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Arch Phys Med Rehabil. 2014 Feb;95(2):369-74. doi: 10.1016/j.apmr.2013.10.025. Epub 2013 Nov 12.

Validity and clinical utility of functional assessments in children with cerebral palsy.

Author information

  • 1Department of Physical Therapy, Technological Educational Institute of Athens, Athens, Greece; Laboratory of Adapted Physical Activity/Developmental and Physical Disabilities, Athens, Greece.
  • 2Department of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: eskord@phed.uoa.gr.
  • 3Laboratory of Adapted Physical Activity/Developmental and Physical Disabilities, Athens, Greece; Department of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece.

Abstract

OBJECTIVE:

To examine the validity and clinical utility of functional assessments (1-minute walk test, 10-meter walk test, Timed Up & Go [TUG] test, Timed Up and Down Stairs [TUDS] test, sit-to-stand [STS] test, and lateral step-up [LSU] test).

DESIGN:

Cross-sectional study.

SETTING:

Four special schools for adolescents with physical disabilities.

PARTICIPANTS:

Adolescents with spastic tetraplegia and diplegia (at levels I-III) were selected through convenience sampling (N=35; mean age, 14.97±2.03y).

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURES:

GMFM-88 (dimensions D and E), 1-minute walk, 10-meter walk, TUG, TUDS, STS, and LSU tests. Data were analyzed using Pearson intercorrelations, multiple regression analysis, and multivariate analysis of variance (MANOVA).

RESULTS:

Significant moderate to high intercorrelations were found. Three significant positive predictors emerged (1-minute walk, 10-meter walk, and LSU) with the following regression equation: YGMFM-88 (dimensions D and E) = 5.708 + .402 × X1-minute walk + .920 × XLSU + .404 × X10-meter walk The MANOVA was significant (Λ=.163, F=14.732, P<.001, η(2)=.596), and post hoc comparisons revealed significant differences across Gross Motor Function Classification System Expanded and Revised levels in all paired comparisons for the 1-minute walk and LSU tests. For the 10-meter walk test, significant differences were evident in the level I versus level III and level II versus level III comparisons. No significant differences were found in the 10-meter walk test between levels I and II.

CONCLUSIONS:

These functional assessments (1-minute walk, LSU, and 10-meter walk tests) are simple to administer, quick, low cost, and user-friendly. Although these assessments are not a substitute for the criterion standard (GMFM-88), they may be used for a quick assessment in adolescents with cerebral palsy (levels I-III) either at school or during rehabilitation, especially when time is limited.

Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

CP; Cerebral palsy; GMFCS E&R; GMFM-66; GMFM-88; Gross Motor Function Classification System Expanded and Revised; Gross Motor Function Measure-66; Gross Motor Function Measure-88; LSU; MANOVA; Outcome and process assessment (health care); Rehabilitation; Reproducibility of results; STS; TUDS; TUG; Timed Up & Go; Timed Up and Down Stairs; cerebral palsy; lateral step-up; multivariate analysis of variance; sit-to-stand

PMID:
24239880
[PubMed - indexed for MEDLINE]
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