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{Windmill-task as a New Quantitative and Objective Assessment for Mirror Movements in Unilateral Cerebral Palsy: A Pilot Study}
Publicatietype: Artikel
Citatie: Zielinski2018
Tijdschrift: Archives of Physical Medicine and Rehabilitation
Deel: 99
Nummer: 8
Jaar: 2018
Pagina's: 1547--1552
ISSN: 1532821X
ISBN: 0003-9993
DOI: 10.1016/j.apmr.2018.01.035
Samenvatting: Objective: To introduce the Windmill-task, a new objective assessment tool to quantify the presence of mirror movements (MMs) in children with unilateral cerebral palsy (UCP), which are typically assessed with the observation-based Woods and Teuber scale (W{\&}T). Design: Prospective, observational, cohort pilot study. Setting: Children's hospital. Participants: Prospective cohort of children (N=23) with UCP (age range, 6–15y, mean age, 10.5±2.7y). Interventions: Not applicable. Main Outcome Measures: The concurrent validity of the Windmill-task is assessed, and the sensitivity and specificity for MM detection are compared between both assessments. To assess the concurrent validity, Windmill-task data are compared with W{\&}T data using Spearman rank correlations ($\rho$) for 2 conditions: affected hand moving vs less affected hand moving. Sensitivity and specificity are compared by measuring the mean percentage of children being assessed inconsistently across both assessments. Results: Outcomes of both assessments correlated significantly (affected hand moving: $\rho$=.520; P=.005; less affected hand moving: $\rho$=.488; P=.009). However, many children displayed MMs on the Windmill-task, but not on the W{\&}T (sensitivity: affected hand moving: 27.5{\%}; less affected hand moving: 40.6{\%}). Only 2 children displayed MMs on the W{\&}T, but not on the Windmill-task (specificity: affected hand moving: 2.9{\%}; less affected hand moving: 1.4{\%}). Conclusions: The Windmill-task seems to be a valid tool to assess MMs in children with UCP and has an additional advantage of sensitivity to detect MMs.
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Trefwoorden: Child, Movement, Rehabilitation, Upper extremity
Auteurs Zielinski, Ingar Marie
Steenbergen, Bert
Schmidt, Anna
Klingels, Katrijn
Simon-Martinez, Cristina
de Water, Pascal
Hoare, Brian
Toegevoegd door: []
Totaalscore: 0
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