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Discriminant ability and criterion validity of the Trunk Impairment Scale for cerebral palsy.
Pavão, Sílvia Leticia; Maeda, Davi Adiwardana; Corsi, Carolina; Santos, Mariana Martins Dos; Costa, Carolina Souza N da; de Campos, Ana Carolina; Rocha, Nelci Adriana Cicuto Ferreira.
Afiliação
  • Pavão SL; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
  • Maeda DA; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
  • Corsi C; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
  • Santos MMD; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
  • Costa CSND; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
  • de Campos AC; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
  • Rocha NACF; a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos , Brazil.
Disabil Rehabil ; 41(18): 2199-2205, 2019 09.
Article em En | MEDLINE | ID: mdl-29663838
Aims: To compare the performance of children with mild and moderate-to-severe cerebral palsy (CP) on the Trunk Impairment Scale (TIS), Gross Motor Function Measure (GMFM), and on center-of-pressure variables; to establish the discriminant ability of these tools to predict severity of motor impairment in CP; and to investigate the criterion validity of the TIS. Methods: Children with mild (n = 18, 11 males, 7 females, mean age = 9.5 ± 2.9 years, Gross Motor Function Classification System I-II) and moderate-to-severe (n = 18, 11 males, 7 females, mean age = 9.2 ± 229, Gross Motor Function Classification System III-IV) CP were tested using the TIS and the GMFM, and during static sitting on force-plate. Results: Children with mild CP showed better trunk (median; 95% confidence interval = 22.5; 21.29-22.59 vs. 13; 11.97-14.8; p < 0.001) and gross motor (60; 57.73-59.3 vs. 40; 38.96-46.25; p < 0.001) scores, and better postural control (lower center of pressure (CoP) displacement [anterior-posterior: (0.42; 0.32-1.11 vs. 0.89; 0.70-1.65; p = 0.022); medial-lateral: (0.42; 0.31-1.08 vs. 0.91; 0.65-1.17; p = 0.044)], and lower area of sway, (0.05; -0.15-0.97 vs. 0.44; 0.23-0.90; p = 0.008) than the moderate-to-severe group. Trunk control and gross motor function explained 81.5% of the variance in the severity of motor condition. Correlations between the TIS and the GMFM were excellent (ρ = 0.944, p < 0.001); correlations between the TIS and CoP variables were low (anterior-posterior displacement: ρ = -0.411, p < 0.05; medial-lateral displacement: ρ = -0.327, p < 0.05); area of sway: ρ = -0.430, p < 0.05; velocity of sway: ρ = -0.308, p < 0.05). Conclusions: The TIS is able to differentiate levels of trunk control across various levels of motor impairments in CP. It is a valid tool to assess trunk control, showing very high concurrent validity with the GMFM sitting dimension. Implications for Rehabilitation Trunk Impairment Scale (TIS) can be used by rehabilitation professionals to differentiate levels of trunk control across levels of motor impairment. TIS showed concurrent validity with Gross Motor Function Measure and should be used to assess trunk control in children with cerebral palsy (CP) in clinical settings. The use of TIS allows a reliable assessment of postural control in children with CP in clinical settings.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia Cerebral / Avaliação da Deficiência / Equilíbrio Postural / Tronco Tipo de estudo: Prognostic_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Disabil Rehabil Assunto da revista: REABILITACAO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia Cerebral / Avaliação da Deficiência / Equilíbrio Postural / Tronco Tipo de estudo: Prognostic_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Disabil Rehabil Assunto da revista: REABILITACAO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido