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Selective voluntary motor control measures of the lower extremity in children with upper motor neuron lesions

Recovery and trainability of impaired selective voluntary motor control
(SVMC) of the lower extremity in children with upper motor neuron lesions has
received little attention.
To facilitate an evidence-based debate about this
topic, this review evaluates the evidence level of the psychometric properties of
SVMC measures. METHOD: MEDLINE, Embase, CINAHL, PsycINFO, Scopus, Cochrane and PEDro databases were systematically searched up to July 2016. Two independent
raters scored the methodological quality in accordance to the COnsensus-based
Standards for the selection of health Measurement INstruments (COSMIN) checklist.
The overall level of evidence was scored according to Cochrane criteria. RESULTS:
We identified 3590 studies, of which 17 were included.
COSMIN scores ranged from
'poor' to 'excellent' for studies investigating measurement properties of the
Selective Motor Control test, modified Trost test, Gillette's Selective Motor
Control test, Selective Control Assessment of the Lower Extremity (SCALE),
kinematic measures, electromyography, and torque steadiness. Studies assessing
the SCALE scored highest on COSMIN items. Evidence levels for SCALE's validity
and reliability properties were moderate, while for the other SVMC measures these
ranged from unknown to moderate. Responsiveness was not assessed. INTERPRETATION:
Further psychometric studies of SVMC measures are needed to provide a scientific
contribution to the ongoing debate of SVMC trainability.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS

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