Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development,

Fisioterapia em Movimento

Tainá Ribas Mélo¹  André Luiz Félix Rodacki¹  Ana Tereza Bittencourt Guimarães¹  Vera Lúcia Israel¹ 

关键词: Diplegia;    Range of motion;    Photographic measurements;    Clinical tests;    Cerebral palsy;    Diplegia;    Amplitude de movimento;    Medidas fotográficas;    Testes clínicos;    Paralisia cerebral;   

DOI  :  10.1590/0103-5150.028.001.AO01

来源: SciELO

【 摘 要 】

Objective The aims of this study were to evaluate the reliability of three range of motion tests (Straight Leg Raise, Modified Thomas, and Duncan-Ely) using photographic measurements in children with spastic diplegic cerebral palsy (SD) and with typical development (TD). Methods A cross-sectional test-retest design was applied to compare muscle-tendon unit shortening tests between groups. Results The tests showed reliability that ranged from good to excellent (ICC > 0.8), except for the Thomas Test for the bi-articular hip flexor muscle-tendon unit of the TD group (ICC = 0.7). Differences between groups were found in all tests (p < 0.05), except when the range of motion of the bi-articular hip flexor muscles was assessed using the Thomas test (p > 0.05). Conclusion Children with SD presents a smaller range of motion than the TD group. However, the Thomas Test for the bi-articular hip flexor muscles was unable to determine differences between children with spastic diplegic cerebral palsy from that with typical development.

【 授权许可】

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