[en] ("[en] BACKGROUND: Assessing the functional level of children with severe cerebral palsy (CP) requires sensitive tools. In this study, an 'assessment tool' was developed based on the Test of Infant Motor Performance (TIMP) for this population and the reliability and validity evaluated.
METHODS: Five physical therapists administered the 'assessment tool' to six children (3-6 years old with a diagnosis of CP, GMFCS Level V). Subtest I of the Gross Motor Function Measure (GMFM-88) was also administered. Intra- and inter-rater reliability were assessed, and the concurrent validity between the 'assessment tool' and GMFM-88 calculated.
RESULTS: The intra-rater reliability, a comparison of the total scores on the 'assessment tool' (live test) and the videotaped rescoring of the same test one month later showed consistency among four of the five therapists (ICC = 0.7545 to 0.979). The inter-rater reliability varied on some of the items but the total score on the 'assessment tool' showed good reliability (ICC2,5 0.816). Scores of children with dyskinesia were less stable. The Spearman's rank correlation coefficient was not significant. Therapists provided recommendations for item revisions.
CONCLUSION: Further development of an 'assessment tool' appears justified; a larger study using a version with revised administration guidelines and items should be undertaken to re-verify the psychometrics properties of the 'assessment tool.'","[en] ","")
Disciplines :
Orthopedics, rehabilitation & sports medicine Neurology
Author, co-author :
Vanderlinden, Sébastien ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Dispa, Delphine; Service de Médecine Physique et Réadaptation, Cliniques universitaires Saint-Luc, Brussels, Belgium
Brunton LK, Bartlett DJ 2011 Validity and reliability of two abbreviated versions of the Gross Motor Function Measure. Physical Therapy 91: 577–588. 10.2522/ptj.20100279.
Campbell SK 2005 The Test of Infant Motor Performance. Test User’s Manual, Version 2. Chicago, IL: Infant Motor Performance Scales, LLC.
Campbell SK, Kolobe TH, Osten ET, Lenke M, Girolami GL 1995 Construct validity of the test of infant motor performance. Physical Therapy 75: 585–596. 10.1093/ptj/75.7.585.
Campbell SK, Swanlund A, Smith E, Liao PJ, Zawacki L 2008 Validity of the TIMPSI for estimating concurrent performance on the test of infant motor performance. Pediatric Physical Therapy 20: 3–10. 10.1097/PEP.0b013e31815f66a6.
Finkel RS, Hynan LS, Glanzman AM, Owens H, Nelson L, Cone SR, Campbell SK, and Iannaccone ST, AmSMART Group 2008 The test of infant motor performance: Reliability in spinal muscular atrophy type I. Pediatric Physical Therapy 20: 242–246. 10.1097/PEP.0b013e318181ae96.
Krosschell KJ, Bosch M, Nelson L, Duong T, Lowes LP, Alfano LN, Benjamin D, Carry TB, Devine G, Kelley C, et al. 2018 Motor function test reliability during the NeuroNEXT Spinal Muscular Atrophy Infant Biomarker Study. Journal of Neuromuscular Diseases 5: 509–521. 10.3233/JND-180327.
Krosschell KJ, Maczulski JA, Scott C, King W, Hartman JT, Case LE, Viazzo-Trussell D, Wood J, Roman CA, Hecker E, et al. 2013 Reliability and validity of the TIMPSI for infants with spinal muscular atrophy type I. Pediatric Physical Therapy 25: 140–148. 10.1097/PEP.0b013e31828a205f.
Liao PJ, Campbell SK 2002 Comparison of two methods for teaching therapists to score the test of infant motor performance. Pediatric Physical Therapy 14: 191–198. 10.1097/00001577-200214040-00004.
Lundkvist J, Jarnlo G, Gummesson C, Nordmark E 2009 Longitudinal construct validity of the GMFM-88 total score and goal total score and the GMFM-66 score in a 5-year follow-up study. Physical Therapy 89: 342–350. 10.2522/ptj.20080037.
Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH 2008 Content validity of the expanded and revised Gross Motor Function Classification System. Developmental Medicine and Child Neurology 50: 744–750. 10.1111/j.1469-8749.2008.03089.x.
Rosenbaum PL, Russell DJ, Cadman DT, Gowland C, Jarvis S, Hardy S 1990 Issues in measuring change in motor function in children with cerebral palsy: A special communication. Physical Therapy 70: 125–131. 10.1093/ptj/70.2.125.
Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, Wood E, Bartlett DJ, Galuppi BE 2002 Prognosis for gross motor function in cerebral palsy: Creation of motor development curves. JAMA 288: 1357–1363. 10.1001/jama.288.11.1357.
Russell DJ, Avery LM, Rosenbaum PL, Raina PS, Walter SD, Palisano RJ 2000 Improved scaling of the gross motor function measure for children with cerebral palsy: Evidence of reliability and validity. Physical Therapy 80: 873–885. 10.1093/ptj/80.9.873.
Russell DJ, Rosenbaum P, Avery LM, Lane M 2002 Gross Motor Function Measure (GMFM-66 and GMFM-88) User’s Manual. 2nd ed. London: Mackeith Press.
Vermeire D 2012 Etude du “Test of Infant Motor Performance” Comme Outil de Mesure des Compétences Motrices d’Enfants Paralysés Cérébraux Quadriplégiques Sévères [Study of the “Test of Infant Motor Performance” as a Measurement Tool for Motor Skills of Children with Severe Quadriplegic Cerebral Palsy]. Master‘s Thesis, Université catholique de Louvain.
