Andrea Burgess, Stina Oftedal, Roslyn N Boyd, Sarah Reedman, Stewart G Trost, Robert S Ware, Leanne Sakzewski
{"title":"使用腕戴式加速度计进行双手评估的结构有效性。","authors":"Andrea Burgess, Stina Oftedal, Roslyn N Boyd, Sarah Reedman, Stewart G Trost, Robert S Ware, Leanne Sakzewski","doi":"10.1080/01942638.2023.2207635","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the construct validity of the Both Hands Assessment (BoHA) using activity of the upper limbs as detected by accelerometry in children with bilateral cerebral palsy (CP).</p><p><strong>Methods: </strong>Observational study of children with CP (<i>n</i> = 44, <i>n</i> = 27 boys, aged 9.1 ± 1.6 years; Manual Ability Classification Scale I: <i>n</i> = 15, II: <i>n</i> = 22, III: <i>n</i> = 7) completing a BoHA assessment while wearing a triaxial accelerometer on each wrist. BoHA Each-Hand sub-scores, BoHA percentage difference between hands, BoHA Units, mean activity for each hand, mean activity asymmetry index and total mean activity were calculated. Linear regressions were used to analyze associations between measures.</p><p><strong>Results: </strong>There were significant, positive associations between BoHA Units and total mean activity (<i>B</i> = 0.86, 95%CI: 0.32, 1.40), BoHA Percentage difference between hands and mean activity asymmetry index (<i>B</i> = 0.95, 95%CI: 0.75,1.15), and BoHA Each-Hand sub-score and mean activity for the non-dominant hand (<i>B</i> = 1.71, 95%CI: 1.16, 2.28), but not the dominant hand (<i>B</i> = 0.50, 95%CI: -0.45, 1.45).</p><p><strong>Conclusions: </strong>This study provides further evidence for the construct validity of the BoHA as a measure of upper limb performance. Wearable wrist sensors such as accelerometers capture and quantify gross upper limb movement in children with CP but cannot measure fine finger movements captured by the BoHA.</p><p><strong>Clinical trials registration: </strong>Australian New Zealand Clinical Trials Registry (ACTRN12616001488493 and ACTRN12618000164291).</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"42-55"},"PeriodicalIF":1.5000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Construct Validity of the Both Hands Assessment Using Wrist-Worn Accelerometers.\",\"authors\":\"Andrea Burgess, Stina Oftedal, Roslyn N Boyd, Sarah Reedman, Stewart G Trost, Robert S Ware, Leanne Sakzewski\",\"doi\":\"10.1080/01942638.2023.2207635\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>The aim of this study was to evaluate the construct validity of the Both Hands Assessment (BoHA) using activity of the upper limbs as detected by accelerometry in children with bilateral cerebral palsy (CP).</p><p><strong>Methods: </strong>Observational study of children with CP (<i>n</i> = 44, <i>n</i> = 27 boys, aged 9.1 ± 1.6 years; Manual Ability Classification Scale I: <i>n</i> = 15, II: <i>n</i> = 22, III: <i>n</i> = 7) completing a BoHA assessment while wearing a triaxial accelerometer on each wrist. BoHA Each-Hand sub-scores, BoHA percentage difference between hands, BoHA Units, mean activity for each hand, mean activity asymmetry index and total mean activity were calculated. Linear regressions were used to analyze associations between measures.</p><p><strong>Results: </strong>There were significant, positive associations between BoHA Units and total mean activity (<i>B</i> = 0.86, 95%CI: 0.32, 1.40), BoHA Percentage difference between hands and mean activity asymmetry index (<i>B</i> = 0.95, 95%CI: 0.75,1.15), and BoHA Each-Hand sub-score and mean activity for the non-dominant hand (<i>B</i> = 1.71, 95%CI: 1.16, 2.28), but not the dominant hand (<i>B</i> = 0.50, 95%CI: -0.45, 1.45).</p><p><strong>Conclusions: </strong>This study provides further evidence for the construct validity of the BoHA as a measure of upper limb performance. Wearable wrist sensors such as accelerometers capture and quantify gross upper limb movement in children with CP but cannot measure fine finger movements captured by the BoHA.</p><p><strong>Clinical trials registration: </strong>Australian New Zealand Clinical Trials Registry (ACTRN12616001488493 and ACTRN12618000164291).</p>\",\"PeriodicalId\":49138,\"journal\":{\"name\":\"Physical & Occupational Therapy in Pediatrics\",\"volume\":\" \",\"pages\":\"42-55\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-01-01\",\"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/10.1080/01942638.2023.2207635\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/5/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical & Occupational Therapy in Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01942638.2023.2207635","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/5/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Construct Validity of the Both Hands Assessment Using Wrist-Worn Accelerometers.
Aim: The aim of this study was to evaluate the construct validity of the Both Hands Assessment (BoHA) using activity of the upper limbs as detected by accelerometry in children with bilateral cerebral palsy (CP).
Methods: Observational study of children with CP (n = 44, n = 27 boys, aged 9.1 ± 1.6 years; Manual Ability Classification Scale I: n = 15, II: n = 22, III: n = 7) completing a BoHA assessment while wearing a triaxial accelerometer on each wrist. BoHA Each-Hand sub-scores, BoHA percentage difference between hands, BoHA Units, mean activity for each hand, mean activity asymmetry index and total mean activity were calculated. Linear regressions were used to analyze associations between measures.
Results: There were significant, positive associations between BoHA Units and total mean activity (B = 0.86, 95%CI: 0.32, 1.40), BoHA Percentage difference between hands and mean activity asymmetry index (B = 0.95, 95%CI: 0.75,1.15), and BoHA Each-Hand sub-score and mean activity for the non-dominant hand (B = 1.71, 95%CI: 1.16, 2.28), but not the dominant hand (B = 0.50, 95%CI: -0.45, 1.45).
Conclusions: This study provides further evidence for the construct validity of the BoHA as a measure of upper limb performance. Wearable wrist sensors such as accelerometers capture and quantify gross upper limb movement in children with CP but cannot measure fine finger movements captured by the BoHA.
Clinical trials registration: Australian New Zealand Clinical Trials Registry (ACTRN12616001488493 and ACTRN12618000164291).
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