psychometric properties of the tools. Methodological quality was rated according to COSMIN guidelines, and results for each tool were assembled in a "best evidence synthesis." Furthermore, we delineated whether tools were unimanual or bimanual tests and if they measured recovery or did not distinguish between physiological and compensatory movements. Results. The first search delivered 2546 hits. Of these, 110 articles on 51 upper limb assessment tools were included. The second search resulted in 58 studies on reliability, 11 on measurement error, and 10 on responsiveness. Best evidence synthesis revealed only 2 assessments with moderate positive evidence for reliability, whereas no evidence on measurement error and responsiveness was found. The Melbourne Assessment showed moderate positive evidence for interrater and a fair positive level of evidence for intrarater reliability. The Pediatric Motor Activity Log Revised revealed moderate positive evidence for test-retest reliability. Conclusions. There is a lack of high-quality studies about psychometric properties of upper limb measurement tools in children with neuromotor disorders. To date, upper limb rehabilitation trials in children and adolescents risk being biased by insensitive measurement tools lacking reliability.

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Objective Test of the Quality of Motor Function of Children With Cerebral Palsy: Preliminary Study

Cited by 11 publications

References 12 publications

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

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

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

Reliability and Responsiveness of Upper Limb Motor Assessments for Children With Central Neuromotor Disorders

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