Article

Assessing impaired selective voluntary movement control in children with
cerebral palsy (CP) has gained increasing interest. We investigated construct
validity and intra- and interrater reliability of the Selective Control
Assessment of the Lower Extremity (SCALE). METHOD: Thirty-nine children (21
males, 18 females) with spastic CP, mean age 12 years 6 months [range 6y 11mo-19y
9mo], Gross Motor Function Classification System (GMFCS) levels I to IV,
participated. Differences in SCALE scores were determined on joint levels and
between patients categorized according to their limb distribution and GMFCS
levels. SCALE scores were correlated with the Fugl-Meyer Assessment, Manual
Muscle Test, and Modified Ashworth Scale. To determine reliability, the SCALE was
applied once and recorded on video. RESULTS: SCALE scores differed significantly
between the less and more affected leg (p<0.001) and between most leg joints.
Total SCALE scores differed significantly between GMFCS levels I and II.
Correlations with Fugl-Meyer Assessment, Manual Muscle Test, and Modified
Ashworth Scale were 0.88, 0.88, and -0.55 respectively. Intraclass correlation
coefficients were all above 0.9, with the minimal detectable change below 2
points. INTERPRETATION: The SCALE appears to be a valid and reliable tool to
assess selective voluntary movement control of the legs in children with spastic CP.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS