Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > European Journal of Physical and Rehabilitation Medicine 2020 June;56(3) > European Journal of Physical and Rehabilitation Medicine 2020 June;56(3):272-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE   Freefree

European Journal of Physical and Rehabilitation Medicine 2020 June;56(3):272-8

DOI: 10.23736/S1973-9087.20.06079-7

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Movement Disorders - Childhood Rating Scale 4-18 revised in children with dyskinetic cerebral palsy

Roberta BATTINI 1, 2 , Giuseppina SGANDURRA 1, 2, Valentina MENICI 2, Roberta SCALISE 2, Ilaria OLIVIERI 2, Roberta DI PIETRO 2, Simona LUCIBELLO 3, Maria T. GIANNINI 4, Giovanni CIONI 1, 2, MD-CRS Group 

1 Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy; 2 Department of Developmental Neuroscience, IRCCS Stella Maris Foundation, Pisa, Italy; 3 Unit of Pediatric Neurology, Department of Woman and Child Health and Public Health, Sacred Heart Catholic University, Rome, Italy; 4 Department of Human Neuroscience, Child Neurology and Psychiatry, Sapienza University, Rome, Italy



BACKGROUND: Movement Disorders - Childhood Rating Scale for age 4-18 (MD-CRS 4-18) is a tool aimed to evaluate movement disorders in developmental age, validated since 2008 and applied in the literature. Psychometric properties, including inter- and intra-reliability and construct validity have been evaluated over time on children and adolescents with different types of movement disorders.
AIM: The aim of the study is to revise the Movement Disorders - Childhood Rating Scale 4-18 (MD-CRS 4-18 R) and evaluate its psychometric properties, compared to previous version of the scale, in dyskinetic cerebral palsy.
DESIGN: This is a measurement-focused study of video recorder sessions.
SETTING: Video session carried out inpatient and outpatient.
POPULATION: This measurement-focused study was carried out on a cohort of 57 participants with DCP (37 males; mean age 9 years and 6 months ±3 years and 8 months) evaluated through video-recorded sessions by experienced scorers using MD-CRS 4-18 and MR-CRS 4-18 R.
METHODS: Inter-rater reliability, intra-rater reliability of MD-CRS 4-18 and MD-CRS 4-18 R were performed.
RESULTS: This study supports the relevant contribution of MD-CRS 4-18 R to identify the severity of movement disorders in dyskinetic cerebral palsy, as indicated by the higher ICC values on Index II compared to previous MD-CRS 4-18 results. Standard Error Measurement (SEM) and Minimally Detectable Difference (MDD) of MD-CRS 4-18 R in DCP were all very low, with SEMs ranging from 0.01 to 0.02 and MDD from 0.03 to 0.06.
CONCLUSIONS: Data obtained with MD-CRS 4-18 R are in accordance with previous scale on individuals with movement disorders due to different etiologies, tested with MD-CRS 4-18.
CLINICAL REHABILITATION IMPACT: MD-CRS 4-18 R is able to verify natural history of the disease and represents a standardized clinical outcome measure in the evaluation and follow-up of children with DCP. Also MD-CRS 4-18 Revised form is a feasible tool, now easier to understand than the previous one, more available for incoming clinical trials.


KEY WORDS: Cerebral palsy; Dyskinesias; Psychometrics; Child

top of page