The reliability, responsiveness and clinical utility of the Proximat: a new tool for measuring hip range of movement in children with cerebral palsy.
Background and Purpose. Monitoring range of movement is a key aspect of managing hip problems in children with cerebral palsy. The aim of this study was to assess the clinical utility, reliability and responsiveness of a new measurement tool, the Proximat, for hip range of movement. Method. Passive...
| Publicado en: | Physiotherapy Research International Vol. 13; no. 4; pp. 223 - 231 |
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| Autores principales: | , , |
| Formato: | equations & formulas pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105591757&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105591757 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Dec2008 vid: 13 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105591757 2010127308 10.1002/pri.420 NLM18792005 105591757 ppf: 223 ppct: 8 formats: fmt: @attributes: type: P tig: atl: The reliability, responsiveness and clinical utility of the Proximat: a new tool for measuring hip range of movement in children with cerebral palsy. aug: au: Pott P Selley A Tyson SF affil: Lancasterian School, Manchester Primary Care Trust, Manchester, UK. sug: subj: Biophysical Instruments Cerebral Palsy In Infancy and Childhood Clinical Assessment Tools Equipment Reliability Hip Physiology Instrument Validation Range of Motion Evaluation Abduction Adduction Adolescence Child Child, Preschool Descriptive Statistics Evaluation Research Female Funding Source Interrater Reliability Intraclass Correlation Coefficient Male Mathematics Physical Therapists Rehabilitation, Pediatric Reliability and Validity Rotation Sensitivity and Specificity Test-Retest Reliability Validation Studies Human Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years Female Male ab: Background and Purpose. Monitoring range of movement is a key aspect of managing hip problems in children with cerebral palsy. The aim of this study was to assess the clinical utility, reliability and responsiveness of a new measurement tool, the Proximat, for hip range of movement. Method. Passive hip abduction, adduction, medial and lateral rotation were measured by using the Proximat on 26 children with cerebral palsy attending three special schools: 16 of whom are boys, mean age = 7 years and 6 months (standard deviation = 4.2 years), range 2-15 years. Testing was undertaken by two physiotherapists to assess interrater reliability and repeated the following day to assess test-retest reliability. Total, random and systematic errors were calculated for interrater and test-retest. Results. The Proximat was quick and easy to use and acceptable to the children. High reliability was found for all movements (intraclass correlation coefficient = 0.83-0.93) with reasonable responsiveness; total error was 2.5-12 degrees. Most of the error was random with little evidence of systematic bias. Conclusions. The Proximat is a reliable, responsive and acceptable method of measuring passive hip movements in children with cerebral palsy in day-to-day clinical practice. A change of 8-12 degrees is needed to overcome measurement error and to indicate that a 'true' change in range of movement has occurred. Copyright (c) 2008 John Wiley & Sons, Ltd. pubtype: Academic Journal doctype: equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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