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Titre : | Feasibility, Validity, and Reliability of Lower Limb Tactile and Body Awareness Assessments in Children With Upper Motor Neuron Lesions (2023) |
Auteurs : | Petra Marsico ; Lea Meier ; Marietta L. van der Linden ; Tom H. Mercer ; Hubertus J. A. van Hedel |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 9, 2023) |
Article en page(s) : | p. 1447-1455 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.02.017 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Image du corps ; Mesures des résultats rapportés par les patients (PROM) ; Paralysie cérébrale ; Perception ; Psychométrie ; Réadaptation ; Seuils sensoriels ; Toucher (sens) |
Résumé : | Objective To investigate the feasibility, discriminative and convergent validity, and inter-rater reliability of a lower limb tactile function and 2 body awareness assessments in children with upper motor neuron (UMN) lesions. Design Cross-sectional psychometric study. Setting Pediatric rehabilitation center. Participants Forty individuals with UMN lesions (mean age 11.7 years, SD 3.4 years; 27 girls) and 40 neurotypically developing children of the same age participated (N=80). Interventions Not applicable. Main Outcome Measures We assessed the tactile threshold (TT) with monofilaments and body awareness with tactile localization tasks (TLTs) for structural (TLTaction) and spatial (TLTperception) body representation at the foot sole. We compared the test outcomes between children with UMN lesions and neurotypically developing children with the Wilcoxon signed-rank test. Furthermore, we quantified the relations between the 3 tests with Spearman correlations (rs) and the interrater reliability with quadratic weighted kappa (?QW). Results About 80% of the children with UMN lesions perceived the tests easy to perform. The children with UMN lesions had significantly reduced somatosensory function compared with the neurotypically developing children. For the more affected leg, we found good relations between the TT and the TLTaction (rs=0.71; P<.001 and between the tlts p a fair relation tt tltperception inter-rater reliability analyses for sum scores showed almost perfect agreement more affected leg less substantial tltaction conclusion tests are feasible to assess lower limb somatosensory function in children with umn lesions. discriminative convergent validity of were confirmed. further studies should investigate responsiveness association motor these outcome measures.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001521 |