Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study.

IF 1.5 4区医学 Q2 PEDIATRICS

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-19 DOI:10.1080/01942638.2025.2498356

Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott

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引用次数: 0

Abstract

Aims: To examine the responsiveness of the Seated Postural & Reaching Control (SP&R-co) test in children with cerebral palsy (CP) classified at levels III to V on the Gross Motor Function Classification System (GMFCS).

Methods: Eleven children received a motor learning-based intervention. Expert and blinded raters scored pre- and post-intervention SP&R-co test videos. Responsiveness was measured with paired t-tests, and effect sizes with Cohen's d. Minimum Clinically Important Differences (MCIDs) were estimated for SP&R-co overall and dimension scores.

Results: The SP&R-co test was responsive to group improvement in sitting-related postural and reaching control (SP&R-co overall = 48.9 points, p < 0.001). It captured increases in the active (change = 2.4 points, p = 0.040), proactive: bimanual (change = 10.5 points, p = 0.001), proactive: unimanual (change = 19.8 points, p < 0.001), and reactive (change = 15.3 points, p = 0.016) dimensions. Most children showed overall score improvements exceeding the MCID value, whereas clinical improvements in dimension scores varied across children with different GMFCS levels.

Conclusions: This preliminary study shows that the SP&R-co test is responsive to clinical changes in postural and reaching control strategies in children with CP who can follow test directions and are classified as GMFCS levels III-V.

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脑性麻痹儿童坐位与伸手对照试验的反应性初步研究。

目的：探讨大运动功能分类系统（GMFCS） III ~ V级脑瘫（CP）患儿坐位姿势及伸手控制（SP&R-co）测试的反应性。方法：11名儿童接受运动学习干预。专家和盲法评分者对干预前和干预后的SP&R-co测试视频进行评分。响应性采用配对t检验，效应量采用Cohen’s d。SP&R-co总得分和维度得分的最小临床重要差异（MCIDs）进行估计。结果：SP&R-co测试对坐姿相关的姿势和到达控制（SP&R-co总体= 48.9分，p = 0.040）、主动：双手（变化= 10.5分，p = 0.001）、主动：单手（变化= 19.8分，p = 0.016）维度的改善有反应。大多数儿童的总体得分改善超过了mcd值，而不同GMFCS水平的儿童在维度得分方面的临床改善有所不同。结论：本初步研究表明，SP&R-co测试对符合测试指示、GMFCS等级为III-V级的CP患儿的体位和到达控制策略的临床变化有反应。

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

Physical & Occupational Therapy in Pediatrics PEDIATRICS-REHABILITATION

CiteScore

3.70

自引率

4.80%

发文量

审稿时长

>12 weeks

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