Reproducibility of tactile assessments for children with unilateral cerebral palsy

Auld, Megan Louise, Ware, Robert S., Boyd, Roslyn Nancy, Moseley, G.Lorimer and Johnston, Leanne Marie (2012) Reproducibility of tactile assessments for children with unilateral cerebral palsy. Physical and Occupational Therapy in Pediatrics, 32 2: 151-166. doi:10.3109/01942638.2011.652804

Author Auld, Megan Louise
Ware, Robert S.
Boyd, Roslyn Nancy
Moseley, G.Lorimer
Johnston, Leanne Marie
Title Reproducibility of tactile assessments for children with unilateral cerebral palsy
Journal name Physical and Occupational Therapy in Pediatrics   Check publisher's open access policy
ISSN 0194-2638
Publication date 2012-05-01
Sub-type Article (original research)
DOI 10.3109/01942638.2011.652804
Open Access Status Not Open Access
Volume 32
Issue 2
Start page 151
End page 166
Total pages 16
Place of publication New York , NY, United States
Publisher Informa Healthcare
Language eng
Abstract A systematic review identified tactile assessments used in children with cerebral palsy (CP), but their reproducibility is unknown. Sixteen children with unilateral CP and 31 typically developing children (TDC) were assessed 2–4 weeks apart. Test–retest percent agreements within one point for children with unilateral CP (and TDC) were Semmes-Weinstein monofilaments: 75% (90%); single-point localization: 69% (97%); static two-point discrimination: 93% (97%); and moving two-point discrimination: 87% (97%). Test–retest reliability for registration and unilateral spatial tactile perception tests was high in children with CP (intraclass correlation coefficient [ICC] = 0.79–0.96). Two tests demonstrated a learning effect for children with CP, double simultaneous and tactile texture perception. Stereognosis had a ceiling effect for TDC (ICC = 0) and variability for children with CP (% exact agreement = 47%–50%). The Semmes-Weinstein monofilaments, single-point localization, and both static and moving two-point discrimination are recommended for use in practice and research. Although recommended to provide a comprehensive assessment, the measures of double simultaneous, stereognosis, and tactile texture perception may not be responsive to change over time in children with unilateral CP.
Keyword Cerebral palsy
Tactile assessment
Tactile perception
Two-point discrimination
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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