The Reliability of the Segmental Assessment of Trunk Control (SATCo) in Children with Cerebral Palsy

Hansen, L.; Erhardsen, K.; Bencke, Jesper; Magnusson, S. Peter; Curtis, Derek John

doi:10.1080/01942638.2017.1337662

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…Thus, video review is also a valid medium for scoring pediatric patient performance on a motor capacity scale. 29 Third, item rating variability may reflect differences in interpretation of scoring instructions. Though all raters completed and passed a standardized training course for scoring the Pediatric NRS, identifying scoring nuances may be helpful.…”

Section: Discussionmentioning

confidence: 99%

Interrater Reliability of the Pediatric Neuromuscular Recovery Scale for Spinal Cord Injury

Behrman

Trimble

Argetsinger

et al. 2019

Topics in Spinal Cord Injury Rehabilitation

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Background: In synergy with the mounting scientific evidence for the capacity of recovery after spinal cord injury (SCI) and training, new evidence-based therapies advancing neuromuscular recovery are emerging. There is a parallel need for outcome instruments that specifically address recovery. The Pediatric Neuromuscular Recovery Scale (Pediatric NRS) is one example with established content validity to assess neuromuscular capacity within task performance. Objective: The objective of this study was to determine interrater reliability of the Pediatric NRS to classify motor capacity in children after SCI. Methods: Pediatric physicians (3), occupational therapists (5), and physical therapists (6) received standardized training in scoring the scale, then rated video assessments of 32 children post SCI, 2–12 years of age, 78% non-ambulatory. Interrater reliability was analyzed using Kendall coefficient of concordance for individual Pediatric NRS items and overall score. Results: The interrater reliability coefficient was determined to be near 1 for the overall Pediatric NRS score (ICC = 0.966; 95% CI, 0.89–0.98). Twelve of 16 individual items exhibited high concordance coefficients (Kendall's W ≥ 0.8) and four items demonstrated concordance coefficients, < 0.8 and > 0.69. Interrater reliability was equivalent among groups defined by age and neurological level, but lower among non-ambulatory individuals. Conclusion: Strong interrater reliability was demonstrated by pediatric clinicians who scored children with SCI using the Pediatric NRS.

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Section: Discussionmentioning

confidence: 99%

Interrater Reliability of the Pediatric Neuromuscular Recovery Scale for Spinal Cord Injury

Behrman

Trimble

Argetsinger

et al. 2019

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

show abstract

“…A higher score means better trunk control. The intra- and inter-rater reliabilities of SATCo were 0.98 and 0.84, respectively [ 28 ]. We recorded the video of the SATCo process using Galaxy Tab S3 (Samsung, Seoul, Korea) placed on the right side (distance, 3 m; height, 0.7 m) and behind (distance, 1 m; height, 0.5 m) each participant.…”

Section: Methodsmentioning

confidence: 99%

Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled Trial

Sung

2022

Children

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(1) Background: Decreased trunk stability is accompanied by delay in motor development in children with central hypotonia. We investigated the effect of Vojta therapy on trunk control in the sitting position in children with central hypotonia. (2) Methods: In 20 children with central hypotonia, Vojta therapy was applied to the experimental group (n = 10) and general physical therapy to the control group (n = 10). The intervention was applied for 30 min per session, three times a week, for a total of six weeks. We assessed abdominal muscle thickness, trunk control (segmental assessment of trunk control), trunk angle and trunk sway in a sitting position, and gross motor function measure-88. (3) Results: In the experimental group, the thicknesses of internal oblique and transversus abdominis were significantly increased (p < 0.05). The segmental assessment of trunk control score was significantly increased (p < 0.05), and the trunk sway significantly decreased (p < 0.05). Gross motor function measure-88 was significantly increased (p < 0.05). (4) Conclusions: Vojta therapy can be suggested as an effective intervention method for improving trunk control and gross motor function in children with central hypotonia.

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“…15,46 The SATCo demonstrates excellent inter-and intrarater reliability, as well as reliability for live to video review for children with cerebral palsy (9 months to 16 years). 47 Responsiveness and sensitivity of the SATCo is also excellent in the pediatric population with SCI age 17 months to 11 years. 16 Detailed instructions for conducting and scoring the SATCo have been reported.…”

Section: Capacity Outcome Measuresmentioning

confidence: 97%

Activity-Based Therapy Targeting Neuromuscular Capacity After Pediatric-Onset Spinal Cord Injury

Behrman

Argetsinger

Roberts

et al. 2019

Topics in Spinal Cord Injury Rehabilitation

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Background: Activity-based therapies aim to improve neuromuscular capacity after spinal cord injury (SCI). Objective: The purpose of this prospective study was to report the impact of Activity-based Locomotor Training (AB-LT) on neuromuscular capacity in pediatric patients with SCI. Methods: Participants were enrolled for their first episode of AB-LT for a minimum of 60 daily, 1.5-hour sessions. The Segmental Assessment of Trunk Control (SATCo) and the Pediatric Neuromuscular Recovery Scale (Pediatric NRS) were assessed initially, every 20 sessions, and post 60 sessions. Results: Twenty-six consecutive patients, mean age 5 years (SD = 3), completed a mean 55 sessions (SD = 4) within 63 weekdays (SD = 9). The Pediatric NRS total score improved significantly, adjusted mean 11.4, from initial to post-60 sessions (p < .05) with an average adjusted evaluation-toevaluation 3.7 change. SATCo scores improved significantly across 60 sessions, mean change 5.2, an estimated 1.7 change between evaluations (p < .05). Age at enrollment and chronicity had no effect; however, initial neuromuscular capacity scores were negatively correlated with change scores (p < .05). Conclusion: Sixty AB-LT sessions significantly improved trunk and neuromuscular capacity in children with SCI, regardless of age or chronicity at enrollment. Patients with lower initial scores made greater improvements than patients with higher initial neuromuscular capacity. Anecdotal parent reports of their child's functional change in the home and community highlight the synergy between quantitative change in neuromuscular capacity and meaningful, improved quality of life and the need for formal investigation of this relationship.

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The Reliability of the Segmental Assessment of Trunk Control (SATCo) in Children with Cerebral Palsy

Abstract: SATCo is a clinically applicable assessment tool. Relative reliability is excellent and absolute agreement is good. Modifications regarding testing method could potentially improve the reliability and the value of the test in research and in clinical practice.

Cited by 13 publications

References 16 publications

Interrater Reliability of the Pediatric Neuromuscular Recovery Scale for Spinal Cord Injury

Interrater Reliability of the Pediatric Neuromuscular Recovery Scale for Spinal Cord Injury

Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled Trial

Activity-Based Therapy Targeting Neuromuscular Capacity After Pediatric-Onset Spinal Cord Injury

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