Cerebral Palsy
Conditions
Keywords
lower limb
Brief summary
The aim of the study was to determine construct validity, discriminant validity and intra- and interrater reliability of the Selective Control Assessment of the Lower Extremity ( SCALE).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of spastic cerebral palsy, * age between 4 and 18 years, * ability to follow simple instructions. * ability to walk (GMFCS levels I-IV),
Exclusion criteria
* unstable situation regarding their tonus-regulating medications * orthopedic intervention or surgical correction within the last year, * botulinum toxin injection within the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Selective Control Assessment of the Lower Extremity | 15 minutes | SCALE examines SVMC in children with spastic CP. The SCALE tool assesses hip, knee, ankle, subtalar, and toe joints bilaterally.The SCALE tool assigns each joint a score from 0 to 2 points: 2 points, normal; 1 point, impaired; and 0 points, unable. The SCALE score is the sum of scoresfor each joint and assumes a 10 point maximum per limb. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gross Motor Function Classification System (GMFCS) | 2 minutes | The GMFCS describes gross motor function in children with CP. It focuses on self-initiated movements, in particular sitting and walking. It is an age-related five-level system in which level I represents the least limitation and level V the most. |
| Gross Motor Function Measurement (GMFM) | 15 minutes | Gross Motor Function Measurement evaluates motor functions in children with Cerebral Palsy. There is 88 items under 5 subdimensions (lying and rolling, sitting, crawling and kneeling, standing, walking-running-jumping. GMFM has a 4-point scoring system for each item. The higher the child gets, the more successful the child is in gross motor functions. |
| Modified Ashworth Scale (MAS) | 5 minutes | Tone of lower extremity muscles will be assessed with Modified Ashworth Scale. The spasticity of each muscle ranged between 0 to 5. 0 means no increase in muscle tonus while 5 means that the joint is rigid due to the increase in excess tonus. |
| The Physicians' Rating Scale (PRS) | 5 minutes | The Physicians' Rating Scale is an observational tool that has been used to evaluate gait. PRS is assesses gait in the sagittal plane. |
Countries
Turkey (Türkiye)