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Feasibility of the Trunk and Upper Extremity Assessments for Teleassessment in Children Cerebral Palsy

NCT ID: NCT06707831

Last Updated: 2024-11-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

36 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-01

Study Completion Date

2024-05-01

Brief Summary

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This study was conducted to investigate the suitability of trunk and upper extremity assessments used within the scope of the ICF for tele-assessment in children with hemiplegic cerebral palsy (CP).

Detailed Description

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A total of 36 children aged between 4-18 years with hemiplegic CP and their parents were included in the study. Children underwent evaluations on two occasions: one in face-to-face within a clinical setting, and the other through tele-assessment using video conferencing. This video conference session was recorded to be later reviewed and scored by two separate evaluators. For the assessment, the Trunk Control Measurement Scale (TCMS) was used for trunk control, the Upper Limb Physician Rating Scale (ULPRS) for upper extremity joint movement, the Upper Limb Selective Control Scale (SCUES) for selective ability, and the Quality of Upper Extremity Skills Test (QUEST) for skill quality. The bilateral hand use of children was assessed using the Abilhand-Kids, hemiplegic hand use with the Pediatric Motor Activity Log (PMAL), participation levels using The Assessment of Life-Habits (Life-H), and environmental factors were assessed using the European Child Environment Questionnaire (ECEQ), both face-to-face and through online surveys sent to families. Intra- and inter-rater reliability was determined by Intraclass Correlation Coefficient (ICC) and internal consistency was determined by Cronbach alpha coefficient (a). To determine validity, known group validity was examined based on the functional levels of children and concurrent validity was examined based on face-to-face assessment results. It was found that the internal consistency and both the intra- and inter-rater reliability of the TCMS (ICC: 0.82-0.91, p\<0.05; α: 0.88-0.91), SCUES (ICC: 0.93-0.97, p\<0.05; α: 0.93-0.94), ULPRS (ICC: 0.90-0.96, p\<0.05; α: 0.94-0.95), and QUEST (ICC: 0.86-0.93, p\<0.05; α: 0.93-0.94), conducted through both face-to-face assessment and tele-assessment by a physiotherapist or under supervision of a physiotherapist, were high to excellent. It was found that the tele-assessment reliability of Abilhand-Kids (ICC: 0.707, p\<0.05) and PMAL (ICC: 0.60-0.70, p\<0.05) was moderate; whereas, Life-H (ICC: 0.24) and ECEQ (ICC: 0.311) were determined to be weak. As a result, it was found that TCMS, SCUES, ULPRS, QUEST, Abilhand-Kids, and PMAL are suitable, valid, and reliable methods for tele-assessment; whereas, ECEQ and Life-H are not suitable for tele-assessment. These findings might partially diminish the necessity for the evaluation of children with CP in clinical settings, opening the way for suitable assessment methods. By ensuring equal opportunities for children with CP who cannot physically reach the clinic due to various reasons, reliable assessments can be conducted, contributing to the development of personalized tele-rehabilitation programs for the child. Although more extensive studies will be needed in the future, we expect transport costs to fall.

Conditions

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Cerebral Palsy (CP)

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Study sample

Children with hemiplegic cerebral palsy aged 4 to 18 years

Teleassessment

Intervention Type OTHER

Children underwent assessments on two occasions: one in face-to-face within a clinical setting, and the other through teleassessment using video conferencing. This video conference session was recorded to be later reviewed and scored by two separate raters.

Interventions

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Teleassessment

Children underwent assessments on two occasions: one in face-to-face within a clinical setting, and the other through teleassessment using video conferencing. This video conference session was recorded to be later reviewed and scored by two separate raters.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with unilateral (hemiplegic) cerebral palsy
* Being 4 - 18 years old
* Classified as Communication Function Classification System (CFCS) level 1 or 2
* Classified as Visual Function Classification System (VFCS) level 1 or 2
* Parents are able to read and write in Turkish

Exclusion Criteria

* Diagnosed with epilepsy and active seizures in addition to CP
* Unable to use video call methods
* Refused to participate in the study
* Unable to co-operate during assessments
* The one who refused to continue with the assessments
* Those who had health problems during the assessments and could not continue the assessments
Minimum Eligible Age

4 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hacettepe University

OTHER

Sponsor Role lead

Responsible Party

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Sefa Üneş

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.

Reference Type BACKGROUND
PMID: 17370477 (View on PubMed)

Delioglu K, Unes S, Tuncdemir M, Ozal C, Biyik KS, Uzumcugil A. Interrater reliability of face-to-face, tele- and video-based assessments with the modified Mallet classification in brachial plexus birth injuries. J Hand Surg Eur Vol. 2024 May;49(5):576-582. doi: 10.1177/17531934231196118. Epub 2023 Sep 8.

Reference Type BACKGROUND
PMID: 37684022 (View on PubMed)

Gungor F, Ovacik U, Ertan Harputlu O, Yekdaneh AA, Kurt I, Erturk Uzunoglu G, Polat Ilguz B, Akuzum F, Akbaba YA. Tele-assessment of core performance and functional capacity: Reliability, validity, and feasibility in healthy individuals. J Telemed Telecare. 2024 Jul;30(6):1017-1025. doi: 10.1177/1357633X221117335. Epub 2022 Aug 2.

Reference Type BACKGROUND
PMID: 35916001 (View on PubMed)

Cabrera-Martos I, Ortiz-Rubio A, Torres-Sanchez I, Lopez-Lopez L, Rodriguez-Torres J, Carmen Valenza M. Agreement Between Face-to-Face and Tele-assessment of Upper Limb Functioning in Patients with Parkinson Disease. PM R. 2019 Jun;11(6):590-596. doi: 10.1002/pmrj.12001. Epub 2019 Mar 6.

Reference Type BACKGROUND
PMID: 30840363 (View on PubMed)

Tan JR, Coulson S, Keep M. Face-to-Face Versus Video Assessment of Facial Paralysis: Implications for Telemedicine. J Med Internet Res. 2019 Apr 12;21(4):e11109. doi: 10.2196/11109.

Reference Type BACKGROUND
PMID: 30977734 (View on PubMed)

Richmond T, Peterson C, Cason J, Billings M, Terrell EA, Lee ACW, Towey M, Parmanto B, Saptono A, Cohn ER, Brennan D. American Telemedicine Association's Principles for Delivering Telerehabilitation Services. Int J Telerehabil. 2017 Nov 20;9(2):63-68. doi: 10.5195/ijt.2017.6232. eCollection 2017 Fall.

Reference Type BACKGROUND
PMID: 29238450 (View on PubMed)

Biyik KS, Ozal C, Tuncdemir M, Unes S, Delioglu K, Gunel MK. The functional health status of children with cerebral palsy during the COVID-19 pandemic stay-at-home period: a parental perspective. Turk J Pediatr. 2021;63(2):223-236. doi: 10.24953/turkjped.2021.02.006.

Reference Type BACKGROUND
PMID: 33929112 (View on PubMed)

Yang P, Liu P, Li D, Zhao D. Corona Virus Disease 2019, a growing threat to children? J Infect. 2020 Jun;80(6):671-693. doi: 10.1016/j.jinf.2020.02.024. Epub 2020 Mar 3.

Reference Type BACKGROUND
PMID: 32142929 (View on PubMed)

Rosenbaum PL, Silva M, Camden C. Let's not go back to 'normal'! lessons from COVID-19 for professionals working in childhood disability. Disabil Rehabil. 2021 Apr;43(7):1022-1028. doi: 10.1080/09638288.2020.1862925. Epub 2020 Dec 23.

Reference Type BACKGROUND
PMID: 33355010 (View on PubMed)

Unes S, Tuncdemir M, Ozal C, Delioglu K, Seyhan Biyik K, Kerem Gunel M. Tele-assessment of trunk control in children with cerebral palsy: Intra- and inter-rater reliability, and validity of the trunk control measurement scale. J Telemed Telecare. 2025 Apr 30:1357633X251336009. doi: 10.1177/1357633X251336009. Online ahead of print.

Reference Type DERIVED
PMID: 40302488 (View on PubMed)

Other Identifiers

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teleassessmentforCP

Identifier Type: -

Identifier Source: org_study_id