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Korka ZG, Dehkordi SN, Sohani SM, Yassin M. Validity and reliability of the Persian version of the trunk impairment scale in people with multiple sclerosis. Mult Scler Relat Disord 2024; 81:105098. [PMID: 38000131 DOI: 10.1016/j.msard.2023.105098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 10/13/2023] [Accepted: 10/21/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND In order to provide an important measuring tool for the assessment, prognosis of recovery, and treatment of people with multiple sclerosis (PWMS), the aim of this research is to examine the validity and reliability of the Trunk Impairment Scale (TIS) in Persian. METHODS The research included 105 PWMS. The TIS questionnaire was translated and culturally equivalent according to the IQOLA approach. The Intra Class Correlations (ICC) and Cronbach's alpha were used to assess the internal consistency of the questionnaire. Barthel Index (BI), Time Up and Go (TUG), Multiple Sclerosis Walking Scale-12 (MSWS-12), and Trunk Control Test (TCT) scores were correlated with the TIS score in order to assess validity. RESULTS 86 of 105 participants in this study were female. For several subscales, the ICC correlation coefficient ranged from 0.89 to 0.98. The Cronbach's alpha value of the TIS total score indicates that the TIS questionnaire has quite good internal consistency. (Cronbach's alpha=0.97). The TIS and the MSWS-12, BI, TUG, and TCT questionnaires have correlation coefficients of 0.78, 0.72, 0.60, and 0.71, respectively, indicating strong construct and concurrent validity. CONCLUSION The results of the research showed that the TIS in Persian is a relevant and reliable tool for assessing trunk abnormalities in Persian-speaking PWMS.
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Affiliation(s)
- Zahra Ghadimi Korka
- Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Shohreh Noorizadeh Dehkordi
- Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
| | - Soheil Mansour Sohani
- Iranian Center of Excellence in Physiotherapy, Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Marzieh Yassin
- Iranian Center of Excellence in Physiotherapy, Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
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López-Ruiz J, Estrada-Barranco C, Martín-Gómez C, Egea-Gámez RM, Valera-Calero JA, Martín-Casas P, López-de-Uralde-Villanueva I. Trunk Control Measurement Scale (TCMS): Psychometric Properties of Cross-Cultural Adaptation and Validation of the Spanish Version. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20065144. [PMID: 36982053 PMCID: PMC10049461 DOI: 10.3390/ijerph20065144] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 03/10/2023] [Accepted: 03/10/2023] [Indexed: 06/01/2023]
Abstract
The aim of this study was to develop a Spanish Version of the Trunk Measurement Scale (TCMS-S) to analyze its validity and reliability and determine the Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC) in children with Cerebral Palsy (CP). Participants were assessed twice 7-15 days apart with the TCMS-S and once with the Gross Motor Function Measurement-88 (GMFM-88), Pediatric Disability Inventory-Computer Adaptive Test (PEDI-CAT), Cerebral Palsy Quality of Life (CPQoL), and Gross Motor Classification System (GMFCS). Internal consistency was evaluated using Cronbach's alpha, and the intraclass correlation (ICC) and kappa coefficients were used to investigate the agreement between the assessments. Finally, 96 participants with CP were included. The TCMS-S showed excellent internal consistency (Cronbach's alpha = 0.95 [0.93 to 0.96]); was highly correlated with the GMFM-88 (rho = 0.816) and the "mobility" subscale of the PEDI-CAT (rho = 0.760); showed a moderate correlation with the "feeling about functioning" CPQoL subscale (rho = 0.576); and differentiated between the GMFCS levels. Excellent test-retest agreement was found for the total and subscale scores (ICC ≥ 0.94 [0.89 to 0.97). For the total TCMS-S score, an SEM of 1.86 and an MDC of 5.15 were found. The TCMS-S is a valid and reliable tool for assessing trunk control in children with CP.
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Affiliation(s)
- Javier López-Ruiz
- Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea of Madrid, Villaviciosa de Odón, 28670 Madrid, Spain; (J.L.-R.); (C.E.-B.)
- Doctoral Program in Healthcare, Faculty of Nursing, Physiotherapy and Podiatry. University Complutense of Madrid, 28040 Madrid, Spain
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (J.A.V.-C.); (I.L.-d.-U.-V.)
| | - Cecilia Estrada-Barranco
- Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea of Madrid, Villaviciosa de Odón, 28670 Madrid, Spain; (J.L.-R.); (C.E.-B.)
| | | | - Rosa M. Egea-Gámez
- Spinal Unit, Department of Orthopedic Surgery and Traumatology, Hospital Infantil Universitario Niño Jesús, 28009 Madrid, Spain
| | - Juan Antonio Valera-Calero
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (J.A.V.-C.); (I.L.-d.-U.-V.)
- InPhysio Research Group, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
| | - Patricia Martín-Casas
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (J.A.V.-C.); (I.L.-d.-U.-V.)
- InPhysio Research Group, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
| | - Ibai López-de-Uralde-Villanueva
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain; (J.A.V.-C.); (I.L.-d.-U.-V.)
- InPhysio Research Group, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
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Ha SY, Sung YH. Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled Trial. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9101470. [PMID: 36291406 PMCID: PMC9600195 DOI: 10.3390/children9101470] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/09/2022] [Accepted: 09/15/2022] [Indexed: 11/16/2022]
Abstract
(1) Background: Decreased trunk stability is accompanied by delay in motor development in children with central hypotonia. We investigated the effect of Vojta therapy on trunk control in the sitting position in children with central hypotonia. (2) Methods: In 20 children with central hypotonia, Vojta therapy was applied to the experimental group (n = 10) and general physical therapy to the control group (n = 10). The intervention was applied for 30 min per session, three times a week, for a total of six weeks. We assessed abdominal muscle thickness, trunk control (segmental assessment of trunk control), trunk angle and trunk sway in a sitting position, and gross motor function measure-88. (3) Results: In the experimental group, the thicknesses of internal oblique and transversus abdominis were significantly increased (p < 0.05). The segmental assessment of trunk control score was significantly increased (p < 0.05), and the trunk sway significantly decreased (p < 0.05). Gross motor function measure-88 was significantly increased (p < 0.05). (4) Conclusions: Vojta therapy can be suggested as an effective intervention method for improving trunk control and gross motor function in children with central hypotonia.
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Affiliation(s)
- Sun-Young Ha
- Department of Physical Therapy, Graduate School, Kyungnam University, Changwon 51767, Korea
| | - Yun-Hee Sung
- Department of Physical Therapy, College of Health Sciences, Kyungnam University, Changwon 51767, Korea
- Correspondence: ; Tel.: +82-55-249-6334
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Masaki M, Ogawa Y, Inagaki Y, Sato Y, Yokota M, Maruyama S, Takeuchi M, Kasahara M, Minakawa K, Okamoto M, Chiyoda Y, Mino K, Aoyama K, Nishi T, Ando Y. Association of sagittal spinal alignment in the sitting position with the trunk and lower extremity muscle masses in children and adults with cerebral palsy: A pilot study. Clin Biomech (Bristol, Avon) 2021; 90:105491. [PMID: 34597916 DOI: 10.1016/j.clinbiomech.2021.105491] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 09/18/2021] [Accepted: 09/21/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND We examined the association of sagittal spinal alignment in the sitting position with the trunk and lower extremity muscle masses in children and adults with cerebral palsy (CP). We also compared muscle masses between children and adults with CP who could and could not sit without the support of their upper extremities. METHODS The subjects were 34 children and adults with CP. Sagittal spinal alignment in the sitting position, such as thoracic kyphosis, lumbar lordosis, and sacral anterior inclination angles were measured using a Spinal Mouse. The thicknesses of the trunk and lower extremity muscles were measured using an ultrasound imaging device. Furthermore, the subjects were classified into the sitting-possible group (n = 18), who could sit without the support of the upper extremities, or a sitting-impossible group (n = 16), who could not sit without the support of the upper extremities. FINDINGS Stepwise regression analysis revealed that the lumbar multifidus muscle thickness and body weight were significant and independent factors of the lumbar lordosis angle in the sitting position. The thicknesses of the thoracic erector spinae, gluteus maximus and minimus, long head of the biceps femoris, semitendinosus, and rectus femoris muscles were significantly lower in the sitting-impossible group than those in the sitting-possible group. INTERPRETATION Decreased lumbar lordosis angle in the sitting position was associated with decreased lumbar multifidus muscle mass in children and adults with CP. Furthermore, not only trunk extensor but also hip joint muscles may contribute to sitting without upper extremity support.
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Affiliation(s)
- Mitsuhiro Masaki
- Department of Physical Therapy, Takasaki University of Health and Welfare, Gunma, 501 Nakaorui-machi, Takasaki 370-0033, Japan.
| | - Yukine Ogawa
- Department of Rehabilitation, Sannocho Hospital, Niigata, 5-2-30 Hon-cho, Sanjo 955-0071, Japan.
| | - Yukika Inagaki
- Department of Rehabilitation, Hanna Sawarabi Ryoikuen, Gunma, 28-30 Harunasan-machi, Takasaki 370-3341, Japan.
| | - Yoshino Sato
- Suzuki Otolaryngology Clinic, Niigata, 6-5-37 Meike, Chuo-ku, Niigata 950-0941, Japan.
| | - Minori Yokota
- Department of Rehabilitation, Takeda General Hospital, Fukushima, 3-27 Yamaga-machi, Aizuwakamatsu 965-8585, Japan.
| | - Seina Maruyama
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, 1398 Shimami-cho, Kita-ku, Niigata 950-3198, Japan.
| | - Moeka Takeuchi
- Department of Rehabilitation, Iwamuro Rehabilitation Hospital, Niigata, 772-1 Iwamuronsen, Nishikan-ku, Niigata 953-0104, Japan.
| | - Maki Kasahara
- Department of Rehabilitation, Tsunoda Hospital, Gunma, 675-4 Kamishinden, Tamamura-machi, Sawagun 370-1133, Japan.
| | - Kota Minakawa
- Tsutsumi Orthopaedic Clinic, Akita, 3-8-24 Terauchidonosawa, Akita 011-0901, Japan.
| | - Mami Okamoto
- Midori-no Kodomokan, Musashino City Development Support Center for Children, Tokyo, 2-6-8 Midori-cho, Musashino 180-0012, Japan
| | - Yoshie Chiyoda
- Department of Rehabilitation, Gunma Seishi Ryougoen, Gunma, 146-1 Ashikado-machi, Takasaki 370-3531, Japan
| | - Kunio Mino
- Department of Rehabilitation, Asahigawasou Rehabilitation & Medical Center, Okayama, 866 Gion, Kita-ku, Okayama 703-8555, Japan
| | - Kaori Aoyama
- Department of Rehabilitation, Asahigawasou Rehabilitation & Medical Center, Okayama, 866 Gion, Kita-ku, Okayama 703-8555, Japan.
| | - Tatsuya Nishi
- Department of Rehabilitation, Asahigawasou Rehabilitation & Medical Center, Okayama, 866 Gion, Kita-ku, Okayama 703-8555, Japan.
| | - Yasushi Ando
- Department of Rehabilitation, Asahigawasou Rehabilitation & Medical Center, Okayama, 866 Gion, Kita-ku, Okayama 703-8555, Japan.
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Ozer Kaya D, Kocak UZ, Emuk Y, Olgac Dundar N, Bozkaya Yilmaz S, Gencpinar P. The comparison of regional spinal curvatures and movements in sitting posture in ambulatory children with cerebral palsy having minimal-to-moderate functional limitations. Gait Posture 2021; 90:408-414. [PMID: 34571351 DOI: 10.1016/j.gaitpost.2021.09.192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 09/11/2021] [Accepted: 09/19/2021] [Indexed: 02/02/2023]
Abstract
AIM To examine the regional spinal curvatures and movements in the sagittal and frontal planes during sitting position, and the ability to act independently in patients with CP and to compare the differences between children and adolescents with minimal-to-moderate functional limitations. METHOD Twenty-one participants diagnosed with CP aged 5-16 years were included. The participants' Gross Motor Function Classification System (GMFCS) levels were determined and those at levels I (minimal functional limitation group: minFLG) or II-III (moderate functional limitation group: modFLG) were included. Spinal curvatures, mobilities, and inclinations in the sagittal and frontal planes were evaluated in the sitting position using a hand-held, computer-assisted non-invasive electromechanical device. Participants' functional independence levels were assessed with the Functional Independence Measure (WeeFIM). RESULTS In the sagittal plane, there were no differences in terms of spinal curvatures between the minFLG and modFLG (p > 0.05). Spinal mobility degrees for flexion (thoracic and lumbar regions and total spine), extension (sacral region), and total spine mobility scores were significantly greater in the minFLG (p < 0.05). In the frontal plane, lumbar spinal curvature significantly increased, and total spine mobility in the right/left lateral motions and functional independence decreased in the modFLG (p < 0.05). INTERPRETATION The children/adolescents with minimal functional limitations had greater spinal mobility during flexion, extension, and lateral flexions. Spinal curvatures were similar between groups in the sagittal plane. The lumbar region posture scores in the frontal plane observed as lordoscoliosis were higher, and functional independence was lower in the modFLG.
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Affiliation(s)
- Derya Ozer Kaya
- Izmir Katip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey.
| | - Umut Ziya Kocak
- Izmir Katip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey
| | - Yusuf Emuk
- Izmir Katip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey
| | - Nihal Olgac Dundar
- Izmir Katip Celebi University, Faculty of Medicine, Department of Pediatric Neurology, Tepecik Training and Research Hospital, Izmir, Turkey
| | - Sema Bozkaya Yilmaz
- Izmir Katip Celebi University, Faculty of Medicine, Department of Pediatric Neurology, Tepecik Training and Research Hospital, Izmir, Turkey
| | - Pinar Gencpinar
- Izmir Katip Celebi University, Faculty of Medicine, Department of Pediatric Neurology, Tepecik Training and Research Hospital, Izmir, Turkey
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