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Is the Walking Adaptability Ladder test for Kids (WAL-K) reliable and valid in ambulatory children with Cerebral Palsy?
Kuijpers, Rosanne; Groen, Brenda E; Smulders, Ellen; der Sanden, Maria W G Nijhuis-van; Weerdesteyn, Vivian.
Afiliación
  • Kuijpers R; Sint Maartenskliniek Research, Nijmegen, The Netherlands.
  • Groen BE; Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud university medical center, Nijmegen, The Netherlands.
  • Smulders E; Sint Maartenskliniek Research, Nijmegen, The Netherlands.
  • der Sanden MWGN; Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud university medical center, Nijmegen, The Netherlands.
  • Weerdesteyn V; Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud university medical center, Nijmegen, The Netherlands.
Disabil Rehabil ; : 1-7, 2024 Feb 24.
Article en En | MEDLINE | ID: mdl-38400694
ABSTRACT

PURPOSE:

Walking adaptability is essential for children to participate in daily life. We studied whether the Walking Adaptability Ladder test for Kids (WAL-K) is reliable and valid for assessing walking adaptability in 6-12 year old ambulatory children with Cerebral Palsy (CP). MATERIALS AND

METHODS:

Thirty-six children with CP (26 GMFCS-level I, 10 GMFCS-level II) completed the single and double run of the WAL-K. Intra- and inter-rater reliability were determined by Intraclass Correlation Coefficients (ICCs). Construct validity was determined by comparing WAL-K scores between 122 typically developing (TD) and CP children taking age into account, comparing WAL-K scores between CP children in GMFCS-levels I and II, and correlating WAL-K scores with scores of the 10 times 5 m Sprint Test (10 × 5mST).

RESULTS:

ICCs for reliability varied between 0.997 and 1.000. WAL-K scores were significantly higher (i.e., worse) in CP children compared to TD children (p < 0.001), and in children in GMFCS-level II compared to GMFCS-level I (p = 0.001). Significant positive correlations were found between the WAL-K and 10 × 5 mST (single run r = .89, double run r = .84).

CONCLUSIONS:

The WAL-K shows to be a promising reliable, valid, and easy-to-use tool for assessing walking adaptability in children with CP. Responsiveness to change has yet to be evaluated.
Walking adaptability is an essential skill for children to participate in daily life, yet there is no validated clinical test for children with Cerebral Palsy (CP).We recently developed the Walking Adaptability Ladder test for Kids (WAL-K) and we here tested its reliability and validity in children with CP.Application of the WAL-K in children with CP yielded excellent intra- and inter-rater reliability and a good construct validity.The WAL-K shows to be a promising reliable, valid, and easy-to-use tool to assess walking adaptability in children with CP.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Disabil Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Disabil Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido