Validity and reliability of the Selective Control of the Upper Extremity Scale in children with upper motor neuron lesions

Lieber, Jan; Gartmann, Thomas; Keller, Jeffrey W.; Hedel, Hubertus J. A. van

doi:10.1080/09638288.2021.1881171

Cited by 6 publications

(1 citation statement)

References 26 publications

(57 reference statements)

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“…The SCUES is a body function measure and was validated in children with CP, 16 but is also valid and reliable in children with upper motor neuron lesions. 28 The SCUES has a 4-point ordinal scale. A score of 0 indicates that no selective movement is possible, whereas 3 indicates that the range of movement of the target joint exceeded 85% of the passive range, and no additional movements occurred at any other joints or the trunk.…”

Section: Methodsmentioning

confidence: 99%

Impact of Upper Extremity Impairment and Trunk Control on Self-Care Independence in Children With Upper Motor Neuron Lesions

et al. 2021

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Objective We evaluated the relative importance of different approaches measuring upper extremity selective voluntary motor control (SVMC), spasticity, strength, and trunk control for explaining self-care independence in children affected by upper motor neuron lesions. Methods Thirty-one patients (12.5 ± 3.2 years) with mild to moderate arm function impairments participated in this observational study. Self-care independence was evaluated with the Functional Independence Measure for children (WeeFIM). Upper extremity SVMC was quantified with the Selective Control of the Upper Extremity Scale (SCUES), a similarity index (SISCUES) calculated from simultaneously recorded sEMG muscle activity patterns, and an accuracy and involuntary movement score derived from an inertial-measurement-unit-based assessgame. We further applied the Trunk Control Measurement Scale (TCMS) and assessed upper extremity spasticity (Modified Ashworth Scale) and strength (dynamometry). To determine the relative importance of these factors for self-care independence, we created three regression models: one included only upper extremity SVMC measures, one upper extremity and trunk SVMC measures (overall SVMC model), and one all measures (final self-care model). Results In the upper extremity SVMC model (total variance explained 52.5%), the assessgame (30.7%) and SCUES (16.5%) were more important than the SISCUES (4.5%). In the overall SVMC model (75.0%), trunk SVMC (39.0%) was followed by the assessgame (21.1%), SCUES (11.0%), and SISCUES (4.5%). In the final self-care model (82.1%), trunk control explained 43.2%, upper extremity SVMC 23.1%, spasticity 12.3%, and strength 2.3%. Conclusion While upper extremity SVMC explains a substantial portion of self-care independence, overall trunk control was even more important. The question whether training trunk control and SVMC can translate to improved self-care independence should be the subject of future research. Impact This study highlights the importance of trunk control and SVMC for self-care independence in children with upper motor neuron lesions.

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Section: Methodsmentioning

confidence: 99%

Impact of Upper Extremity Impairment and Trunk Control on Self-Care Independence in Children With Upper Motor Neuron Lesions

et al. 2021

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Validity and reliability of selective control of upper extremity scale (SCUES) in patients with chronic stroke

Boz Sönmez,

Giray,

Atıcı

et al. 2023

Disability and Rehabilitation

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Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study

et al. 2021

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Background Impairments of selective control of joint movements can have consequences for many activities of daily life, but there are only a few interventions to improve selective voluntary motor control (SVMC). We have developed a treatment option to specifically enhance SVMC exploiting the advantages of interactive computer play technology. It targets SVMC by training selective activation of a muscle or a selective joint movement while it provides immediate feedback about involuntary muscle activations/movements at an (unwanted) joint. This study aims to investigate the effectiveness of this game-based intervention to enhance SVMC in children and youth with upper motor neuron lesions. Methods We will conduct a randomized, non-concurrent, multiple baseline design study. Patients aged between 6 and 20 years with reduced SVMC due to an upper motor neuron lesion will be included. During the baseline phase of random length, participants will attend their regular intensive rehabilitation program, and in the intervention phase, they will additionally complete 10 therapy sessions (à 40 min) of the game-based SVMC training. The primary outcome will be a short SVMC assessment conducted repeatedly throughout both phases, which quantifies movement accuracy and involuntary movements. Changes in clinical SVMC measures, muscle strength, cortical excitability, motor control of the inhibited/unwanted movement, and functional independence will be assessed as secondary outcomes. We will use a mixed-effect model to determine the change in the course of the primary outcome when the intervention is introduced, and we will compare changes between phases for secondary outcomes with paired tests. Discussion This study will provide first evidence whether SVMC can be improved with our game-based training. The single-case design takes into account the individualization required for this intervention, and it can help to address the challenges of intervention trials in our setting. Trial registration German Clinical Trials Register: DRKS00025184, registered on 28.04.2021.

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Validity and reliability of the Selective Control of the Upper Extremity Scale in children with upper motor neuron lesions

Cited by 6 publications

References 26 publications

Impact of Upper Extremity Impairment and Trunk Control on Self-Care Independence in Children With Upper Motor Neuron Lesions

Impact of Upper Extremity Impairment and Trunk Control on Self-Care Independence in Children With Upper Motor Neuron Lesions

Validity and reliability of selective control of upper extremity scale (SCUES) in patients with chronic stroke

Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study

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