Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott
{"title":"脑性麻痹儿童坐位与伸手对照试验的反应性初步研究。","authors":"Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott","doi":"10.1080/01942638.2025.2498356","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>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).</p><p><strong>Methods: </strong>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 <i>t-</i>tests, and effect sizes with Cohen's d. Minimum Clinically Important Differences (MCIDs) were estimated for SP&R-co overall and dimension scores.</p><p><strong>Results: </strong>The SP&R-co test was responsive to group improvement in sitting-related postural and reaching control (SP&R-co overall = 48.9 points, <i>p</i> < 0.001). It captured increases in the active (change = 2.4 points, <i>p</i> = 0.040), proactive: bimanual (change = 10.5 points, <i>p</i> = 0.001), proactive: unimanual (change = 19.8 points, <i>p</i> < 0.001), and reactive (change = 15.3 points, <i>p</i> = 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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study.\",\"authors\":\"Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott\",\"doi\":\"10.1080/01942638.2025.2498356\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>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).</p><p><strong>Methods: </strong>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 <i>t-</i>tests, and effect sizes with Cohen's d. Minimum Clinically Important Differences (MCIDs) were estimated for SP&R-co overall and dimension scores.</p><p><strong>Results: </strong>The SP&R-co test was responsive to group improvement in sitting-related postural and reaching control (SP&R-co overall = 48.9 points, <i>p</i> < 0.001). It captured increases in the active (change = 2.4 points, <i>p</i> = 0.040), proactive: bimanual (change = 10.5 points, <i>p</i> = 0.001), proactive: unimanual (change = 19.8 points, <i>p</i> < 0.001), and reactive (change = 15.3 points, <i>p</i> = 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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":49138,\"journal\":{\"name\":\"Physical & Occupational Therapy in Pediatrics\",\"volume\":\" \",\"pages\":\"1-16\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physical & Occupational Therapy in Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/01942638.2025.2498356\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical & Occupational Therapy in Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01942638.2025.2498356","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study.
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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