Department of Physical Medicine and Rehabilitation, Rennes University Hospital, 35033 Rennes, France; M2S laboratory (Mouvement Sport Santé), Rennes 2 University-ENS Rennes - UEB, Campus de Ker Lann, 35170 Bruz, France.
Department of Physical Medicine and Rehabilitation, Rennes University Hospital, 35033 Rennes, France.
Ann Phys Rehabil Med. 2020 Oct;63(5):408-415. doi: 10.1016/j.rehab.2019.06.008. Epub 2019 Jul 10.
The "Be an Airplane Pilot" (BE-API) protocol is a novel 3-D movement analysis (3DMA) protocol assessing the bimanual performance of children during a game.
This study aimed to investigate the reliability and validity of this protocol in children with unilateral cerebral palsy (uCP).
Angular waveforms (WAVE), maximum angles (MAX) and range of motion (ROM) of the trunk, shoulder, elbow and wrist joints were collected in children with uCP and in typically developing children (TDC) during 4 tasks of the BE-API protocol designed to explore specific degrees of freedom (DoF). The inter-trial reliability for children with uCP was assessed with the coefficient of multiple correlation (CMC) for WAVE and the intraclass correlation coefficient (ICC) and standard error of measurement (SEM) for MAX and ROM. Clinical performance-based measures, including the Assisting Hand Assessment (AHA) and ABILHAND-Kids scores, were used to explore correlations between clinical measures and kinematic parameters in children with uCP.
20 children with uCP (13 boys; mean age 12.0 [SD 3.2] years) and 20 TDC (11 boys; mean age 11.9 [SD 3.4] years) were included. In children with uCP, most kinematic parameters showed high reliability (WAVE: CMC≥0.82; MAX and ROM: ICC≥0.85, SEM≤4.7°). Elbow extension, forearm supination, and wrist adduction were reduced and wrist flexion was increased for children with uCP versus TDC (P<0.01). In children with uCP, MAX and ROM values were moderately correlated with clinical assessments (AHA score: r=0.48-0.65; ABILHAND-Kids score: r=0.48-0.49).
The BE-API protocol is a 3DMA-bimanual performance-based assessment that is highly reliable in children with uCP. Children with uCP and TDC significantly differed in some clinically relevant kinematic parameters. The BE-API is a promising playful tool, helpful for better understanding upper-limb motor movement abnormalities in bimanual conditions and for tailoring treatments to individual deficits.
“做飞机驾驶员”（BE-API）协议是一种新的三维运动分析（3DMA）协议，用于评估儿童在游戏过程中的双手表现。
本研究旨在探讨该协议在单侧脑瘫（uCP）儿童中的可靠性和有效性。
在 4 项 BE-API 协议任务中收集了 uCP 儿童和正常发育儿童（TDC）的躯干、肩部、肘部和腕关节的角波（WAVE）、最大角度（MAX）和运动范围（ROM）。uCP 儿童的试验间可靠性采用 WAVE 的多重相关系数（CMC）进行评估，MAX 和 ROM 采用组内相关系数（ICC）和测量标准误差（SEM）进行评估。临床基于表现的测量，包括辅助手评估（AHA）和 ABILHAND-Kids 评分，用于探索 uCP 儿童的临床测量与运动学参数之间的相关性。
共纳入 20 名 uCP 儿童（13 名男孩；平均年龄 12.0[3.2]岁）和 20 名 TDC（11 名男孩；平均年龄 11.9[3.4]岁）。在 uCP 儿童中，大多数运动学参数表现出较高的可靠性（WAVE：CMC≥0.82；MAX 和 ROM：ICC≥0.85，SEM≤4.7°）。与 TDC 相比，uCP 儿童的肘部伸展、前臂旋前和腕关节内收减少，腕关节屈曲增加（P<0.01）。在 uCP 儿童中，MAX 和 ROM 值与临床评估中度相关（AHA 评分：r=0.48-0.65；ABILHAND-Kids 评分：r=0.48-0.49）。
BE-API 协议是一种基于 3DMA 的双手表现评估方法，在 uCP 儿童中具有高度可靠性。uCP 儿童和 TDC 在一些临床相关运动学参数上存在显著差异。BE-API 是一种有前途的游戏工具，有助于更好地理解双手条件下上肢运动障碍，并针对个体缺陷进行治疗。
