Validity and reliability of the Persian version of the Eating and Drinking Ability Classification System

2019 ◽  
Vol 26 (9) ◽  
pp. 1-11
Author(s):  
Azade Riyahi ◽  
Mehdi Rassafiani ◽  
Zahra Nobakht ◽  
Hosseinali Abdolrazaghi ◽  
Rahmatollah Moradzadeh
Keyword(s):  
Cerebral Palsy ◽  
Classification System ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Occupational Therapists ◽  
Retest Reliability ◽  
Persian Version ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability ◽  
Speech Therapists

Background/Aims The ability to eat and drink is the most important factor in health, survival and longevity. Children with cerebral palsy can suffer from severe dysphagia, which can lead to a high risk of aspiration and choking. As classifying eating and drinking ability in children with cerebral palsy is important in research and treatment, the aim of this study was to determine the cross-cultural validation and reliability of the Persian version of the Eating and Drinking Ability Classification System. Methods After translation procedures, the face validity, content validity, test–retest reliability and interrater reliability of the Eating and Drinking Ability Classification System were evaluated. In total, 130 parents of children with cerebral palsy and 34 therapists participated in the evaluation of the scale's reliability. The 73 boys and 57 girls with cerebral palsy were aged 3–20 years (mean age 4.4 years) and had various types of cerebral palsy. They were classified according to the Eating and Drinking Ability Classification System by both their parents and the therapists. Results The overall results indicated that the words and sentences used were simple, clear, understandable, relevant and necessary. The intraclass correlation coefficients for test–retest reliability for parents, occupational therapists and speech therapists were 0.98, 0.98 and 0.995, respectively. The interrater reliability between parents and occupational therapists was 0.96, between parents and speech therapists was 0.95, and between occupational therapists and speech therapists was 0.985. Conclusions The Persian version of the Eating and Drinking Ability Classification System seems to be valid and reliable. This system may be used to evaluate children with cerebral palsy.

Psychometric Properties of Functional Balance Assessment in Children With Cerebral Palsy

2008 ◽  
Vol 22 (6) ◽  
pp. 745-753 ◽  
Author(s):  
Sue-Mae Gan ◽  
Li-Chen Tung ◽  
Yue-Her Tang ◽  
Chun-Hou Wang
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Convergent Validity ◽  
Interrater Reliability ◽  
Walking Speed ◽  
Retest Reliability ◽  
Functional Balance ◽  
Sit To Stand ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability

Background. Children with cerebral palsy often suffer from a lack of balance compared with typically developing children. Because balance capacity is relevant to functional activities, reliable and valid functional balance measures are crucial for the pediatric clinical setting. Objective. This study examined the reliability and validity of 3 functional balance measures. Methods. Thirty children aged 60 to 142 months with Gross Motor Function Classification System (GMFCS) levels of I to IV were recruited. For test-retest reliability, the same physical therapist administered the Functional Reach Test (FRT), Berg Balance Scale (BBS), and Timed Up and Go (TUG) twice. For interrater reliability, the testing processes were video recorded and later scored by another therapist. For convergent validity, children with cerebral palsy received the Gross Motor Function Measures (GMFM), walking speed, and 10-second sit-to-stand test within 1 week and the results evaluated. Results. The 3 functional balance measures had excellent test-retest reliability (intraclass correlation coefficient [ICC] >0.95) and interrater reliability (ICC = 0.98-1.00). With regard to convergent validity, the BBS and the TUG were highly correlated with GMFM total score, walking speed, and the 10-second sit-to-stand test. The discriminate validity indicates that the FRT can distinguish children with cerebral palsy with different GMFCS levels, whereas the BBS total score and TUG failed to distinguish between children with cerebral palsy with GMFCS levels of I and II. Conclusion. The 3 functional balance measures are simple, valid, and reliable for examining children with cerebral palsy and are thus suitable for clinical practice.

Validity and reliability of smartphone-based pelvic rotation evaluations of children with cerebral palsy while sitting, standing, and standing on one leg

2021 ◽  
pp. 1-5
Author(s):  
Do Hyun Kim
Keyword(s):  
Cerebral Palsy ◽  
Linear Regression ◽  
Intraclass Correlation ◽  
Smartphone Application ◽  
Simple Linear Regression ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Pelvic Rotation ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability

PURPOSE: We explored the test-retest reliability of pelvic rotation measured using a smartphone and established criterion-related validity by analyzing simple linear regression between pelvic rotation data obtained using the smartphone and those measured by a palpation meter. METHODS: We recruited 12 children with cerebral palsy (CP) (7 boys and 5 girls) and measured pelvic rotation using a smartphone application and a palpation meter in the sitting, standing, and one-leg standing positions. Test-retest reliability was evaluated by calculating intraclass correlation coefficients (ICCs); simple linear regression was analyzed to explore the relationships between smartphone and palpation meter data. RESULTS: In terms of the test-retest reliability of pelvic rotation measured by the smartphone, the ICCs ranged from 0.85 to 0.95. A positive linear correlation was found between smartphone and palpation meter data. CONCLUSIONS: We confirmed that measurement of pelvic rotation using a smartphone was reliable when children with CP were in the sitting, standing, and one-leg standing positions. In addition, pelvic rotation measured using the smartphone correlated significantly with that measured using a palpation meter.

An Italian Validation of ABILHAND-Kids for Children With Cerebral Palsy

2021 ◽  
pp. 003151252110497
Author(s):  
Marco Tofani ◽  
Giulia Blasetti ◽  
Luca Lucibello ◽  
Anna Berardi ◽  
Giovanni Galeoto ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Internal Consistency ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Cronbach’S Alpha ◽  
Retest Reliability ◽  
Cronbach's Alpha ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability

Limitations in hand function are common among children with cerebral palsy (CP), with almost 50% presenting an arm–hand dysfunction. However, there is no standardized assessment tool available in Italian for evaluating bimanual performance for this population. Our objective in this study was to evaluate the psychometric properties of an Italian translation of the ABILHAND-Kids (ABILHAND-Kids-IT) among children with CP. We examined internal consistency using Cronbach’s Alpha and Omega coefficients, and we investigated test-retest reliability with intraclass correlation coefficients (ICC). We performed explorative factor analysis (EFA) to investigate structural validity. We calculated Pearson’s correlation coefficients between the ABILAND-Kids IT and the Manual Ability Classification System (MACS) to assess criterion validity; and, to demonstrate the score variability of the ABILHAND-Kids-IT, we used analyses of variance (ANOVAs) to compare the 181 children with CP in this sample with their levels on the MACS. We enrolled 181 children with CP in the study. EFA confirmed a uni-dimensional scale. We obtained internal consistency on both Cronbach’s Alpha and Omega coefficient of 0.98, and a one-week test-retest reliability analysis revealed an ICC with 95% of confidence interval of .992. The ANOVA revealed significant score variability ( p < 0.01) and the Pearson correlation coefficient comparing the ABILHAND-Kids-It score with the MACS was –0.929 ( p < 0.01). We conclude that the ABILHAND-Kids-IT is valid and reliable for use with Italian children with CP.

scholarly journals Reliability, Sensitivity to Change, and Responsiveness of the Peabody Developmental Motor Scales–Second Edition for Children With Cerebral Palsy

2006 ◽  
Vol 86 (10) ◽  
pp. 1351-1359 ◽  
Author(s):  
Hsiang-Hui Wang ◽  
Hua-Fang Liao ◽  
Ching-Lin Hsieh
Keyword(s):  
Cerebral Palsy ◽  
Intraclass Correlation ◽  
Fine Motor ◽  
Sensitivity To Change ◽  
Good Test ◽  
Retest Reliability ◽  
Motor Test ◽  
Children With Cerebral Palsy ◽  
Peabody Developmental Motor Scales ◽  
Test Retest Reliability

Abstract Background and Purpose. The psychometric properties of the Peabody Developmental Motor Scales–Second Edition (PDMS-2), a revised motor test to assess both gross motor and fine motor composites in children with cerebral palsy (CP), are largely unknown. The purpose of this study was to examine the test-retest reliability and the responsiveness of the PDMS-2 for children with CP. Subjects. A sample of 32 children who had CP (age=27–64 months) and who received intervention participated in this study. Methods. The PDMS-2 was administered to each child 3 times (at the beginning of the study, at 1 week, and at 3 months later) by a physical therapist. The agreement between the first 2 measurements was used to examine the reliability. The change between the first and the third measurements was used to examine the responsiveness. Results. The composite scores on the PDMS-2 had good test-retest reliability (intraclass correlation coefficient=.88–1.00). The sensitivity-to-change coefficients ranged from 1.6 to 2.1, and the responsiveness coefficients ranged from 1.7 to 2.3. Discussion and Conclusion. Our results provide strong evidence that the 3 composites of the PDMS-2 had high test-retest reliability and acceptable responsiveness. The PDMS-2 can be used as an evaluative motor measure for children with CP and aged 2 to 5 years.

scholarly journals Improved Scaling of the Gross Motor Function Measure for Children With Cerebral Palsy: Evidence of Reliability and Validity

2000 ◽  
Vol 80 (9) ◽  
pp. 873-885 ◽  
Author(s):  
Dianne J Russell ◽  
Lisa M Avery ◽  
Peter L Rosenbaum ◽  
Parminder S Raina ◽  
Stephen D Walter ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Intraclass Correlation ◽  
Gross Motor ◽  
Retest Reliability ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability ◽  
Function Measure

Abstract Background and Purpose. This study examined the reliability, validity, and responsiveness to change of measurements obtained with a 66-item version of the Gross Motor Function Measure (GMFM-66) developed using Rasch analysis. Subjects and Methods. The validity of measurements obtained with the GMFM-66 was assessed by examining the hierarchy of items and the GMFM-66 scores for different groups of children from a stratified random community-based sample of 537 children with cerebral palsy (CP). A subset of 228 children who had been reassessed at 12 months was used to test the hypothesis that children who are young (&lt;5 years of age) and have “mild” CP will demonstrate greater change in GMFM-66 scores than children who are older (≥5 years of age) and whose CP is more severe. Data from an additional 19 children with CP who were assessed twice, one week apart, were used to examine test-retest reliability. Results. The overall changes in GMFM-66 scores over 12 months and a time × severity × age interaction supported our hypotheses. Test-retest reliability was high (intraclass correlation coefficient=.99). Conclusion and Discussion. This study demonstrated that the GMFM-66 has good psychometric properties. By providing a hierarchical structure and interval scaling, the GMFM-66 can provide a better understanding of motor development for children with CP than the 88 item GMFM and can improve the scoring and interpretation of data obtained with the GMFM.

scholarly journals Reliability and Feasibility of the Four Square Step Test for Use in Children with Cerebral Palsy: A Pilot Study

2014 ◽  
Author(s):  
Edward James Gorgon ◽  
Gilbert Madriaga ◽  
Minerva Gomez-Cailao ◽  
Levin Abdon ◽  
Mary Boniquit
Keyword(s):  
Cerebral Palsy ◽  
Pilot Study ◽  
Interrater Reliability ◽  
Dynamic Balance ◽  
Standing Balance ◽  
Step Test ◽  
Retest Reliability ◽  
Children With Cerebral Palsy ◽  
Four Square ◽  
Test Retest Reliability

Purpose: The ability to maintain standing balance with a moving base of support and while making rapid postural adjustments is important for independence in various functional activities. Clinical tests and measures have not addressed this ability in children with disability. This pilot study examined the feasibility and reliability of the Four Square Step Test (FSST) as a test of dynamic balance in children with cerebral palsy (CP). Method: Four children with CP (Gross Motor Function Classification Scale levels I-II) were tested on the FSST by 3 assessors on the first occasion (interrater reliability) and repeat-tested by 1 assessor after 2 weeks (test-retest reliability). Six children with typical development (TD) were tested on a separate occasion to explore any between-group difference in performance. Results: The FSST was easy to setup, required no specialized equipment, could be completed in 5 minutes, and might be carried out by clinicians with limited experience in pediatric therapy. It demonstrated excellent interrater reliability (ICC = 0.832) and test-retest reliability (ICC = 0.979) in children with CP. Compared with FSST times for children with TD (mean = 9.12 ± 2.67 seconds), times for children with CP (mean = 18.38 ± 9.02 seconds) were significantly slower (p = 0.019, Mann-Whitney U = -2.345). Conclusions and Recommendations: The pilot study provides initial evidence on the potential usefulness of the FSST as a test of dynamic standing balance in children with CP. This warrants further investigation of the clinimetric properties of the FSST using an adequate sample size.

scholarly journals Reliability of Safe Maximum Lifting Determinations of a Functional Capacity Evaluation

2002 ◽  
Vol 82 (4) ◽  
pp. 364-371 ◽  
Author(s):  
Douglas P Gross ◽  
Michele C Battié
Keyword(s):  
Functional Capacity ◽  
Repeated Measures ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Functional Capacity Evaluation ◽  
Measurement Variability ◽  
Retest Reliability ◽  
Repeated Measures Design ◽  
Test Retest Reliability

Abstract Background and Purpose. Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The interrater and test-retest reliability of determinations of maximal safe lifting during kinesiophysical FCEs were examined in a sample of people who were off work and receiving workers' compensation. Subjects. Twenty-eight subjects with low back pain who had plateaued with treatment were enrolled. Five occupational therapists, trained and experienced in kinesiophysical methods, conducted testing. Methods. A repeated-measures design was used, with raters testing subjects simultaneously, yet independently. Subjects were rated on 2 occasions, separated by 2 to 4 days. Analyses included intraclass correlation coefficients (ICCs) and 95% confidence intervals. Results. The ICC values for interrater reliability ranged from .95 to .98. Test-retest values ranged from .78 to .94. Discussion and Conclusion. Inconsistencies in subjects' performance across sessions were the greatest source of FCE measurement variability. Overall, however, test-retest reliability was good and interrater reliability was excellent.

scholarly journals Reliability and Validity of Data for 2 Newly Developed Shuttle Run Tests in Children With Cerebral Palsy

2006 ◽  
Vol 86 (8) ◽  
pp. 1107-1117 ◽  
Author(s):  
Olaf Verschuren ◽  
Tim Takken ◽  
Marjolijn Ketelaar ◽  
Jan Willem Gorter ◽  
Paul JM Helders
Keyword(s):  
Cerebral Palsy ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Treadmill Test ◽  
Children With Cerebral Palsy ◽  
Level I ◽  
Test Retest Reliability ◽  
Shuttle Run ◽  
Gmfcs Level

Abstract Background and Purpose. The purpose of this study was to examine the reliability and validity of data obtained with 2 newly developed shuttle run tests (SRT-I and SRT-II) to measure aerobic power in children with cerebral palsy (CP) who were classified at level I or II on the Gross Motor Function Classification System (GMFCS). The SRT-I was developed for children at GMFCS level I, and the SRT-II was developed for children at GMFCS level II. Subjects. Twenty-five children and adolescents with CP (10 female, 15 male; mean age=11.9 years, SD=2.9), classified at GMFCS level I (n=14) or level II (n=11), participated in the study. Methods. To assess test-retest reliability of data for the 10-m shuttle run tests, the subjects performed the same test within 2 weeks. To examine validity, the shuttle run tests were compared with a GMFCS level–based treadmill test designed to measure peak oxygen uptake. Results. Statistical analyses revealed test-retest reliability for exercise time (number of levels completed) (intraclass correlation coefficients of .97 for the SRT-I and .99 for the SRT-II) and reliability for peak heart rate attained during the final level (intraclass correlation coefficients of .87 for the SRT-I and .94 for the SRT-II). High correlations were found for the relationship between data for both shuttle run tests and data for the treadmill test (r=.96 for both). Discussion and Conclusion. The results suggest that both 10-m shuttle run tests yield reliable and valid data. Moreover, the shuttle run tests have advantages over a treadmill test for children with CP who are able to walk and run (GMFCS level I or II). [Verschuren O, Takken T, Ketelaar M, et al. Reliability and validity of data for 2 newly developed shuttle run tests in children with cerebral palsy. Phys Ther. 2006;86:1107–1117.]

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