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Journal of Pediatric Neurology 2016; 14(01): 012-016
DOI: 10.1055/s-0036-1572521
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Validation of the 0–10 Numeric Rating Scale Measure of Spasticity in Children with Cerebral Palsy

Shelun Tsai
1   Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States
,
Joanna Blackburn
2   Department of Pediatrics-Neurology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States
,
Deborah Gaebler-Spira
3   Department of Physical Medicine and Rehabilitation-Pediatrics, Rehabilitation Institute of Chicago, Chicago, Illinois, United States
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Publikationsverlauf

01. November 2015

31. Dezember 2015

Publikationsdatum:
23. Februar 2016 (online)

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Abstract

This study investigated the spasticity 0–10 Numeric Rating Scale (NRS) as a potential patient-related outcome measure in a population of children with cerebral palsy. Each child and caretaker rated the child's perceived gastrocnemius–soleus muscle spasticity on the 0–10 NRS, where 0 is no spasticity and 10 is the worst possible spasticity. Results suggest that children relate spasticity to end range of motion and caretakers relate spasticity to generalized hypertonia, while clinicians emphasize a velocity-dependent component of spasticity. Therefore, the 0–10 NRS may be useful in evaluating certain properties of spasticity but may be inaccurate as a specific spasticity measure.

Keywords

hypertonia - patient-related outcome - pediatric
 

  • References

  • 1 Bax M, Goldstein M, Rosenbaum P , et al; Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol 2005; 47 (8) 571-576
    CrossrefPubMedSuche in Google Scholar
  • 2 Engel-Yeger B, Jarus T, Anaby D, Law M. Differences in patterns of participation between youths with cerebral palsy and typically developing peers. Am J Occup Ther 2009; 63 (1) 96-104
    CrossrefPubMedSuche in Google Scholar
  • 3 Nadeau L, Tessier R. Social adjustment at school: are children with cerebral palsy perceived more negatively by their peers than other at-risk children?. Disabil Rehabil 2009; 31 (4) 302-308
    CrossrefPubMedSuche in Google Scholar
  • 4 Lance JW. Symposium synopsis: disordered motor control. In: Feldman RG, Young RR, Koella WB, eds. Spasticity: Disordered Motor Control. Chicago, IL: Year Book Medical Publishers; 1980: 485-495
    Suche in Google Scholar
  • 5 Lieber RL, Steinman S, Barash IA, Chambers H. Structural and functional changes in spastic skeletal muscle. Muscle Nerve 2004; 29 (5) 615-627
    CrossrefPubMedSuche in Google Scholar
  • 6 Bar-On L, Aertbeliën E, Wambacq H , et al. A clinical measurement to quantify spasticity in children with cerebral palsy by integration of multidimensional signals. Gait Posture 2013; 38 (1) 141-147
    CrossrefPubMedSuche in Google Scholar
  • 7 Burridge JH, Wood DE, Hermens HJ , et al. Theoretical and methodological considerations in the measurement of spasticity. Disabil Rehabil 2005; 27 (1–2) 69-80
    CrossrefPubMedSuche in Google Scholar
  • 8 Platz T, Eickhof C, Nuyens G, Vuadens P. Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disabil Rehabil 2005; 27 (1–2) 7-18
    CrossrefPubMedSuche in Google Scholar
  • 9 Flamand VH, Massé-Alarie H, Schneider C. Psychometric evidence of spasticity measurement tools in cerebral palsy children and adolescents: a systematic review. J Rehabil Med 2013; 45 (1) 14-23
    CrossrefPubMedSuche in Google Scholar
  • 10 Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987; 67 (2) 206-207
    PubMedSuche in Google Scholar
  • 11 Haugh AB, Pandyan AD, Johnson GR. A systematic review of the Tardieu Scale for the measurement of spasticity. Disabil Rehabil 2006; 28 (15) 899-907
    CrossrefPubMedSuche in Google Scholar
  • 12 Farrar JT, Troxel AB, Stott C, Duncombe P, Jensen MP. Validity, reliability, and clinical importance of change in a 0-10 numeric rating scale measure of spasticity: a post hoc analysis of a randomized, double-blind, placebo-controlled trial. Clin Ther 2008; 30 (5) 974-985
    CrossrefPubMedSuche in Google Scholar
  • 13 Hwang M, Kuroda MM, Tann B, Gaebler-Spira DJ. Measuring care and comfort in children with cerebral palsy: the care and comfort caregiver questionnaire. PM R 2011; 3 (10) 912-919
    CrossrefPubMedSuche in Google Scholar
  • 14 Jethwa A, Mink J, Macarthur C, Knights S, Fehlings T, Fehlings D. Development of the Hypertonia Assessment Tool (HAT): a discriminative tool for hypertonia in children. Dev Med Child Neurol 2010; 52 (5) e83-e87
    PubMedSuche in Google Scholar
  • 15 Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997; 39 (4) 214-223
    CrossrefPubMedSuche in Google Scholar
  • 16 Azaula M, Msall ME, Buck G, Tremont MR, Wilczenski F, Rogers BT. Measuring functional status and family support in older school-aged children with cerebral palsy: comparison of three instruments. Arch Phys Med Rehabil 2000; 81 (3) 307-311
    CrossrefPubMedSuche in Google Scholar
  • 17 Fowler EG, Staudt LA, Greenberg MB. Lower-extremity selective voluntary motor control in patients with spastic cerebral palsy: increased distal motor impairment. Dev Med Child Neurol 2010; 52 (3) 264-269
    CrossrefPubMedSuche in Google Scholar