Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Phys Occup Ther Pediatr. 2012 May;32(2):151-66. doi: 10.3109/01942638.2011.652804. Epub 2012 Feb 7.
A systematic review identified tactile assessments used in children with cerebral palsy (CP), but their reproducibility is unknown. Sixteen children with unilateral CP and 31 typically developing children (TDC) were assessed 2-4 weeks apart. Test-retest percent agreements within one point for children with unilateral CP (and TDC) were Semmes-Weinstein monofilaments: 75% (90%); single-point localization: 69% (97%); static two-point discrimination: 93% (97%); and moving two-point discrimination: 87% (97%). Test-retest reliability for registration and unilateral spatial tactile perception tests was high in children with CP (intraclass correlation coefficient [ICC] = 0.79-0.96). Two tests demonstrated a learning effect for children with CP, double simultaneous and tactile texture perception. Stereognosis had a ceiling effect for TDC (ICC = 0) and variability for children with CP (% exact agreement = 47%-50%). The Semmes-Weinstein monofilaments, single-point localization, and both static and moving two-point discrimination are recommended for use in practice and research. Although recommended to provide a comprehensive assessment, the measures of double simultaneous, stereognosis, and tactile texture perception may not be responsive to change over time in children with unilateral CP.
一项系统评价确定了用于脑瘫（CP）儿童的触觉评估方法，但它们的可重复性尚不清楚。16 名单侧 CP 儿童和 31 名典型发育儿童（TDC）在 2-4 周内进行了两次评估。单侧 CP 儿童（和 TDC）的 Semmes-Weinstein 单丝测试重测一致率为 1 点内为 75%（90%）；单点定位为 69%（97%）；静态两点辨别为 93%（97%）；动态两点辨别为 87%（97%）。CP 儿童的注册和单侧空间触觉感知测试的重测可靠性较高（组内相关系数 [ICC] = 0.79-0.96）。两项测试显示 CP 儿童存在学习效应，即双同时和触觉纹理感知。TDC 的立体定位觉存在天花板效应（ICC = 0），CP 儿童的立体定位觉具有变异性（完全一致的百分比为 47%-50%）。建议在实践和研究中使用 Semmes-Weinstein 单丝、单点定位和静态及动态两点辨别测试。尽管建议提供全面的评估，但双同时、立体定位觉和触觉纹理感知的测量方法可能无法反映单侧 CP 儿童随时间的变化。
