Neurorehabilitation Unit, Department of Intensive Neurorehabilitation and Robotics, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
Department of Research & Innovation, ITOP Officine Ortopediche, Palestrina, RM, Italy.
Prosthet Orthot Int. 2021 Oct 1;45(5):378-383. doi: 10.1097/PXR.0000000000000033.
Seating interventions are part of the postural management program recommended for children with Cerebral Palsy (CP) who are nonambulatory or have difficulty in walking. The lack of validated outcome measures for assessing seating interventions limits access to obtain valid and comparable data internationally.
To translate the Seated Postural Control Measure (SPCM) into Italian and assess reliability and validity of the translated measure in a population of children with CP.
Cross-sectional and repeated measures study.
The original version of the SPCM was translated and culturally adapted by a multidisciplinary team according to international guidelines. Internal consistency was examined with Cronbach's alpha. Both inter- and intrarater reliabilities were estimated using intraclass correlation coefficients with 95% confidence intervals. Intrarater reliability was estimated over a 1-week period. Convergent construct validity was investigated by comparing SPCM values with the Level of Sitting Scale, the Gross Motor Function Classification System, and the Manual Ability Classification System using Pearson's correlation coefficients.
The Italian version of the SPCM (IT-SPCM) was evaluated on 72 children with CP aged 4-18 years. Cronbach's alpha was 0.83, 0.95, and 0.93 for IT-SPCM alignment subscale, IT-SPCM functioning subscale, and total score, respectively. Reliability for IT-SPCM total score was high for both inter- and intrarater reliabilities (0.95 and 0.93). The IT-SPCM total score was moderately correlated with the Level of Sitting Scale (0.37), Gross Motor Function Classification System (-0.41), and Manual Ability Classification System (-0.56).
Preliminary evidence supports the reliability and validity of using IT-SPCM with a population of children with CP.
坐姿干预是推荐给非步行或行走困难的脑瘫儿童的姿势管理计划的一部分。缺乏用于评估坐姿干预的经过验证的结果测量方法限制了在国际上获得有效和可比数据的机会。
将坐姿姿势控制测量（SPCM）翻译成意大利语，并评估经过翻译的测量方法在脑瘫儿童人群中的可靠性和有效性。
横断面和重复测量研究。
原始 SPCM 版本由多学科团队根据国际指南进行翻译和文化适应。使用 Cronbach's alpha 检查内部一致性。使用 95%置信区间的组内相关系数估计组内和组间可靠性。组内可靠性在 1 周内进行评估。通过使用 Pearson 相关系数比较 SPCM 值与坐姿量表、粗大运动功能分类系统和手动能力分类系统来研究收敛结构有效性。
评估了 72 名 4-18 岁脑瘫儿童的意大利版 SPCM（IT-SPCM）。IT-SPCM 对准子量表、IT-SPCM 功能子量表和总分的 Cronbach's alpha 分别为 0.83、0.95 和 0.93。IT-SPCM 总分的组内和组间可靠性均很高（0.95 和 0.93）。IT-SPCM 总分与坐姿量表（0.37）、粗大运动功能分类系统（-0.41）和手动能力分类系统（-0.56）中度相关。
初步证据支持使用 IT-SPCM 对脑瘫儿童人群进行可靠性和有效性评估。
