Discriminant ability and criterion validity of the Trunk Impairment Scale for cerebral palsy
Sílvia Leticia Pavão, Davi Adiwardana Maeda, Carolina Corsi, Mariana Martins dos Santos, Carolina Souza N. da Costa, Ana Carolina de Campos & show all
Pages 2199-2205 | Received 19 Sep 2017, Accepted 04 Apr 2018, Published online: 17 Apr 2018
Download citation https://doi.org/10.1080/09638288.2018.1462410
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Abstract
Aims: To compare the performance of children with mild and moderate-to-severe cerebral palsy (CP) on the Trunk Impairment Scale (TIS), Gross Motor Function Measure (GMFM), and on center-of-pressure variables; to establish the discriminant ability of these tools to predict severity of motor impairment in CP; and to investigate the criterion validity of the TIS.
Methods: Children with mild (n = 18, 11 males, 7 females, mean age = 9.5 ± 2.9 years, Gross Motor Function Classification System I–II) and moderate-to-severe (n = 18, 11 males, 7 females, mean age = 9.2 ± 229, Gross Motor Function Classification System III–IV) CP were tested using the TIS and the GMFM, and during static sitting on force-plate.
Results: Children with mild CP showed better trunk (median; 95% confidence interval = 22.5; 21.29–22.59 vs. 13; 11.97–14.8; p < 0.001) and gross motor (60; 57.73–59.3 vs. 40; 38.96–46.25; p < 0.001) scores, and better postural control (lower center of pressure (CoP) displacement [anterior–posterior: (0.42; 0.32–1.11 vs. 0.89; 0.70–1.65; p = 0.022); medial–lateral: (0.42; 0.31–1.08 vs. 0.91; 0.65–1.17; p = 0.044)], and lower area of sway, (0.05; −0.15–0.97 vs. 0.44; 0.23–0.90; p = 0.008) than the moderate-to-severe group. Trunk control and gross motor function explained 81.5% of the variance in the severity of motor condition. Correlations between the TIS and the GMFM were excellent (ρ = 0.944, p < 0.001); correlations between the TIS and CoP variables were low (anterior–posterior displacement: ρ = −0.411, p < 0.05; medial–lateral displacement: ρ = −0.327, p < 0.05); area of sway: ρ = −0.430, p < 0.05; velocity of sway: ρ = −0.308, p < 0.05).
Conclusions: The TIS is able to differentiate levels of trunk control across various levels of motor impairments in CP. It is a valid tool to assess trunk control, showing very high concurrent validity with the GMFM sitting dimension.
Implications for Rehabilitation
Trunk Impairment Scale (TIS) can be used by rehabilitation professionals to differentiate levels of trunk control across levels of motor impairment.
TIS showed concurrent validity with Gross Motor Function Measure and should be used to assess trunk control in children with cerebral palsy (CP) in clinical settings.
The use of TIS allows a reliable assessment of postural control in children with CP in clinical settings.
Keywords: Cerebral palsy, Trunk Impairment Scale, discriminant ability, criterion validity, psychometric properties
Additional information
Disclosure statement
No potential conflict of interest was reported by the authors.
Sílvia Leticia Pavão, Davi Adiwardana Maeda, Carolina Corsi, Mariana Martins dos Santos, Carolina Souza N. da Costa, Ana Carolina de Campos & show all
Pages 2199-2205 | Received 19 Sep 2017, Accepted 04 Apr 2018, Published online: 17 Apr 2018
Download citation https://doi.org/10.1080/09638288.2018.1462410
Select Language▼
Translator disclaimer
Abstract
Aims: To compare the performance of children with mild and moderate-to-severe cerebral palsy (CP) on the Trunk Impairment Scale (TIS), Gross Motor Function Measure (GMFM), and on center-of-pressure variables; to establish the discriminant ability of these tools to predict severity of motor impairment in CP; and to investigate the criterion validity of the TIS.
Methods: Children with mild (n = 18, 11 males, 7 females, mean age = 9.5 ± 2.9 years, Gross Motor Function Classification System I–II) and moderate-to-severe (n = 18, 11 males, 7 females, mean age = 9.2 ± 229, Gross Motor Function Classification System III–IV) CP were tested using the TIS and the GMFM, and during static sitting on force-plate.
Results: Children with mild CP showed better trunk (median; 95% confidence interval = 22.5; 21.29–22.59 vs. 13; 11.97–14.8; p < 0.001) and gross motor (60; 57.73–59.3 vs. 40; 38.96–46.25; p < 0.001) scores, and better postural control (lower center of pressure (CoP) displacement [anterior–posterior: (0.42; 0.32–1.11 vs. 0.89; 0.70–1.65; p = 0.022); medial–lateral: (0.42; 0.31–1.08 vs. 0.91; 0.65–1.17; p = 0.044)], and lower area of sway, (0.05; −0.15–0.97 vs. 0.44; 0.23–0.90; p = 0.008) than the moderate-to-severe group. Trunk control and gross motor function explained 81.5% of the variance in the severity of motor condition. Correlations between the TIS and the GMFM were excellent (ρ = 0.944, p < 0.001); correlations between the TIS and CoP variables were low (anterior–posterior displacement: ρ = −0.411, p < 0.05; medial–lateral displacement: ρ = −0.327, p < 0.05); area of sway: ρ = −0.430, p < 0.05; velocity of sway: ρ = −0.308, p < 0.05).
Conclusions: The TIS is able to differentiate levels of trunk control across various levels of motor impairments in CP. It is a valid tool to assess trunk control, showing very high concurrent validity with the GMFM sitting dimension.
Implications for Rehabilitation
Trunk Impairment Scale (TIS) can be used by rehabilitation professionals to differentiate levels of trunk control across levels of motor impairment.
TIS showed concurrent validity with Gross Motor Function Measure and should be used to assess trunk control in children with cerebral palsy (CP) in clinical settings.
The use of TIS allows a reliable assessment of postural control in children with CP in clinical settings.
Keywords: Cerebral palsy, Trunk Impairment Scale, discriminant ability, criterion validity, psychometric properties
Additional information
Disclosure statement
No potential conflict of interest was reported by the authors.
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