Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,

Objective The aims of this study were to evaluate the reliability of three range of motion tests (Straight Leg Raise, Modified Thomas, and Duncan-Ely) using photographic measurements in children with spastic diplegic cerebral palsy (SD) and with typical development (TD). Methods A cross-sectional te...

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Main Authors: Tainá Ribas Mélo, André Luiz Félix Rodacki, Ana Tereza Bittencourt Guimarães, Vera Lúcia Israel
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502015000100013&lng=en&tlng=en
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author Tainá Ribas Mélo
André Luiz Félix Rodacki
Ana Tereza Bittencourt Guimarães
Vera Lúcia Israel
author_facet Tainá Ribas Mélo
André Luiz Félix Rodacki
Ana Tereza Bittencourt Guimarães
Vera Lúcia Israel
author_sort Tainá Ribas Mélo
collection DOAJ
description Objective The aims of this study were to evaluate the reliability of three range of motion tests (Straight Leg Raise, Modified Thomas, and Duncan-Ely) using photographic measurements in children with spastic diplegic cerebral palsy (SD) and with typical development (TD). Methods A cross-sectional test-retest design was applied to compare muscle-tendon unit shortening tests between groups. Results The tests showed reliability that ranged from good to excellent (ICC > 0.8), except for the Thomas Test for the bi-articular hip flexor muscle-tendon unit of the TD group (ICC = 0.7). Differences between groups were found in all tests (p < 0.05), except when the range of motion of the bi-articular hip flexor muscles was assessed using the Thomas test (p > 0.05). Conclusion Children with SD presents a smaller range of motion than the TD group. However, the Thomas Test for the bi-articular hip flexor muscles was unable to determine differences between children with spastic diplegic cerebral palsy from that with typical development.
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spelling doaj.art-be88cadbe692405db260851195022a702022-12-22T03:24:57ZengEditora ChampagnatFisioterapia em Movimento1980-5918281132210.1590/0103-5150.028.001.AO01S0103-51502015000100013Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,Tainá Ribas MéloAndré Luiz Félix RodackiAna Tereza Bittencourt GuimarãesVera Lúcia IsraelObjective The aims of this study were to evaluate the reliability of three range of motion tests (Straight Leg Raise, Modified Thomas, and Duncan-Ely) using photographic measurements in children with spastic diplegic cerebral palsy (SD) and with typical development (TD). Methods A cross-sectional test-retest design was applied to compare muscle-tendon unit shortening tests between groups. Results The tests showed reliability that ranged from good to excellent (ICC > 0.8), except for the Thomas Test for the bi-articular hip flexor muscle-tendon unit of the TD group (ICC = 0.7). Differences between groups were found in all tests (p < 0.05), except when the range of motion of the bi-articular hip flexor muscles was assessed using the Thomas test (p > 0.05). Conclusion Children with SD presents a smaller range of motion than the TD group. However, the Thomas Test for the bi-articular hip flexor muscles was unable to determine differences between children with spastic diplegic cerebral palsy from that with typical development.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502015000100013&lng=en&tlng=enDiplegiaRange of motionPhotographic measurementsClinical testsCerebral palsy
spellingShingle Tainá Ribas Mélo
André Luiz Félix Rodacki
Ana Tereza Bittencourt Guimarães
Vera Lúcia Israel
Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,
Fisioterapia em Movimento
Diplegia
Range of motion
Photographic measurements
Clinical tests
Cerebral palsy
title Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,
title_full Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,
title_fullStr Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,
title_full_unstemmed Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,
title_short Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,
title_sort repeatability and comparison of clinical tests in children with spastic diplegia and with typical development
topic Diplegia
Range of motion
Photographic measurements
Clinical tests
Cerebral palsy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502015000100013&lng=en&tlng=en
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