Sensitivity to change and responsiveness of the Segmental Assessment of Trunk Control (SATCo) in children with spinal cord injury
Sensitivity to change and responsiveness of the Segmental Assessment of Trunk Control (SATCo) in children with spinal cord injury
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DOI：
10.1080/17518423.2018.1475429
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发表时间：
2019-05-19
影响因子：
1.3
通讯作者：
Behrman, Andrea L.
中科院分区：
文献类型：
--
作者：
Argetsinger, Laura C.;Trimble, Shelley A.;Behrman, Andrea L.
目的：本研究的目的是评估躯干控制的节段性评估（SATCo）的敏感性和反应性，以评估接受基于活动的运动训练（AB-LT）的脊髓损伤（SCI）儿童的躯干控制。研究方法：前瞻性研究9个结果连续登记的儿童在门诊AB-LT。为了评估变化的敏感性，线性混合模型的构建和调整协变量：年龄和时间，因为SCI。为了评价反应性，根据结局估计标准化反应平均值和95%置信区间。结果：无论慢性程度、初始评分和损伤程度如何，SATCo评分均显著增加（p < 0.05）。SATCo是最有效的指标，也是治疗3个月后唯一显示较大效应量的结局。结论：接受AB-LT治疗的SCI儿童无论其慢性程度、初始损伤或既往经验如何，都能改善躯干控制。SATCo敏感性和反应性支持其在测量SCI儿童躯干控制方面的有用性。
Purpose: The purpose of this study was to assess the sensitivity and responsiveness of the Segmental Assessment of Trunk Control (SATCo) for evaluating trunk control in children with spinal cord injury (SCI) receiving activity-based locomotor training (AB-LT). Methods: Prospective study of nine outcomes for consecutively enrolled children in outpatient AB-LT. To evaluate sensitivity to change, linear-mixed models were constructed and adjusted for covariates: age at and time since SCI. To evaluate responsiveness, standardized response means and 95% confidence intervals were estimated per outcome. Results: SATCo scores increased significantly (p < 0.05) regardless of chronicity, initial score, and injury level. The SATCo was the most responsive measure and the only outcome demonstrating a large effect size after 3 months of therapy. Conclusions: Children with SCI receiving AB-LT improved trunk control regardless of chronicity, initial impairment, or prior experience. SATCo sensitivity and responsiveness support its usefulness in measuring trunk control in children with SCI.