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Hemiplegic Cerebral Palsy (hemiplegic + cerebral_palsy)
Selected AbstractsPsychometric properties of the Pediatric Motor Activity Log used for children with cerebral palsyDEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 3 2009MARGARET WALLEN MA BAPPSC(OT) The Pediatric Motor Activity Log (PMAL) is a parent-report measure of the use, by children with hemiplegic cerebral palsy (CP), of their affected upper limb in everyday activities. The aim of this study was to examine the psychometric properties of both scales of the PMAL (,How Often' and ,How Well' scales) using Rasch measurement modelling. Sixty-one parents of children with hemiplegic CP completed the PMAL and 31 completed it again 3 weeks later. The mean age of children was 4 years 6 months (SD 1y 9mo); 35 males, 26 females. Children were at Gross Motor Function Classification System (GMFCS) levels I (83%) and II (17%), and Manual Ability Classification System levels I (35%), II (52%), and III (14%). The original scales were found to have disordered rating scale structure. Further Rasch modelling with collapsed rating scale structures resulted in both scales conforming to the expectations of the Rasch model, yielding strong evidence for construct validity and reliability. One item from the How Often scale failed to conform to Rasch expectations and was deleted in subsequent analyses. Test,retest reliability of both scales was high (the intraclass correlation coefficient for the How Often scale was 0.94, and for the How Well scale 0.93). The revised scales possess good psychometric properties, specifically a logical item hierarchy, evidence of unidimensionality, adequate rating scale structure, and good test,retest reliability. We conclude that the revised PMAL has the capacity to yield valid and reliable scores except for children at the extremes of upper limb ability. [source] Is thrombophilia a factor in the development of hemiplegic cerebral palsy?DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 11 2001Robert A Smith MD FRCP FRCPCH A population-based study of children with hemiplegic cerebral palsy (CP) was performed to investigate whether thrombophilic tendencies are implicated in the aetiology of the condition. Thirty-eight children (23 males, 15 females; mean age 8.7 years, SD 4.1 years) with hemiplegic CP were ascertained. Twenty-seven children(18 males, nine females; mean age 8.4 years, SD 4.3) gave consent for inclusion. The non-study group comprised five males and six females; mean age 9.4 years, SD 4.1. In six children, seven thrombophilic,abnormalities'were identified. Five of these abnormalities were of an equivocal nature and probably did not represent true clinical thrombophilia; reasons for this interpretation are discussed. Contrary to other published non-population-based studies, we have not shown an association between thrombophilia and hemiplegic CP. More studies, including maternal studies, are required to explore this complex subject further. [source] The Assisting Hand Assessment is a reliable and valid measure of assessing hand function for children with hemiplegic cerebral palsy and obstetric brachial plexus palsyAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 4 2009Karen Urlic No abstract is available for this article. [source] Preliminary evidence suggests that hand,arm bimanual intensive therapy (HABIT) improves bimanual upper limb performance in children with mild to moderate hemiplegic cerebral palsyAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 1 2009Margaret Wallen No abstract is available for this article. [source] | ||||||||||