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Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy

Dyskinetic cerebral palsy (DCP) is characterised by involuntary movements, and the movement patterns of children with DCP have not been extensively studied during upper limb tasks. The aim of this study is to evaluate psychometric properties of upper limb kinematics in participants with DCP and typi...

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Autores principales: Vanmechelen, Inti, Bekteshi, Saranda, Konings, Marco, Feys, Hilde, Desloovere, Kaat, Aerts, Jean-Marie, Monbaliu, Elegast
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9506636/
https://www.ncbi.nlm.nih.gov/pubmed/36149848
http://dx.doi.org/10.1371/journal.pone.0266294
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author Vanmechelen, Inti
Bekteshi, Saranda
Konings, Marco
Feys, Hilde
Desloovere, Kaat
Aerts, Jean-Marie
Monbaliu, Elegast
author_facet Vanmechelen, Inti
Bekteshi, Saranda
Konings, Marco
Feys, Hilde
Desloovere, Kaat
Aerts, Jean-Marie
Monbaliu, Elegast
author_sort Vanmechelen, Inti
collection PubMed
description Dyskinetic cerebral palsy (DCP) is characterised by involuntary movements, and the movement patterns of children with DCP have not been extensively studied during upper limb tasks. The aim of this study is to evaluate psychometric properties of upper limb kinematics in participants with DCP and typically developing (TD) participants. In current repeatability and validity study, forty individuals with typical development (n = 20) and DCP (n = 20) performed a reach forward/sideways and a reach and grasp task during motion analysis on two occasions. Joint angles at point of task achievement (PTA) and spatio-temporal parameters were evaluated within-and between-sessions using intra-class correlation coefficients (ICC) and standard error of measurement (SEM). Independent t-tests/Mann-Whitney-U tests were used to compare parameters between groups. Within-session ICC values ranged from 0.45 to 1.0 for all parameters for both groups. Within-session SEM values ranged from 1.1° to 11.7° for TD participants and from 1.9° to 13.0° for participants with DCP. Eight within-session repetitions resulted in the smallest change in ICC and SEM values for both groups. Within-session variability was higher for participants with DCP in comparison with the TD group for the majority of the joint angles and spatio-temporal parameters. Intrinsic variability over time was small for all angles and spatio-temporal parameters, whereas extrinsic variability was higher for elbow and scapula angles. Between-group differences revealed lower shoulder adduction and higher elbow flexion, pronation and wrist flexion, as well as higher trajectory deviation and a lower maximal velocity for participants with DCP. This is the first study to assess the psychometric properties of upper limb kinematics in children and adolescents with DCP, showing that children with DCP show higher variability during task execution, requiring a minimum of eight repetitions. However, their variable movement pattern can be reliably captured within-and between-sessions, confirming the potential of three-dimensional motion analysis for assessment of rehabilitation interventions in DCP.
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spelling pubmed-95066362022-09-24 Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy Vanmechelen, Inti Bekteshi, Saranda Konings, Marco Feys, Hilde Desloovere, Kaat Aerts, Jean-Marie Monbaliu, Elegast PLoS One Research Article Dyskinetic cerebral palsy (DCP) is characterised by involuntary movements, and the movement patterns of children with DCP have not been extensively studied during upper limb tasks. The aim of this study is to evaluate psychometric properties of upper limb kinematics in participants with DCP and typically developing (TD) participants. In current repeatability and validity study, forty individuals with typical development (n = 20) and DCP (n = 20) performed a reach forward/sideways and a reach and grasp task during motion analysis on two occasions. Joint angles at point of task achievement (PTA) and spatio-temporal parameters were evaluated within-and between-sessions using intra-class correlation coefficients (ICC) and standard error of measurement (SEM). Independent t-tests/Mann-Whitney-U tests were used to compare parameters between groups. Within-session ICC values ranged from 0.45 to 1.0 for all parameters for both groups. Within-session SEM values ranged from 1.1° to 11.7° for TD participants and from 1.9° to 13.0° for participants with DCP. Eight within-session repetitions resulted in the smallest change in ICC and SEM values for both groups. Within-session variability was higher for participants with DCP in comparison with the TD group for the majority of the joint angles and spatio-temporal parameters. Intrinsic variability over time was small for all angles and spatio-temporal parameters, whereas extrinsic variability was higher for elbow and scapula angles. Between-group differences revealed lower shoulder adduction and higher elbow flexion, pronation and wrist flexion, as well as higher trajectory deviation and a lower maximal velocity for participants with DCP. This is the first study to assess the psychometric properties of upper limb kinematics in children and adolescents with DCP, showing that children with DCP show higher variability during task execution, requiring a minimum of eight repetitions. However, their variable movement pattern can be reliably captured within-and between-sessions, confirming the potential of three-dimensional motion analysis for assessment of rehabilitation interventions in DCP. Public Library of Science 2022-09-23 /pmc/articles/PMC9506636/ /pubmed/36149848 http://dx.doi.org/10.1371/journal.pone.0266294 Text en © 2022 Vanmechelen et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Vanmechelen, Inti
Bekteshi, Saranda
Konings, Marco
Feys, Hilde
Desloovere, Kaat
Aerts, Jean-Marie
Monbaliu, Elegast
Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
title Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
title_full Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
title_fullStr Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
title_full_unstemmed Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
title_short Psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
title_sort psychometric properties of upper limb kinematics during functional tasks in children and adolescents with dyskinetic cerebral palsy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9506636/
https://www.ncbi.nlm.nih.gov/pubmed/36149848
http://dx.doi.org/10.1371/journal.pone.0266294
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