Assessment of upper‐limb capacity, performance, and developmental disregard in children with cerebral palsy: validity and reliability of the revised Video‐Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R)
Aim To investigate the validity and reliability of the revised Video‐Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R). Method Upper‐limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of...
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Published in | Developmental medicine and child neurology Vol. 55; no. 1; pp. 76 - 82 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Oxford, UK
Blackwell Publishing Ltd
01.01.2013
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Abstract | Aim To investigate the validity and reliability of the revised Video‐Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R).
Method Upper‐limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of affected upper‐limb use and the frequency of specific behaviours during a task in which bimanual activity was demanded (‘stringing beads’) and stimulated (‘decorating a muffin’). Developmental disregard was defined as the difference in duration of affected upper‐limb use between both tasks. Raters were two occupational and one physical therapist who received 3 hours of training. Construct validity was determined by comparing children with CP with typically developing children. Intrarater, interrater, and test–retest reliability were determined using the intraclass correlation coefficient. Standard errors of measurement and smallest detectable differences were also calculated.
Results Twenty‐five children with CP (15 females, 10 males; mean age 4y 9mo [SD 1y 7mo], range 2y 9mo–8y; Manual Ability Classification System levels I–III) scored lower on capacity (p=0.052) and performance (p<0.001), and higher on developmental disregard (p<0.001) than 46 age‐ and sex‐matched typically developing children (23 males; mean age 5y 3mo [SD 1y 5mo], range 2y 6mo–8y). The intraclass correlation coefficients (0.79–1.00) indicated good reliability. Absolute agreement was high, standard errors of measurement ranged from 4.5 to 6.8%, and smallest detectable differences ranged from 12.5 to 19.0%.
Interpretation The VOAA‐DDD‐R can be reliably and validly used by occupational and physical therapists to assess upper‐limb capacity, performance, and developmental disregard in children (2y 6mo–8y) with CP.
This article is commented on by Bialocerkowski. on pages 12–13 of this issue. |
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AbstractList | AIMTo investigate the validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R).METHODUpper-limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of affected upper-limb use and the frequency of specific behaviours during a task in which bimanual activity was demanded ('stringing beads') and stimulated ('decorating a muffin'). Developmental disregard was defined as the difference in duration of affected upper-limb use between both tasks. Raters were two occupational and one physical therapist who received 3 hours of training. Construct validity was determined by comparing children with CP with typically developing children. Intrarater, interrater, and test-retest reliability were determined using the intraclass correlation coefficient. Standard errors of measurement and smallest detectable differences were also calculated.RESULTSTwenty-five children with CP (15 females, 10 males; mean age 4 y 9 mo [SD 1 y 7 mo], range 2 y 9 mo-8 y; Manual Ability Classification System levels I-III) scored lower on capacity (p=0.052) and performance (p<0.001), and higher on developmental disregard (p<0.001) than 46 age- and sex-matched typically developing children (23 males; mean age 5 y 3 mo [SD 1 y 5 mo], range 2 y 6 mo-8 y). The intraclass correlation coefficients (0.79-1.00) indicated good reliability. Absolute agreement was high, standard errors of measurement ranged from 4.5 to 6.8%, and smallest detectable differences ranged from 12.5 to 19.0%.INTERPRETATIONThe VOAA-DDD-R can be reliably and validly used by occupational and physical therapists to assess upper-limb capacity, performance, and developmental disregard in children (2 y 6 mo-8 y) with CP. Aim To investigate the validity and reliability of the revised Video‐Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R). Method Upper‐limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of affected upper‐limb use and the frequency of specific behaviours during a task in which bimanual activity was demanded (‘stringing beads’) and stimulated (‘decorating a muffin’). Developmental disregard was defined as the difference in duration of affected upper‐limb use between both tasks. Raters were two occupational and one physical therapist who received 3 hours of training. Construct validity was determined by comparing children with CP with typically developing children. Intrarater, interrater, and test–retest reliability were determined using the intraclass correlation coefficient. Standard errors of measurement and smallest detectable differences were also calculated. Results Twenty‐five children with CP (15 females, 10 males; mean age 4y 9mo [SD 1y 7mo], range 2y 9mo–8y; Manual Ability Classification System levels I–III) scored lower on capacity (p=0.052) and performance (p<0.001), and higher on developmental disregard (p<0.001) than 46 age‐ and sex‐matched typically developing children (23 males; mean age 5y 3mo [SD 1y 5mo], range 2y 6mo–8y). The intraclass correlation coefficients (0.79–1.00) indicated good reliability. Absolute agreement was high, standard errors of measurement ranged from 4.5 to 6.8%, and smallest detectable differences ranged from 12.5 to 19.0%. Interpretation The VOAA‐DDD‐R can be reliably and validly used by occupational and physical therapists to assess upper‐limb capacity, performance, and developmental disregard in children (2y 6mo–8y) with CP. This article is commented on by Bialocerkowski. on pages 12–13 of this issue. To investigate the validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R). Upper-limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of affected upper-limb use and the frequency of specific behaviours during a task in which bimanual activity was demanded ('stringing beads') and stimulated ('decorating a muffin'). Developmental disregard was defined as the difference in duration of affected upper-limb use between both tasks. Raters were two occupational and one physical therapist who received 3 hours of training. Construct validity was determined by comparing children with CP with typically developing children. Intrarater, interrater, and test-retest reliability were determined using the intraclass correlation coefficient. Standard errors of measurement and smallest detectable differences were also calculated. Twenty-five children with CP (15 females, 10 males; mean age 4 y 9 mo [SD 1 y 7 mo], range 2 y 9 mo-8 y; Manual Ability Classification System levels I-III) scored lower on capacity (p=0.052) and performance (p<0.001), and higher on developmental disregard (p<0.001) than 46 age- and sex-matched typically developing children (23 males; mean age 5 y 3 mo [SD 1 y 5 mo], range 2 y 6 mo-8 y). The intraclass correlation coefficients (0.79-1.00) indicated good reliability. Absolute agreement was high, standard errors of measurement ranged from 4.5 to 6.8%, and smallest detectable differences ranged from 12.5 to 19.0%. The VOAA-DDD-R can be reliably and validly used by occupational and physical therapists to assess upper-limb capacity, performance, and developmental disregard in children (2 y 6 mo-8 y) with CP. Aim To investigate the validity and reliability of the revised Video‐Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R). Method Upper‐limb capacity and performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration of affected upper‐limb use and the frequency of specific behaviours during a task in which bimanual activity was demanded (‘stringing beads’) and stimulated (‘decorating a muffin’). Developmental disregard was defined as the difference in duration of affected upper‐limb use between both tasks. Raters were two occupational and one physical therapist who received 3 hours of training. Construct validity was determined by comparing children with CP with typically developing children. Intrarater, interrater, and test–retest reliability were determined using the intraclass correlation coefficient. Standard errors of measurement and smallest detectable differences were also calculated. Results Twenty‐five children with CP (15 females, 10 males; mean age 4y 9mo [SD 1y 7mo], range 2y 9mo–8y; Manual Ability Classification System levels I–III) scored lower on capacity ( p =0.052) and performance ( p <0.001), and higher on developmental disregard ( p <0.001) than 46 age‐ and sex‐matched typically developing children (23 males; mean age 5y 3mo [SD 1y 5mo], range 2y 6mo–8y). The intraclass correlation coefficients (0.79–1.00) indicated good reliability. Absolute agreement was high, standard errors of measurement ranged from 4.5 to 6.8%, and smallest detectable differences ranged from 12.5 to 19.0%. Interpretation The VOAA‐DDD‐R can be reliably and validly used by occupational and physical therapists to assess upper‐limb capacity, performance, and developmental disregard in children (2y 6mo–8y) with CP. This article is commented on by Bialocerkowski. on pages 12–13 of this issue. |
Author | AARTS, PAULINE B M STEENBERGEN, BERT HOUWINK, ANNEMIEKE GEURTS, ALEXANDER C H GEERDINK, YVONNE A |
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SubjectTerms | Case-Control Studies Cerebral Palsy - complications Cerebral Palsy - diagnosis Cerebral Palsy - rehabilitation Child Child, Preschool Developmental Disabilities - complications Developmental Disabilities - diagnosis Disability Evaluation Female Functional Laterality Humans Male Occupational Therapy Physical Therapists - psychology Reproducibility of Results Upper Extremity - physiopathology Video Recording - methods |
Title | Assessment of upper‐limb capacity, performance, and developmental disregard in children with cerebral palsy: validity and reliability of the revised Video‐Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R) |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1469-8749.2012.04442.x https://www.ncbi.nlm.nih.gov/pubmed/23095032 https://search.proquest.com/docview/1240211840 |
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