Does Instrumentation Have an Effect on the Outcome of Bimanual Performance Assessment in Children with Cerebral Palsy?

23 Pages Posted: 10 Jan 2025

See all articles by Julie Rozaire

Julie Rozaire

affiliation not provided to SSRN

Audrey Combey

affiliation not provided to SSRN

Alexandre Naaim

affiliation not provided to SSRN

Sonia Duprey

affiliation not provided to SSRN

Emmanuelle Chaleat-Valayer

affiliation not provided to SSRN

Rachel Bard-Pondarré

affiliation not provided to SSRN

Abstract

Background. In the majority of instrumented assessments of upper limb function, participants are frequently required to complete tasks in a standardised manner in order to facilitate inter-participant comparisons. However, this approach may result in the loss of valuable information regarding the patient's performance in everyday life. The instrumented performance assessment of the Assisting Hand Assessment (AHA) could yield meaningful information about the patient's spontaneous use of the impaired limb. This study aims to determine if the presence of a motion analysis laboratory setting impacts AHA scores in children with unilateral cerebral palsy.Methods. Eighteen children with unilateral cerebral palsy aged between 18 months and 13 years participated in two sessions: a regular AHA and an instrumented AHA with motion capture. The motion analysis settings consisted of 7 Optoelectronic Vicon Cameras and 17 reflective markers. The ratings of the AHAs were randomly divided for each participant between two expert occupational therapists.Descriptive statistics were employed, including a Bland–Altman plot with a clinical difference threshold of at least 5 points out of 100. Additionally, paired Student's t-tests or Wilcoxon tests were conducted based on data normality.Results. Inter-rater reliability for the AHA was high (maximum difference of 2 out of 80 points). No significant differences were found between instrumented and regular AHA scores.Conclusions. This study demonstrates the feasibility of integrating motion capture into the AHA assessment without compromising its reliability. Future research should focus on developing methods for reliably quantifying movement parameters within the AHA framework.

Note:
Trial Registration Details: Trial registration N°: NCT06565000

Funding Information: This research was supported by the Association Nationale de la Recherche et de la Technologie (ANRT) (CIFRE N° 2022/0148).

Conflict of Interests: The authors declare that they have no competing interests.

Ethical Approval: Ethical approval was granted by the Ethics Committee of the University Hospital ClermontFerrand (France) (23.01651.000191). Written consent was obtained from the patients' respective tutors.

Keywords: Cerebral Palsy, Performance, Motion Analysis, Upper limb

Suggested Citation

Rozaire, Julie and Combey, Audrey and Naaim, Alexandre and Duprey, Sonia and Chaleat-Valayer, Emmanuelle and Bard-Pondarré, Rachel, Does Instrumentation Have an Effect on the Outcome of Bimanual Performance Assessment in Children with Cerebral Palsy?. Available at SSRN: https://ssrn.com/abstract=5063558 or http://dx.doi.org/10.2139/ssrn.5063558

Julie Rozaire

affiliation not provided to SSRN ( email )

No Address Available

Audrey Combey

affiliation not provided to SSRN ( email )

No Address Available

Alexandre Naaim (Contact Author)

affiliation not provided to SSRN ( email )

No Address Available

Sonia Duprey

affiliation not provided to SSRN ( email )

No Address Available

Emmanuelle Chaleat-Valayer

affiliation not provided to SSRN ( email )

No Address Available

Rachel Bard-Pondarré

affiliation not provided to SSRN ( email )

No Address Available

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