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Reliability and minimal detectable change of the Challenge , an advanced motor skills test for children with cerebral palsy, Danish version.
- Source :
-
Disability and rehabilitation [Disabil Rehabil] 2022 Aug; Vol. 44 (16), pp. 4485-4492. Date of Electronic Publication: 2021 May 06. - Publication Year :
- 2022
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Abstract
- Purpose: To translate and cross-culturally adapt the Challenge , and investigate the reliability and minimal detectable change (MDC) of the Danish Challenge in children with cerebral palsy (CP).<br />Materials and Methods: A Danish version of the Challenge was created through a standardized translation process. Four physiotherapists evaluated face validity. Independently ambulatory children with CP were tested. Live performance rating was conducted by assessors independently scoring the Challenge . Video-rating was undertaken for a subset of assessments. Same day assessment test-retest reliability was estimated. The Challenge 's Best Score Total was of primary interest.<br />Results: Forty-five children (5-18 years: mean 10 years 9 months; 19 girls) in Gross Motor Function Classification System levels I and II were tested. Inter-rater reliability was excellent for live assessments ( n = 45) ICC = 0.998 (95% CI 0.998-0.999) and video assessments ( n = 15) ICC = 0.991 (95% CI 0.963-0.997) and intra-rater reliability was excellent for live versus video-recorded assessments ( n = 10) ICC = 0.977 (95% CI 0.895-0.994). Test-retest reliability ( n = 22) was excellent with ICC = 0.991 (95% CI 0.979-0.996) and minimal detectable change (MDC <subscript>90</subscript> ) of 4.7 points.<br />Conclusions: The Danish Challenge showed excellent reliability in this testing context when physiotherapists scored from live- or video-recorded assessments. The Challenge 's ability to detect 4.7 points change seems a clinically realistic target for progress. Clinical trial registration: This trial has been approved by the Data Protection Agency, Central Region Denmark, Ref nr.: 615216, Case nr.: 1-16-02-46-16. Registration date: 01-01-2016.Implications for rehabilitationThe Challenge remained reliable and maintained a promising minimal detectable change of less than five points after translation and cultural adaptation.The Danish version of the Challenge 20-item version can be used to measure advanced motor skill performance in children with cerebral palsy, GMFCS level I and GMFCS level II. Challenge live scoring is as reliable as the more time-consuming video-recorded scoring, meaning that physiotherapists can choose the method that fits best with their clinical context and preference.
Details
- Language :
- English
- ISSN :
- 1464-5165
- Volume :
- 44
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Disability and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 33955308
- Full Text :
- https://doi.org/10.1080/09638288.2021.1906332