The assessment of grip strength in preschool-aged children with and without unilateral cerebral palsy.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-06-04 DOI:10.1080/09638288.2025.2512586

Griet Dequeker, Emma Detobel, Ellen Dillen, Marie Heymans, Lize Kleeren, Els Ortibus, Lisa Mailleux

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引用次数: 0

Abstract

Purpose: To investigate reliability and validity of two grip strength devices in children with and without unilateral cerebral palsy (uCP) aged 2-6 years.

Method: We assessed grip strength in 20 pre-school-aged children with predominantly spastic uCP (mean age 4y0 ± 1y2m) and 20 age-matched children without uCP (mean age 3y11m ± 1y3m) using the Martin Vigorimeter and MyoGrip to investigate test-retest reliability (intraclass correlation coefficients; ICC), known-group validity (comparative statistics) and convergent validity (correlation analyses) in a cross-sectional design.

Results: In both groups, test-retest reliability was excellent for both devices and both hands (ICC 0.91-0.97). Grip strength of the non-preferred hand was lower in children with uCP for both devices (p < 0.001). Grip strength was decreased in the non-preferred compared to the preferred hand in children with uCP for both devices (p < 0.001). In children without uCP, grip strength was lower in the non-preferred compared to the preferred hand only for the MyoGrip (p = 0.02). The relation between both devices for both hands was good to very high (r = 0.62-0.92, p < 0.007).

Conclusion: Both devices can be implemented in clinical practice to assess grip strength in preschool-aged children with uCP. Only the MyoGrip detected differences between both hands in children without uCP and might be more sensitive.

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学龄前儿童单侧脑瘫和非单侧脑瘫的握力评估。

目的：探讨两种握力装置在2 ~ 6岁单侧脑瘫（uCP）患儿中的信度和效度。方法：采用Martin Vigorimeter和MyoGrip对20例以痉挛性uCP为主的学龄前儿童（平均年龄4岁±1岁2米）和20例年龄匹配的无uCP儿童（平均年龄3岁11米±1岁3米）的握力进行评估，研究重测信度(类内相关系数；在横断面设计中，已知组效度（比较统计）和收敛效度（相关分析）。结果：两组设备和双手的重测信度均极好（ICC 0.91-0.97）。两种设备的uCP患儿非首选手的握力较低（p p p = 0.02）。结论：两种仪器均可应用于学龄前uCP患儿握力评估。只有MyoGrip检测到没有uCP的儿童双手之间的差异，可能更敏感。

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

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.