Article

AIM: This study examined the reliability and validity of the Test of Arm
Selective Control (TASC) to examine upper extremity selective voluntary motor
control in children and adolescents with all types of spastic cerebral palsy
(CP). METHOD: Fifty-six participants with CP, ranging in age from 5 years 9
months to 18 years 11 months (average 11y 7mo, SD 3y 9mo; 25 males, 31 females),
participated in this prospective cross-sectional study. They were evaluated using
the TASC and several clinical measures. RESULTS:
TASC and Manual Ability
Classification System (r=-0.529, p<0.001), TASC and ABILHAND-Kids (r=0.596,
p<0.001), and TASC and affected extremities (r=-0.486, p=0.001) were moderately
correlated. There was a weak correlation between the TASC and Gross Motor
Function Classification System (r=-0.363, p=0.006) and no correlation between the
TASC and age (p=0.366) or rater (p=0.713). Interrater reliability for upper
extremity total score (intraclass correlation coefficient [ICC]=0.92-0.94) and
upper extremity limb scores (ICC=0.92-0.96) was high for two independent rater
groups (p</=0.001). Average time to administer was 16 minutes, 18 seconds.
INTERPRETATION: The TASC is a reliable and valid tool for objective assessment of
selective voluntary motor control. Clinically this measure may guide the
selection of medical, surgical, or therapy interventions and may improve outcome
prognosis. The Test of Arm Selective Control (TASC)
demonstrates a high degree of reliability and multiple aspects of validity when
assessing upper extremity selective control in those with cerebral palsy. The
TASC is an upper limb companion to the Selective Control Assessment of the Lower
Extremity.
CI - (c) 2018 Mac Keith Press.

Langue : ANGLAIS