Reliability and validity of the Japanese version of the selective control assessment of the lower extremity tool among patients with spastic cerebral palsy

Kusumoto, Yasuaki; Hanao, Mami; Takaki, Kenji; Matsuda, Tadamitsu; Nitta, Osamu

doi:10.1589/jpts.28.3316

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…These findings suggested that this characteristic of SMC-that the distal joint is more impaired than the proximal joint-does not change with age. On the other hand, the SCALE scores for each joint were lower than those reported in previous studies 2,7,14) . The SCALE scores for each joint in adults with CP were approximately 0.2 points lower than the SCALE scores reported in the previous study on children with CP.…”

Section: Discussioncontrasting

confidence: 87%

“…SMC was assessed using the Selective Control Assessment of the Lower Extremity (SCALE) 2,14) . The participants were asked to perform the following movement patterns for 3 seconds each: (1) hip flexion and extension with the knee extended, (2) knee extension and flexion, (3) ankle dorsiflexion and plantarflexion with the knee extended, (4) subtalar inversion and eversion, and (5) toe flexion and extension.…”

Section: Participants and Methodsmentioning

confidence: 99%

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Characteristics of selective motor control of the lower extremity in adults with bilateral spastic cerebral palsy

Inoue

Yokoi

2020

J Phys Ther Sci

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We aimed to examine the relationship between gross motor function, selective motor control (SMC), range of motion (ROM), and spasticity in the lower extremities of adults with cerebral palsy (CP), as well as the proximal to distal distribution of SMC impairment in lower extremity joints. [Participants and Methods] We recruited 11 adults with bilateral spastic CP, ranging from levels I to III according to the Gross Motor Function Classification System (GMFCS). We evaluated participants according to the Selective Control Assessment of the Lower Extremity (SCALE), ROM, and the Modified Ashworth Scale (MAS). We conducted the Friedman test to assess differences among the SCALE scores of each joint. The relationship between GMFCS level, SCALE scores, ROM, and MAS scores was assessed. [Results] The mean SCALE scores were lower for distal than for proximal joints. The SCALE scores of each leg showed significant inverse correlations with the GMFCS level. [Conclusion] SMC in adults with CP strongly influences gross motor function. SMC did not have a significant relationship with spasticity or ROM. SMC, ROM, and spasticity independently influenced gross motor function in adults with CP. SMC impairment in adults with CP was higher in distal than in proximal joints.

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Section: Discussioncontrasting

confidence: 87%

Section: Participants and Methodsmentioning

confidence: 99%

Characteristics of selective motor control of the lower extremity in adults with bilateral spastic cerebral palsy

Inoue

Yokoi

2020

J Phys Ther Sci

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“…The relationships with comparator measures were also weaker than those observed in other lower extremity studies. Although other studies using clinical lower extremity SVMC assessments such as the selective motor control scale or the SCALE found relationships with gross motor function [ 6 , 8 , 16 , 17 , 31 ], the assessgame outcomes did not correlate with the GMFCS level or the SCALE. We expect that this is caused by the differences between the assessgame and clinical assessments of SVMC.…”

Section: Discussionmentioning

confidence: 71%

Playfully Assessing Lower Extremity Selective Voluntary Motor Control in Children With Cerebral Palsy: Psychometric Study

Fahr

Balzer

Keller

et al. 2022

JMIR Rehabil Assist Technol

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Background Objective measures specifically assessing selective voluntary motor control are scarce. Therefore, we have developed an interval-scaled assessment based on accelerometers. Objective This study provided a preliminary evaluation of the validity and reliability of this novel gamelike assessment measuring lower limb selective voluntary motor control in children with cerebral palsy (CP). Methods Children with CP and their neurologically intact peers were recruited for this psychometric evaluation of the assessgame. The participants played the assessgame and steered an avatar by selective hip, knee, or ankle joint movements captured with accelerometers. The assessgame’s scores provide information about the accuracy of the selective movement of the target joint and the amplitude and frequency of involuntary movements occurring in uninvolved joints. We established discriminative validity by comparing the assessgame scores of the children with CP with those of the neurologically intact children, concurrent validity by correlations with clinical scores and therapists’ opinions, and relative and absolute test-retest reliability. Results We included 20 children with CP (mean age 12 years and 5 months, SD 3 years and 4 months; Gross Motor Function Classification System levels I to IV) and 31 neurologically intact children (mean age 11 years and 1 month, SD 3 years and 6 months). The assessgame could distinguish between the children with CP and neurologically intact children. The correlations between the assessgame’s involuntary movement score and the therapist’s rating of the occurrence of involuntary movements during the game were moderate (Spearman ρ=0.56; P=.01), whereas the correlations of the assessgame outcomes with the Selective Control Assessment of the Lower Extremity and Gross Motor Function Classification System were low and not significant (|ρ|≤0.39). The intraclass correlation coefficients were >0.85 and indicated good relative test-retest reliability. Minimal detectable changes amounted to 25% (accuracy) and 44% (involuntary movement score) of the mean total scores. The percentage of children able to improve by the minimal detectable change without reaching the maximum score was 100% (17/17) for the accuracy score and 94% (16/17) for the involuntary movement score. Conclusions The assessgame proved reliable and showed discriminative validity in this preliminary evaluation. Concurrent validity was moderate with the therapist’s opinion but relatively poor with the Selective Control Assessment of the Lower Extremity. We assume that the assessment’s gamelike character demanded various other motor control aspects that are less considered in current clinical assessments.

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“…These IPS parameters show the ability of dynamic balance to move COP within BOS. Spastic CP patients with diplegia have difficulty controlling selective voluntary movements 8) . Therefore, patients with CP often have insufficient motor control of the lower limbs that allow stabilization and balance while standing.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of dynamic standing balance with and without an insole in patients with spastic diplegia cerebral palsy

et al. 2020

Self Cite

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This study examined characteristics of dynamic standing balance, with an without an insole, in patients with spastic diplegia cerebral palsy (CP). [Participants and Methods] This cross-sectional study used a crossover design. Eleven patients with spastic diplegia CP and gross motor levels between I and III with spastic diplegia CP (according to the Gross Motor Function Classification System expanded and revised version) were randomly allocated to either the barefoot or insole groups. The Index of postural stability (IPS) was evaluated while each patient was barefoot and while wearing insoles. The Pediatric Evaluation of Disability Inventory (PEDI) was used to measure functional self-care and mobility domains. [Results] While wearing the insoles, the center movement distance between right and left positions was significantly higher. While barefoot, IPS and area of postural sway correlated with the PEDI subscales for mobility and self-care. [Conclusion] Insoles promote standing balance and dynamic balance to move the center of pressure within the base of support. Such improvements may enhance activities of daily living in patients with spastic diplegia CP.

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Reliability and validity of the Japanese version of the selective control assessment of the lower extremity tool among patients with spastic cerebral palsy

Cited by 7 publications

References 14 publications

Characteristics of selective motor control of the lower extremity in adults with bilateral spastic cerebral palsy

Characteristics of selective motor control of the lower extremity in adults with bilateral spastic cerebral palsy

Playfully Assessing Lower Extremity Selective Voluntary Motor Control in Children With Cerebral Palsy: Psychometric Study

Characteristics of dynamic standing balance with and without an insole in patients with spastic diplegia cerebral palsy

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