Muscle tone assessments for children aged 0 to 12 years: a systematic review

Goo, Miran, Tucker, Kylie and Johnston, Leanne M (2018) Muscle tone assessments for children aged 0 to 12 years: a systematic review. Developmental Medicine and Child Neurology, . doi:10.1111/dmcn.13668


Author Goo, Miran
Tucker, Kylie
Johnston, Leanne M
Title Muscle tone assessments for children aged 0 to 12 years: a systematic review
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2018-02-06
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/dmcn.13668
Open Access Status DOI
Total pages 13
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract The aim of this study was to identify and examine the psychometric properties of muscle tone assessments for children aged 0 to 12 years.

Four electronic databases were searched to identify studies that included assessments of resting and/or active muscle tone. Methodological quality and overall psychometric evidence of studies were rated using the COnsensus-based Standards for the selection of health Measurement INstruments checklist.

Twenty-one assessments were identified from 97 included studies. All assessments were broad developmental assessments that included muscle tone items or subscales. Most assessments (16/21) were designed for young children (<2y). Four assessments measured resting and active tone and demonstrated at least moderate validity or reliability: the Amiel-Tison Neurological Assessment (ATNA) at term, Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS), Premie-Neuro for newborn infants, and the Hammersmith Infant Neurological Examination (HINE) for infants aged 2 months to 2 years. For children over 2 years, the Neurological Sensory Motor Developmental Assessment (NSMDA) assesses resting and active tone but has limited validity.

The ATNA at term, NNNS, Premie-Neuro, HINE, and NSMDA can assess resting and active tone in infants and/or children. Further psychometric research is required to extend reliability, validity, and responsiveness data, particularly for older children.

This is the first review of muscle tone assessments for children aged 0 to 12 years. Twenty-one assessments contain muscle tone items and 16 are for children under 2 years. Four assessments are reliable or valid to measure both resting and active tone.
Formatted abstract
AIM: The aim of this study was to identify and examine the psychometric properties ofmuscle tone assessments for children aged 0 to 12 years.

METHOD: Four electronic databases were searched to identify studies that includedassessments of resting and/or active muscle tone. Methodological quality and overallpsychometric evidence of studies were rated using the COnsensus-based Standards for theselection of health Measurement INstruments checklist.

RESULTS: Twenty-one assessments were identified from 97 included studies. All assessmentswere broad developmental assessments that included muscle tone items or subscales. Mostassessments (16/21) were designed for young children (<2y). Four assessments measuredresting and active tone and demonstrated at least moderate validity or reliability: the Amiel-Tison Neurological Assessment (ATNA) at term, Neonatal Intensive Care Unit NetworkNeurobehavioral Scale (NNNS), Premie-Neuro for newborn infants, and the HammersmithInfant Neurological Examination (HINE) for infants aged 2 months to 2 years. For childrenover 2 years, the Neurological Sensory Motor Developmental Assessment (NSMDA) assessesresting and active tone but has limited validity.

INTERPRETATION: The ATNA at term, NNNS, Premie-Neuro, HINE, and NSMDA can assessresting and active tone in infants and/or children. Further psychometric research is requiredto extend reliability, validity, and responsiveness data, particularly for older children.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Biomedical Sciences Publications
School of Health and Rehabilitation Sciences Publications
 
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Created: Wed, 14 Feb 2018, 11:10:28 EST