Reliability of Spinal Alignment and Range of Motion Measure in children and adolescents with cerebral palsy
DOI:
https://doi.org/10.1590/1809-2950/22004029042022PTKeywords:
Cerebral Palsy, Reproducibility of Tests, PhysiotherapyAbstract
Cerebral palsy is the most frequent cause
of physical disability in childhood due to permanent
movement and posture development disorders and
secondary musculoskeletal problems. The Spinal
Alignment and Range of Motion Measure (SAROMM)
assess postural deviations and trunk extensibility. This is
a cross-sectional study with a convenience sample to
evaluate the reliability of SAROMM and to validate its
use in clinical practice. In total, 50 children participated
in Stage 1 (video evaluation, with and without the
instruction manual), and 25 children participated in
Stage 2 (in-person evaluation). In Stage 1, the intraexaminer reliability showed almost perfect agreement
in all domains (κ ranging from 0.98 to 1.0), except ankle,
with a moderate agreement (κ=0.62). Inter-examiner
reliability without using the manual showed no agreement
(κ ranging from −0.00 to 0.10); with the use of the manual
showed weak agreement in all domains (κ from 0.41 to
0.59), except ankle, which showed a minimal agreement
(κ=0.20). In Stage 2, inter-examiner reliability showed
almost perfect agreement in all domains (κranging
from 0.93 to 0.97). SAROMM has excellent intra- and inter-examiner reliability, and in-person assessment with the
instructions manual is essential.
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