Feasibility, Validity, and Reliability of the Virtual CMT Infant Toddler Scale (vCMTInfS): A Remote Evaluation of Infants/Toddlers With CMT

IF 3.9 3区医学 Q1 CLINICAL NEUROLOGY

Journal of the Peripheral Nervous System Pub Date : 2025-05-20 DOI:10.1111/jns.70029

Rosemary Shy, Amanda Dragon, Shawna M. E. Feely, Gabrielle Donlevy, Kayla Cornett, Melissa Mandarakas, Tim Estilow, Joshua Burns, Michael E. Shy

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引用次数: 0

Abstract

Background and Aims

The CMT Infant Scale (CMTInfS) enables evaluation of infants/toddlers in clinic. Our aim was to evaluate the feasibility, reliability, and validity of a virtual version of the CMTInfS (vCMTInfS).

Methods

Children aged 55 months or less were evaluated either in clinic using CMTInfS or remotely via telemedicine using the vCMTInfS. A trained clinical evaluator remotely directed activities with assistance from the parent/caregiver. vCMTInfS scores were calculated using the CMTInfS calculator available at www.ClinicalOutcomeMeasures.org. Clinical evaluators also used the Brazelton Neonatal Behavior assessment scale to give insight into the behavior of the child during the exam.

Results

Twenty children (10 males and 10 females) aged 6–55 months with confirmed or at risk for CMT were evaluated. The mean in person (IP) CMT Infant and Toddler Scale (CMTInfS) raw score (4.11, SD = 2.76) was not significantly different from the mean initial virtual (V1) CMTInfS raw score (3.78, SD = 2.59) using a two-tailed test (t = 1.000, p = 0.347). Differences between the first and second (V2) visits as well as between the IP and V2 visits were also nonsignificant.

Interpretation

Our data demonstrate that children aged 55 months or less can be effectively evaluated remotely using the vCMTInfS, which will expand the number of very young children who can be evaluated with rare forms of CMT.

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虚拟CMT婴幼儿量表（vCMTInfS）的可行性、效度和信度：对CMT婴幼儿的远程评估

背景与目的CMT婴儿量表（CMTInfS）用于临床对婴幼儿进行评估。我们的目的是评估虚拟版本的CMTInfS （vCMTInfS）的可行性、可靠性和有效性。方法对55月龄及以下的儿童进行临床和远程评估，分别采用CMTInfS和vCMTInfS。训练有素的临床评估员在父母/照顾者的协助下远程指导活动。vCMTInfS分数是使用可在www.ClinicalOutcomeMeasures.org上获得的CMTInfS计算器计算的。临床评估人员还使用Brazelton新生儿行为评估量表来深入了解孩子在考试期间的行为。结果对20例6-55月龄确诊或有CMT风险的儿童（男10名，女10名）进行了评估。使用双尾检验（t = 1.000, p = 0.347），面对面CMT婴幼儿量表（CMTInfS）原始得分均值（4.11,SD = 2.76）与初始虚拟（V1） CMTInfS原始得分均值（3.78,SD = 2.59）无显著差异。第一次和第二次（V2）访问之间以及IP和V2访问之间的差异也不显著。我们的数据表明，55个月以下的儿童可以使用vCMTInfS进行有效的远程评估，这将扩大可以用罕见形式的CMT评估非常年幼的儿童的数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Peripheral Nervous System 医学-临床神经学

CiteScore

6.10

自引率

7.90%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of the Peripheral Nervous System is the official journal of the Peripheral Nerve Society. Founded in 1996, it is the scientific journal of choice for clinicians, clinical scientists and basic neuroscientists interested in all aspects of biology and clinical research of peripheral nervous system disorders. The Journal of the Peripheral Nervous System is a peer-reviewed journal that publishes high quality articles on cell and molecular biology, genomics, neuropathic pain, clinical research, trials, and unique case reports on inherited and acquired peripheral neuropathies. Original articles are organized according to the topic in one of four specific areas: Mechanisms of Disease, Genetics, Clinical Research, and Clinical Trials. The journal also publishes regular review papers on hot topics and Special Issues on basic, clinical, or assembled research in the field of peripheral nervous system disorders. Authors interested in contributing a review-type article or a Special Issue should contact the Editorial Office to discuss the scope of the proposed article with the Editor-in-Chief.