Selective motor control of the lower extremities in children with cerebral palsy: Inter-rater reliability of two tests

Dirk Wouter Smits; Annerieke C. Van Groenestijn; Marjolijn Ketelaar; Vanessa A. Scholtes; Jules G. Becher; Jan Willem Gorter

doi:10.3109/17518421003705698

Selective motor control of the lower extremities in children with cerebral palsy: Inter-rater reliability of two tests

Dirk Wouter Smits^*
, Annerieke C. Van Groenestijn
, Marjolijn Ketelaar
, Vanessa A. Scholtes
, Jules G. Becher
, Jan Willem Gorter

^*Corresponding author for this work

Utrecht University
NetChild Network for Childhood Disability Research in
Onze Lieve Vrouwe Gasthuis
Amsterdam UMC - Vrije Universiteit Amsterdam
University of Amsterdam
McMaster University

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Purpose: The purpose of this study was to examine the inter-rater reliability of two tests measuring selective motor control (SMC) of the lower extremities in children with cerebral palsy (CP). Methods: Two testers independently assessed 21 children (13 boys, eight girls; mean age 6 years 5 months, SD 12 months) with spastic CP (14 unilateral and seven bilateral) using the Boyd and Graham SMC test (with an existing protocol) and the modified Trost SMC test (with a newly developed protocol). Inter-rater reliability was analysed using Cohen's Kappa. Results: For the Boyd and Graham SMC test for ankle dorsiflexion, Kappa was 0.55 (95 CI 0.360.74). For the modified Trost SMC test for ankle dorsiflexion, knee extension, hip abduction and hip flexion, Kappas were 0.65 (0.470.84), 0.69 (0.490.88), 0.57 (0.370.78) and 0.71 (0.510.91), respectively. Conclusion: The SMC tests showed moderate (Boyd and Graham SMC test) to good (modified Trost SMC test) inter-rater reliability.

Original language	English
Pages (from-to)	258-265
Number of pages	8
Journal	Developmental neurorehabilitation
Volume	13
Issue number	4
DOIs	https://doi.org/10.3109/17518421003705698
Publication status	Published - Aug 2010

Keywords

cerebral palsy
clinical assessment
inter-rater reliability
neuromuscular impairments
selective motor control

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title = "Selective motor control of the lower extremities in children with cerebral palsy: Inter-rater reliability of two tests",

abstract = "Purpose: The purpose of this study was to examine the inter-rater reliability of two tests measuring selective motor control (SMC) of the lower extremities in children with cerebral palsy (CP). Methods: Two testers independently assessed 21 children (13 boys, eight girls; mean age 6 years 5 months, SD 12 months) with spastic CP (14 unilateral and seven bilateral) using the Boyd and Graham SMC test (with an existing protocol) and the modified Trost SMC test (with a newly developed protocol). Inter-rater reliability was analysed using Cohen's Kappa. Results: For the Boyd and Graham SMC test for ankle dorsiflexion, Kappa was 0.55 (95 CI 0.360.74). For the modified Trost SMC test for ankle dorsiflexion, knee extension, hip abduction and hip flexion, Kappas were 0.65 (0.470.84), 0.69 (0.490.88), 0.57 (0.370.78) and 0.71 (0.510.91), respectively. Conclusion: The SMC tests showed moderate (Boyd and Graham SMC test) to good (modified Trost SMC test) inter-rater reliability.",

keywords = "cerebral palsy, clinical assessment, inter-rater reliability, neuromuscular impairments, selective motor control",

author = "Smits, \{Dirk Wouter\} and \{Van Groenestijn\}, \{Annerieke C.\} and Marjolijn Ketelaar and Scholtes, \{Vanessa A.\} and Becher, \{Jules G.\} and Gorter, \{Jan Willem\}",

note = "Funding Information: This study has been performed as part of the PERRIN (Pediatric Rehabilitation Research in the Netherlands) research programme, which is being supported by the Netherlands Organisation for Health Research and Development (grant number 1435.0043). The authors wish to thank the children and their parents for their participation.",

year = "2010",

month = aug,

doi = "10.3109/17518421003705698",

language = "English",

volume = "13",

pages = "258--265",

journal = "Developmental neurorehabilitation",

issn = "1751-8423",

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TY - JOUR

T1 - Selective motor control of the lower extremities in children with cerebral palsy

T2 - Inter-rater reliability of two tests

AU - Smits, Dirk Wouter

AU - Van Groenestijn, Annerieke C.

AU - Ketelaar, Marjolijn

AU - Scholtes, Vanessa A.

AU - Becher, Jules G.

AU - Gorter, Jan Willem

N1 - Funding Information: This study has been performed as part of the PERRIN (Pediatric Rehabilitation Research in the Netherlands) research programme, which is being supported by the Netherlands Organisation for Health Research and Development (grant number 1435.0043). The authors wish to thank the children and their parents for their participation.

PY - 2010/8

Y1 - 2010/8

N2 - Purpose: The purpose of this study was to examine the inter-rater reliability of two tests measuring selective motor control (SMC) of the lower extremities in children with cerebral palsy (CP). Methods: Two testers independently assessed 21 children (13 boys, eight girls; mean age 6 years 5 months, SD 12 months) with spastic CP (14 unilateral and seven bilateral) using the Boyd and Graham SMC test (with an existing protocol) and the modified Trost SMC test (with a newly developed protocol). Inter-rater reliability was analysed using Cohen's Kappa. Results: For the Boyd and Graham SMC test for ankle dorsiflexion, Kappa was 0.55 (95 CI 0.360.74). For the modified Trost SMC test for ankle dorsiflexion, knee extension, hip abduction and hip flexion, Kappas were 0.65 (0.470.84), 0.69 (0.490.88), 0.57 (0.370.78) and 0.71 (0.510.91), respectively. Conclusion: The SMC tests showed moderate (Boyd and Graham SMC test) to good (modified Trost SMC test) inter-rater reliability.

AB - Purpose: The purpose of this study was to examine the inter-rater reliability of two tests measuring selective motor control (SMC) of the lower extremities in children with cerebral palsy (CP). Methods: Two testers independently assessed 21 children (13 boys, eight girls; mean age 6 years 5 months, SD 12 months) with spastic CP (14 unilateral and seven bilateral) using the Boyd and Graham SMC test (with an existing protocol) and the modified Trost SMC test (with a newly developed protocol). Inter-rater reliability was analysed using Cohen's Kappa. Results: For the Boyd and Graham SMC test for ankle dorsiflexion, Kappa was 0.55 (95 CI 0.360.74). For the modified Trost SMC test for ankle dorsiflexion, knee extension, hip abduction and hip flexion, Kappas were 0.65 (0.470.84), 0.69 (0.490.88), 0.57 (0.370.78) and 0.71 (0.510.91), respectively. Conclusion: The SMC tests showed moderate (Boyd and Graham SMC test) to good (modified Trost SMC test) inter-rater reliability.

KW - cerebral palsy

KW - clinical assessment

KW - inter-rater reliability

KW - neuromuscular impairments

KW - selective motor control

UR - https://www.scopus.com/pages/publications/77954783327

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DO - 10.3109/17518421003705698

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SN - 1751-8423

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JO - Developmental neurorehabilitation

JF - Developmental neurorehabilitation

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ER -

Selective motor control of the lower extremities in children with cerebral palsy: Inter-rater reliability of two tests

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Keywords

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