The validity and reliability of the Test of Arm Selective Control for children with cerebral palsy: a prospective cross-sectional study.
The validity and reliability of the Test of Arm Selective Control for children with cerebral palsy: a prospective cross-sectional study.
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DOI：
10.1111/dmcn.13671
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发表时间：
2018-04
影响因子：
3.8
通讯作者：
Krosschell KJ
中科院分区：
文献类型：
--
作者：
Sukal-Moulton T;Gaebler-Spira D;Krosschell KJ
本研究探讨了手臂选择性控制测试（TASC）的信度和效度，以检查上肢选择性自愿运动控制的儿童和青少年与所有类型的痉挛性脑瘫（CP）。五十六例CP参与者参加了这项前瞻性横断面研究，年龄从5岁9个月到18岁11个月（平均11岁7个月，SD 3岁9个月; 25名男性，31名女性）。使用TASC和几项临床指标对其进行评价。TASC和手动能力分类系统（r =-0.529，p <0.001）、TASC和ABILIHAND-Kids（r = 0.596，p <0.001）以及TASC和受累肢体（r =-0.486，p = 0.001）中度相关。TASC与粗大运动功能分类系统之间存在弱相关性（r =-0.363，p = 0.006），TASC与年龄（p = 0.366）或评级者（p = 0.713）之间无相关性。两个独立评定者组的上肢总分（组内相关系数[ICC]= 0.92 - 0.94）和上肢肢体评分（ICC = 0.92 - 0.96）的评定者间可靠性较高（p ≤ 0.001）。平均给药时间为16分18秒。TASC是客观评估选择性自主运动控制的可靠和有效的工具。在临床上，这一措施可以指导选择医疗，手术或治疗干预，并可能改善预后。
This study examined the reliability and validity of the Test of Arm Selective Control (TASC) to examine upper extremity selective voluntary motor control in children and adolescents with all types of spastic cerebral palsy (CP). Fifty-six participants with CP, ranging in age from 5 years 9 months to 18 years 11 months (average 11y 7mo, SD 3y 9mo; 25 males, 31 females), participated in this prospective cross-sectional study. They were evaluated using the TASC and several clinical measures. TASC and Manual Ability Classification System (r = −0.529, p<0.001), TASC and ABILIHAND-Kids (r = 0.596, p<0.001), and TASC and affected extremities (r = −0.486, p=0.001) were moderately correlated. There was a weak correlation between the TASC and Gross Motor Function Classification System (r = −0.363, p=0.006) and no correlation between the TASC and age (p=0.366) or rater (p=0.713). Interrater reliability for upper extremity total score (intraclass correlation coefficient [ICC]=0.92–0.94) and upper extremity limb scores (ICC=0.92–0.96) was high for two independent rater groups (p≤0.001). Average time to administer was 16 minutes, 18 seconds. The TASC is a reliable and valid tool for objective assessment of selective voluntary motor control. Clinically this measure may guide the selection of medical, surgical, or therapy interventions and may improve outcome prognosis.
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影响因子：
3.1
作者：
Bonnefoy-Mazure, A.;Sagawa, Y., Jr.;Armand, S.
通讯作者：
Armand, S.
影响因子：
2
作者：
Sukal-Moulton, Theresa;Murray, Theresa M.;Dewald, Julius P. A.
通讯作者：
Dewald, Julius P. A.
影响因子：
2.9
作者：
Spirtos, Michelle;O'Mahony, Paul;Malone, Jeni
通讯作者：
Malone, Jeni
影响因子：
1.9
作者：
Hurley DS;Sukal-Moulton T;Msall ME;Gaebler-Spira D;Krosschell KJ;Dewald JP
通讯作者：
Dewald JP
影响因子：
11.2
作者：
Eyre, Janet A.;Smith, Martin;Cioni, Giovanni
通讯作者：
Cioni, Giovanni