Psychometric and Clinimetric Properties of the Melbourne Assessment 2 in Children With Cerebral Palsy

Wang, Tien‐Ni; Liang, Kai-Jie; Liu, Yi-Chia; Shieh, Jeng-Yi; Chen, Hao‐Ling

doi:10.1016/j.apmr.2017.01.024

Cited by 23 publications

(25 citation statements)

References 38 publications

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“…Construct validity for all measures was sufficient, although the quality of the evidence was low for the MA2 and very low for the PDMS‐2. Quality of evidence for the MA2 and PDMS‐2 was downgraded because of small sample size (Folio & Fewell, ; Wang, Liang, Liu, Shieh, & Chen, ). The PDMS‐2 was further penalised as the construct testing using comparison with another outcome measure did not involve the target population, and construct testing using comparison between subgroups of children had poor description of subgroups and inadequate statistical analyses.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of upper limb activity measures for 5‐ to 18‐year‐old children with bilateral cerebral palsy

Burgess

Boyd

Ziviani

et al. 2019

Aus Occup Therapy J

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Aim To investigate measurement properties and feasibility of upper limb activity measures in children aged 5–18 years with bilateral cerebral palsy (CP). Methods Five electronic databases were searched to identify measures of upper limb activity with published psychometric data for children with bilateral CP aged 5–18 years. Measures included both Patient‐Reported Outcome Measures (PROMs) and observational measures. The COnsensus‐based Standards for selection of health Measurement Instruments checklist was used to evaluate methodological quality of studies for each measure. Results Forty‐eight measures were identified, eight of which met inclusion criteria for reliability and validity. Four PROMs were included: the ABILHAND‐Kids and Children’s Arm Rehabilitation Measure are parent questionnaires measuring overall manual ability; the ACTIVLIM‐CP is a parent questionnaire measuring global activity (upper and lower extremity) performance, and, the Pediatric Upper Limb Measure, Short Form is a child self‐report questionnaire. Four observational measures were included: the Both Hands Assessment (BoHA) is an observational measure of bimanual activity performance; the Melbourne Assessment of Unilateral Upper Limb Function and the Melbourne Assessment 2 measure quality of movement of each upper limb separately, and the Peabody Developmental Motor Scales‐Second Edition assesses fine motor skill capacity in young children. Based upon available evidence, the most suitable PROM for evaluation of upper limb activity in children with bilateral CP is the ACTIVLIM‐CP, and the most suitable observational measure is the BoHA. Conclusion Selection of upper limb measures depend on clinical information required and available resources. The BoHA is the only observational‐based assessment which measures bimanual upper limb activity performance in children with bilateral CP. Recommendation for future measurement studies include familiarisation with the standards required for excellence, which include adequate sample size and content validity studies for PROMs.

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Section: Resultsmentioning

confidence: 99%

A systematic review of upper limb activity measures for 5‐ to 18‐year‐old children with bilateral cerebral palsy

Burgess

Boyd

Ziviani

et al. 2019

Aus Occup Therapy J

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“…The Melbourne Assessment 2 (MA2) is a criterion-referenced test designed for children with uCP aged 2.5 to 15 years [ 44 ]. This scale measures unimanual capacity and has been proven valid and reliable for this population [ 45 ]. The MA2 assesses UL movement quality by means of 14 unimanual tasks, including 30 movement scores grouped across four subscales: range of motion, accuracy, dexterity and fluency.…”

Section: Methodsmentioning

confidence: 99%

Combining constraint-induced movement therapy and action-observation training in children with unilateral cerebral palsy: a randomized controlled trial

et al. 2018

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BackgroundUpper limb (UL) deficits in children with unilateral cerebral palsy (uCP) have traditionally been targeted with motor execution treatment models, such as modified Constraint-Induced Movement Therapy (mCIMT). However, new approaches based on a neurophysiological model such as Action-Observation Training (AOT) may provide new opportunities for enhanced motor learning. The aim of this study is to describe a randomised controlled trial (RCT) protocol investigating the effects of an intensive treatment model, combining mCIMT and AOT compared to mCIMT alone on UL function in children with uCP. Additionally, the role of neurological factors as potential biomarkers of treatment response will be analysed.MethodsAn evaluator-blinded RCT will be conducted in 42 children aged between 6 and 12 years. Before randomization, children will be stratified according to their House Functional Classification Scale, age and type of corticospinal tract wiring. A 2-week day-camp will be set up in which children receive intensive mCIMT therapy for 6 hours a day on 9 out of 11 consecutive days (54 h) including AOT or control condition (15 h). During AOT, these children watch video sequences showing goal-directed actions and subsequently execute the observed actions with the more impaired UL. The control group performs the same actions after watching computer games without human motion. The primary outcome measure will be the Assisting Hand Assessment. Secondary outcomes comprise clinical assessments across body function, activity and participation level of the International Classification of Function, Disability and Health. Furthermore, to quantitatively evaluate UL movement patterns, a three-dimensional motion analysis will be conducted. UL function will be assessed at baseline, immediately before and after intervention and at 6 months follow up. Brain imaging comprising structural and functional connectivity measures as well as Transcranial Magnetic Stimulation (TMS) to evaluate corticospinal tract wiring will be acquired before the intervention.DiscussionThis paper describes the methodology of an RCT with two main objectives: (1) to evaluate the added value of AOT to mCIMT on UL outcome in children with uCP and (2) to investigate the role of neurological factors as potential biomarkers of treatment response.Trial registrationNCT03256357 registered on 21st August 2017 (retrospectively registered).Electronic supplementary materialThe online version of this article (10.1186/s12887-018-1228-2) contains supplementary material, which is available to authorized users.

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“…Якщо потрібно оцінити обидві руки, то вони тестуються й оцінюються незалежно. Валідність та надійність тес-ту були багаторазово доведені незалежними групами дослідників [45].…”

Section: мельбурнське оцінюванняunclassified

Методи Оцінки Функції Руки При Неврологічній Патології. Огляд Літератури

Kozyavkin¹,

Kachmar²,

Hasiuk³

et al. 2021

INJ

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Даний огляд ознайомлює читача з методами оцінки функції руки в пацієнтів із неврологічною патологією та має на меті допомогти у виборі найоптимальніших серед них. Подано 15 надійних та зручних у використанні інструментів, що набули найбільш широкого застосування у світовій практиці. Відбір інструментів проводився на підставі аналізу літератури, зібраної в базі даних PubMed та пошуковій системі Google Scholar. Крім цього, враховувались перспективи впровадження того чи іншого методу у вітчизняну практику з огляду на його вартість, тривалість проведення та кваліфікаційні вимоги до спеціаліста, який проводить оцінювання. В огляді детально описано основні параметри інструментів та визначено групи пацієнтів, яким можна застосовувати ці інструменти. Методи систематизовано, схожі за змістом інструменти подано групами. Для зручності інструменти з їх ключовими параметрами подано у формі зведеної таблиці. Варто зазначити, що огляд не визначає золотий стандарт оцінювання моторної функції кисті в пацієнтів із неврологічною патологією, а лише пропонує перелік можливих варіантів.

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Psychometric and Clinimetric Properties of the Melbourne Assessment 2 in Children With Cerebral Palsy

Cited by 23 publications

References 38 publications

A systematic review of upper limb activity measures for 5‐ to 18‐year‐old children with bilateral cerebral palsy

A systematic review of upper limb activity measures for 5‐ to 18‐year‐old children with bilateral cerebral palsy

Combining constraint-induced movement therapy and action-observation training in children with unilateral cerebral palsy: a randomized controlled trial

Методи Оцінки Функції Руки При Неврологічній Патології. Огляд Літератури

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