Marco Tofani1, Giulia Blasetti G1, Luca Lucibello2, Maurizio Sabbadini1, Anna Berardi3, Giovanni Galeoto4, Debra Field5, Enrico Castelli1. 1. Neurorehabilitation Unit, Department of Intensive Neurorehabilitation and Robotics, Bambino Gesù Children's Hospital IRCCS, Rome, Italy. 2. Department of Research & Innovation, ITOP Officine Ortopediche, Palestrina, RM, Italy. 3. Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy. 4. Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy. 5. Sunny Hill Health Centre for Children, Vancouver, British Columbia, Canada.
Abstract
BACKGROUND: Seating interventions are part of the postural management program recommended for children with Cerebral Palsy (CP) who are nonambulatory or have difficulty in walking. The lack of validated outcome measures for assessing seating interventions limits access to obtain valid and comparable data internationally. OBJECTIVE: To translate the Seated Postural Control Measure (SPCM) into Italian and assess reliability and validity of the translated measure in a population of children with CP. STUDY DESIGN: Cross-sectional and repeated measures study. METHODS: The original version of the SPCM was translated and culturally adapted by a multidisciplinary team according to international guidelines. Internal consistency was examined with Cronbach's alpha. Both inter- and intrarater reliabilities were estimated using intraclass correlation coefficients with 95% confidence intervals. Intrarater reliability was estimated over a 1-week period. Convergent construct validity was investigated by comparing SPCM values with the Level of Sitting Scale, the Gross Motor Function Classification System, and the Manual Ability Classification System using Pearson's correlation coefficients. RESULTS: The Italian version of the SPCM (IT-SPCM) was evaluated on 72 children with CP aged 4-18 years. Cronbach's alpha was 0.83, 0.95, and 0.93 for IT-SPCM alignment subscale, IT-SPCM functioning subscale, and total score, respectively. Reliability for IT-SPCM total score was high for both inter- and intrarater reliabilities (0.95 and 0.93). The IT-SPCM total score was moderately correlated with the Level of Sitting Scale (0.37), Gross Motor Function Classification System (-0.41), and Manual Ability Classification System (-0.56). CONCLUSION: Preliminary evidence supports the reliability and validity of using IT-SPCM with a population of children with CP.
BACKGROUND: Seating interventions are part of the postural management program recommended for children with Cerebral Palsy (CP) who are nonambulatory or have difficulty in walking. The lack of validated outcome measures for assessing seating interventions limits access to obtain valid and comparable data internationally. OBJECTIVE: To translate the Seated Postural Control Measure (SPCM) into Italian and assess reliability and validity of the translated measure in a population of children with CP. STUDY DESIGN: Cross-sectional and repeated measures study. METHODS: The original version of the SPCM was translated and culturally adapted by a multidisciplinary team according to international guidelines. Internal consistency was examined with Cronbach's alpha. Both inter- and intrarater reliabilities were estimated using intraclass correlation coefficients with 95% confidence intervals. Intrarater reliability was estimated over a 1-week period. Convergent construct validity was investigated by comparing SPCM values with the Level of Sitting Scale, the Gross Motor Function Classification System, and the Manual Ability Classification System using Pearson's correlation coefficients. RESULTS: The Italian version of the SPCM (IT-SPCM) was evaluated on 72 children with CP aged 4-18 years. Cronbach's alpha was 0.83, 0.95, and 0.93 for IT-SPCM alignment subscale, IT-SPCM functioning subscale, and total score, respectively. Reliability for IT-SPCM total score was high for both inter- and intrarater reliabilities (0.95 and 0.93). The IT-SPCM total score was moderately correlated with the Level of Sitting Scale (0.37), Gross Motor Function Classification System (-0.41), and Manual Ability Classification System (-0.56). CONCLUSION: Preliminary evidence supports the reliability and validity of using IT-SPCM with a population of children with CP.
Authors: Martina Ruffini; Anna Berardi; Anna Benvenuti; Isabelle Beaudry-Bellefeuille; Marco Tofani; Giovanni Galeoto; Donatella Valente Journal: Children (Basel) Date: 2022-07-14
Authors: Ester Mignolli; Alessia Scialpi; Donatella Valente; Anna Berardi; Giovanni Galeoto; Marco Tofani Journal: Int J Environ Res Public Health Date: 2022-08-16 Impact factor: 4.614