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. 2021 Oct 1;45(5):378-383.
doi: 10.1097/PXR.0000000000000033.

Seated postural control measure: Italian translation and validation in children with cerebral palsy

Marco Tofani  1 , Giulia Blasetti G  1 , Luca Lucibello  2 , Maurizio Sabbadini  1 , Anna Berardi  3 , Giovanni Galeoto  4 , Debra Field  5 , Enrico Castelli  1
Affiliations

Seated postural control measure: Italian translation and validation in children with cerebral palsy

Marco Tofani et al. Prosthet Orthot Int. .

Abstract

Background: Seating interventions are part of the postural management program recommended for children with Cerebral Palsy (CP) who are nonambulatory or have difficulty in walking. The lack of validated outcome measures for assessing seating interventions limits access to obtain valid and comparable data internationally.

Objective: To translate the Seated Postural Control Measure (SPCM) into Italian and assess reliability and validity of the translated measure in a population of children with CP.

Study design: Cross-sectional and repeated measures study.

Methods: The original version of the SPCM was translated and culturally adapted by a multidisciplinary team according to international guidelines. Internal consistency was examined with Cronbach's alpha. Both inter- and intrarater reliabilities were estimated using intraclass correlation coefficients with 95% confidence intervals. Intrarater reliability was estimated over a 1-week period. Convergent construct validity was investigated by comparing SPCM values with the Level of Sitting Scale, the Gross Motor Function Classification System, and the Manual Ability Classification System using Pearson's correlation coefficients.

Results: The Italian version of the SPCM (IT-SPCM) was evaluated on 72 children with CP aged 4-18 years. Cronbach's alpha was 0.83, 0.95, and 0.93 for IT-SPCM alignment subscale, IT-SPCM functioning subscale, and total score, respectively. Reliability for IT-SPCM total score was high for both inter- and intrarater reliabilities (0.95 and 0.93). The IT-SPCM total score was moderately correlated with the Level of Sitting Scale (0.37), Gross Motor Function Classification System (-0.41), and Manual Ability Classification System (-0.56).

Conclusion: Preliminary evidence supports the reliability and validity of using IT-SPCM with a population of children with CP.

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References

    1. Cans C, Guillem P, Arnaud C, et al. Prevalence and characteristics of children with cerebral palsy in Europe. Dev Med Child Neurol 2002; 44: 633–640.
    1. Gericke T. Postural management for children with cerebral palsy: consensus statement. Dev Med Child Neurol 2006; 48: 244.
    1. Østensjø S, Carlberg EB, Vøllestad NK. The use and impact of assistive devices and other environmental modifications on everyday activities and care in young children with cerebral palsy. Disabil Rehabil 2005; 27: 849–861.
    1. Angsupaisal M, Maathuis CGB, Hadders-Algra M. Adaptive seating systems in children with severe cerebral palsy across International Classification of Functioning, Disability and Health for Children and Youth version domains: a systematic review. Dev Med Child Neurol 2015; 57: 919–930.
    1. Ryan SE. Lessons learned from studying the functional impact of adaptive seating interventions for children with cerebral palsy. Dev Med Child Neurol 2016; 58: 78–82.