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Dev Neurorehabil. 2018 Sep 12:1-9. doi: 10.1080/17518423.2018.1518963. [Epub ahead of print]

Functional strength measurement in cerebral palsy: feasibility, test-retest reliability, and construct validity.

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a Avans Plus , Breda , Netherlands.
b UCT , Cape Town , South Africa.



 No instrument exists that measures functional strength in both lower and upper extremities in children with cerebral palsy (CP). Therefore, the functional strength measurement (FSM) was tested for feasibility, test-retest reliability and validity in CP.


 Thirty-seven children with CP (aged 4-10 years, Gross Motor Function Classification System I and II) participated. The most common compensations for CP were described; new item descriptions were standardized, and one item was removed. Test-retest reliability was examined. To measure convergent validity, correlations between the FSM-CP and isometric muscle strength measured with the handheld dynamometer (HHD) were determined.


 Test-retest reliability was considered high for all items (intra-class correlation coefficient 0.79-0.95). Significant correlations between the HHD and FSM-CP ranged from r = 0.36 to 0.75.


 The FSM-CP is feasible, reliable, and valid to use in children with CP. The FSM-CP can be considered as a helpful tool in clinical practice of physical examination of children with CP.


Cerebral palsy; children; feasibility; functional strength measurement; reliability; validity

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