Clinical Assessment of Body Alignment (CABA) for Children with Cerebral Palsy скачать в хорошем качестве

Clinical Assessment of Body Alignment (CABA) for Children with Cerebral Palsy

Clinical Observations Trump Lab Tests for Body Alignment in Cerebral Palsy: GRIMSBY, United Kingdom—Body alignment among children with cerebral palsy can be accurately assessed in a twenty-point clinical observation protocol called: Clinical Assessment of Body Alignment (CABA), according to the authors of a study from the UK published in Pediatric Physical Therapy journal. Frances K. George MSc, from Grimsby in the UK, explains how the assay can speed clinical decision-making, allowing therapists to proceed with early intervention to improve motor development without waiting for laboratory results. This interview is based on an article appearing in Pediatric Physical Therapy Journal entitled: Development and Content Validity of the Clinical Assessment of Body Alignment for Children With Cerebral Palsy Reference: Pediatr Phys Ther 2020;0:1–7 Authors: Frances K. George, MSc; Alex Benham, PhD; Lynne Gabriel, PhD; Judy Purton, PhD School of Health Sciences (Ms George and Dr Purton) and School of Psychological and Social Sciences (Dr Gabriel), York St John University, York, UK; Department of Health, Psychology and Social Studies (Dr Benham), University of Cumbria, Carlisle, UK. Purpose: The purpose of this study is to describe the development and content validity of the clinical assessment of body alignment (CABA) to measure body alignment in children with cerebral palsy. Methods: Content validity and clinical utility were examined through expert opinion of 283 pediatric physical therapists. Participants reviewed items as matching or not to the domain of body alignment. Clinical utility was evaluated on a 5-point scale. Means and standard deviation were calculated for each attribute. Fleiss’ kappa examined interrater reliability of expert responses. Results: Percentage agreement was high for 19 items and good for 1 item. Clinicians’ ratings showed overall fair to good agreement. Four clinical utility attributes had a net importance score of more than 90%, although interrater reliability was low. Conclusion: Content validity of the CABA was supported. Construct validity, reliability, and responsiveness require further study. What this adds to the evidence: The CABA has potential to offer clinicians and researchers a clinically practical measure of postural alignment for children with cerebral palsy. Preliminary investigation of CABA shows good content validity. However, more studies to assess the assessments’ psychometrics including construct validity, reliability, and responsiveness are required. Details: 0898-5669/110/00-0001 Pediatric Physical Therapy Copyright © 2020 Academy of Pediatric Physical Therapy of the American Physical Therapy Association Correspondence: Frances K. George, MSc, Humberston Park School, St Tomas Close, N E Lincs, Grimsby DN36 4HS, UK ([email protected]). At the time this article was written, Frances George was a PhD student at York St John University, School of Health Sciences, York, UK. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal’s Web site (www.pedpt.com) The authors declare no conflicts of interest.