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Pediatr Phys Ther. 2014 Summer;26(2):201-13. doi: 10.1097/PEP.0000000000000035.

Measuring advanced motor skills in children with cerebral palsy: further development of the Challenge module.

Author information

1
University of Manitoba (Dr Glazebrook), Winnipeg, Manitoba, Canada; Bloorview Research Institute and Department of Physical Therapy, University of Toronto (Dr Wright), Toronto, Ontario, Canada.

Abstract

PURPOSE:

Since previous testing of the Challenge Module revealed that response scales should assess performance speed as well as skill accomplishment, this study sought to develop empirically based dual-criterion (accomplishment and time) response options.

METHODS:

Challenge items were tested with a convenience sample of 34 children who were typically developing (4-10 years) to obtain time cut-points that could be applied to children/youth with cerebral palsy. Median/lower quartile item performance times were calculated within younger (<7.5 years) and older child (≥7.5 years) groups, and used as benchmarks for response option cut-points. Children's scores were recalculated using these cut-points to verify that differences in younger and older children's abilities and times were captured.

RESULTS:

Mean scores were 48.9% and 87.2% for younger and older groups, reflecting expected developmental progression. Further response revision captured high-level movement control older children exhibited.

CONCLUSION:

The revised Challenge measures skill accomplishment, speed, and quality.

PMID:
24675120
DOI:
10.1097/PEP.0000000000000035
[Indexed for MEDLINE]

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