Article

Responsiveness of the Seated Postural Control Measure (SPCM) and the
Level of Sitting Scale (LSS) was explored for children with neuromotor disorders.
Total change scores for alignment (SPCM-A), function (SPCM-F) and sitting ability
(LSS) were compared with a criterion change measure, the Global Change Scale
(GCS). The a priori hypotheses predicted moderate correlations (r>0.40). METHOD:
Both SPCM and LSS were administered twice, 6 months apart. Parents and two
therapists rated changes in alignment and function, and indicated importance of
those changes on the GCS. Participants (n=114) were divided into two groups:
those whose posture was expected to change, (with a range of diagnoses) and those
who were expected to remain stable (with a diagnosis of cerebral palsy). Ages
ranged from 1 to 18 years. RESULTS: Fair-to-moderate significant correlations (p
</=0.01) were found between SPCM-F and LSS change scores and parents' and
therapists' rating of change and importance of change on the GCS. Correlations
for SPCM-A change scores were insignificant. The standardised response mean
values for SPCM-F and LSS confirmed a minimal clinically important difference.
CONCLUSIONS: SPCM-F shows promise as a responsive outcome measure, however;
SPCM-A requires further work. LSS may be useful for evaluative purposes, in
addition to its role as a classification index.
CI - (c) 2011 Informa UK, Ltd.

Langue : ANGLAIS