کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5628861 | 1579998 | 2017 | 9 صفحه PDF | دانلود رایگان |
- Presentation of two new classifications for upper limb patterns and hand types in CP.
- Evidence of feasibility and clinical interest for these classifications.
- Evidence of high intra-examiner reliability for these classifications.
- Evidence of high inter-examiners reliability for both classifications.
AimTo evaluate the inter- and intra-rater reliability of two previously developed classifications of upper limb and hand patterns.MethodTwo hundred and twelve films of patients with CP (118 of UL postures and 94 of hand tasks; median age 14, 3-46 years) were viewed by 18 examiners from 2 different rehabilitation centers, and one expert who had participated in the design of the classifications. They classed upper limb (3 patterns with sub-types) and hand patterns (2 patterns with subtypes) twice, at 2 months' interval. Inter- and intra-rater reliability were analysed.ResultsIntra-rater and inter-rater reliability were very high for upper limb and hand patterns (0.87 < k < 0.92), and high for the subtypes (0.58 < k < 0.68). Examiners stated that both classifications were useful and feasible in clinical practice.InterpretationDespite the single, short training session on use of the classifications, agreement between the examiners and the expert examiner was good to high, confirming that these classifications are easy to use and reliable. The classifications proposed here provide homogenous terminology for use in both clinical practice and research, to describe, evaluate and follow-up changes in upper limb and hand patterns in patients with cerebral palsy, particularly those with dyskinesia.
Journal: European Journal of Paediatric Neurology - Volume 21, Issue 5, September 2017, Pages 754-762