Validity and Reliability of "Shriners Hospital Upper Extremity Evaluation" in Children With Rheumatic Disease

NCT04685434 | Completed

• 1 other identifier: IstanbulUC_34
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The most commonly used performance tests to evaluate upper extremity function in children diagnosed with rheumatic disease are the 9-hole peg test and Jebsen Taylor hand function tests. Although these tests have advantages such as being able to be applied in a short time, providing objective data, being easily applicable in the clinical environment, and being cost-effective, these tests are non-specific performance tests. Fine motor skills specific to rheumatic diseases, planned for children; There is no test battery that examines the mobility and position of each segment of the upper extremity during a function in detail. The Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) is a video-based assessment approved for use in children with hemiplegic cerebral palsy. In addition to spontaneous functional movement, it also evaluates the dynamical position, grip, and release movements of the upper extremity segments. Approved with a total of 22 questions/tasks observed for children aged 3-18. While the evaluation takes about 15 minutes, it takes about 15-30 minutes for the participant to score after the evaluation. The test battery can be created with the materials found in the physiotherapy clinic and is therefore very practical in terms of cost. In addition, due to the video recording of the evaluation, it provides a detailed examination opportunity to the evaluator both during and after the evaluation. However, it is superior to other tests in terms of creating a patient archive due to video recording. This study aimed to introduce SHUEE to the literature as a new assessment tool to be used in pediatric rheumatic pathologies. It is planned to include 25 volunteer pediatric patients diagnosed with rheumatic diseases in the study. Intra-observer and inter-observer reliability of SHUEE in children with a rheumatic diagnosis will be evaluated. For validity, the Jebsen-Taylor Hand Function test and Childhood Health Assessment Questionnaire will be used.

Conditions

Arm; Rheumatic Diseases; Child, Only

Keywords

rheumatic diseases; children; function

Outcome Measures

Primary Outcomes (3)

• Shriners Hospital Upper Extremity Evaluation

  The Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) is a video-based tool for the assessment of upper extremity function. The outcome is the total score of the spontaneous functional analysis, dynamic positional analysis, and grasp/release analysis. Higher scores mean a better outcome.

  Baseline

• Jebsen-Taylor Hand Function Test

  The Jebsen-Taylor Hand Function Test (JTHFT) is a standardized and objective measure of fine and gross motor hand function using simulated activities of daily living (ADL). The outcome is the sum of time taken for each sub-test, which is rounded to the nearest second. Lower scores mean a better outcome. Except for the subtest titled writing, all subtest scores should be under 10 seconds at least.

  Baseline

• Shriners Hospital Upper Extremity Evaluation

  The Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) is a video-based tool for the assessment of upper extremity function. The outcome is the total score of the spontaneous functional analysis, dynamic positional analysis, and grasp/release analysis. Higher scores mean a better outcome.

  after two weeks from baseline

Secondary Outcomes (1)

• The Childhood Health Assessment Questionnaire

  Baseline

Study Arms (1)

pediatric patients diagnosed with rheumatic diseases.

The Shriners Hospital for Children Upper Extremity Evaluation, the Jebsen-Taylor Hand Function Test, and the Childhood Health Assessment Questionnaire will be administered in children with rheumatic diseases. The Shriners Hospital for Children Upper Extremity Evaluation will be administered two weeks after the first examination and the results will be compared.

Other: Shriners Hospital for Children Upper Extremity Evaluation

Interventions

Shriners Hospital for Children Upper Extremity Evaluation OTHER

The interventions are evaluating tools for the functional performance of the upper extremity.

Also known as: Jebsen-Taylor Hand Function Test, Childhood Health Assessment Questionnaire

pediatric patients diagnosed with rheumatic diseases.

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

the patients who applied to the pediatric rheumatology clinic in the university hospital

You may qualify if:

• To be in the 10-18 ages group (In order for the devices to comply with the minimum measurement criteria and to be able to cooperate with the study)
• Being diagnosed with rheumatic diseases at least 6 months ago with only upper extremity affected
• Unilateral upper extremity involvement

You may not qualify if:

• Having an acute pathology that could affect walking
• To be diagnosed with orthopedic/neurological pathology that will affect work and cooperation

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul University-Cerrahpaşa

Istanbul, Turkey (Türkiye)

Location

Related Publications (3)

• Davids JR, Peace LC, Wagner LV, Gidewall MA, Blackhurst DW, Roberson WM. Validation of the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) for children with hemiplegic cerebral palsy. J Bone Joint Surg Am. 2006 Feb;88(2):326-33. doi: 10.2106/JBJS.E.00298.

  PMID: 16452744 BACKGROUND

• Ozdogan H, Ruperto N, Kasapcopur O, Bakkaloglu A, Arisoy N, Ozen S, Ugurlu U, Unsal E, Melikoglu M; Paediatric Rheumatology International Trials Organisation. The Turkish version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol. 2001 Jul-Aug;19(4 Suppl 23):S158-62.

  PMID: 11510322 BACKGROUND

• Sigirtmac IC, Oksuz C. Investigation of reliability, validity, and cutoff value of the Jebsen-Taylor Hand Function Test. J Hand Ther. 2021 Jul-Sep;34(3):396-403. doi: 10.1016/j.jht.2020.01.004. Epub 2020 Mar 7.

  PMID: 32156578 BACKGROUND

MeSH Terms

Conditions

Rheumatic Diseases

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist, PhD Student

Study Record Dates

• First Submitted: December 12, 2020
• First Posted: December 28, 2020
• Study Start: November 4, 2020
• Primary Completion: March 15, 2021
• Study Completion: March 30, 2021
• Last Updated: August 31, 2021

Record last verified: 2021-08

Locations

TU (1)