Article

This study investigated the intra- and interrater reliability of the Trunk
Control Measurement Scale (TCMS) German version, with its subscores, in children
with neuromotor disorders. Further, the discriminative validity of the TCMS was
assessed by comparing the TCMS scores with the Functional Independence Measure
for children. METHOD: Bland-Altman analyses and intraclass correlation
coefficients were applied to investigate reliability.
The discriminative ability
of the TCMS was evaluated with receiver operating characteristics. RESULTS:
Ninety children (mean age 11y 5mo; range 5y-18y 11mo) participated for the
reliability, and 50 for the discriminative validity study.
The reliability proved
to be excellent (intrarater: bias=0.57 points, 95% confidence interval [CI] -3.71
to 4.85; interrater: bias=-0.31 points, 95% CI -5.77 to 5.10).
A change in the
TCMS total score of six points (10%) can be considered a true change. The TCMS
subscores appeared to be clinically relevant because children with less than
around 80% of the static balance score, less than 55% of the dynamic reaching
score, or less than around 35% of the selective movement control score needed
support for daily life activities. INTERPRETATION: The TCMS is a reliable and
clinically relevant assessment for children aged 5 years and older with different
neurological impairments.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS