Reliability of Range of Movement Measurements in Cerebral Palsy

NCT06295107 | Completed

• 1 other identifier: 2023-00195-01
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The aim is to investigate the inter-rater reliability of passive range of motion (pROM) measurement with goniometer of knee extension and ankle dorsiflexion for children with unilateral spastic cerebral palsy (USCP) and secondary to explore to what extent spasticity influences the reliability.

Conditions

Cerebral Palsy; Movement Disorders in Children

Keywords

Cerebral palsy; Children; pROM; Goniometer; Spasticity; Reliability

Outcome Measures

Primary Outcomes (2)

• Ankle range of motion

  Goniometer measurements of ankle range of movement

  2023-2024

• Knee range of motion

  Goniometer measurements of knee range of movement

  2023-2024

Study Arms (2)

Spastic leg

Children with spastic hemiplegic cerebral palsy.

Diagnostic Test: Ankle Passive Range of Movement (pROM); Diagnostic Test: Knee Passive Range of Movement (pROM)

Non spastic leg

Children with spastic hemiplegic cerebral palsy.

Diagnostic Test: Ankle Passive Range of Movement (pROM); Diagnostic Test: Knee Passive Range of Movement (pROM)

Interventions

Ankle Passive Range of Movement (pROM) DIAGNOSTIC_TEST

Ankel and knee pROM measurements.

Non spastic leg; Spastic leg

Knee Passive Range of Movement (pROM) DIAGNOSTIC_TEST

Ankel and knee pROM measurements.

Non spastic leg; Spastic leg

Eligibility Criteria

• Age: 2 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children with with hemiplegic spastic cerebral palsy in the south of Sweden, Skane county.

Sponsors & Collaborators

• Region Skane: lead

Study Sites (1)

Children Habilitation Unit

Lund, Skåne County, 22241, Sweden

Location

Related Publications (11)

• Allington NJ, Leroy N, Doneux C. Ankle joint range of motion measurements in spastic cerebral palsy children: intraobserver and interobserver reliability and reproducibility of goniometry and visual estimation. J Pediatr Orthop B. 2002 Jul;11(3):236-9. doi: 10.1097/00009957-200207000-00007.

  PMID: 12089500 BACKGROUND

• Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987 Feb;67(2):206-7. doi: 10.1093/ptj/67.2.206.

  PMID: 3809245 BACKGROUND

• Brosseau L, Balmer S, Tousignant M, O'Sullivan JP, Goudreault C, Goudreault M, Gringras S. Intra- and intertester reliability and criterion validity of the parallelogram and universal goniometers for measuring maximum active knee flexion and extension of patients with knee restrictions. Arch Phys Med Rehabil. 2001 Mar;82(3):396-402. doi: 10.1053/apmr.2001.19250.

  PMID: 11245764 BACKGROUND

• Ferriero G, Vercelli S, Sartorio F, Munoz Lasa S, Ilieva E, Brigatti E, Ruella C, Foti C. Reliability of a smartphone-based goniometer for knee joint goniometry. Int J Rehabil Res. 2013 Jun;36(2):146-51. doi: 10.1097/MRR.0b013e32835b8269.

  PMID: 23196790 BACKGROUND

• Gandbhir VN, Cunha B. Goniometer. 2020 Jun 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK558985/

  PMID: 32644411 BACKGROUND

• Hancock GE, Hepworth T, Wembridge K. Accuracy and reliability of knee goniometry methods. J Exp Orthop. 2018 Oct 19;5(1):46. doi: 10.1186/s40634-018-0161-5.

  PMID: 30341552 BACKGROUND

• Herrero P, Carrera P, Garcia E, Gomez-Trullen EM, Olivan-Blazquez B. Reliability of goniometric measurements in children with cerebral palsy: a comparative analysis of universal goniometer and electronic inclinometer. A pilot study. BMC Musculoskelet Disord. 2011 Jul 10;12:155. doi: 10.1186/1471-2474-12-155.

  PMID: 21740600 BACKGROUND

• Konor MM, Morton S, Eckerson JM, Grindstaff TL. Reliability of three measures of ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2012 Jun;7(3):279-87.

  PMID: 22666642 BACKGROUND

• Martin RL, McPoil TG. Reliability of ankle goniometric measurements: a literature review. J Am Podiatr Med Assoc. 2005 Nov-Dec;95(6):564-72. doi: 10.7547/0950564.

  PMID: 16291848 BACKGROUND

• McDowell BC, Hewitt V, Nurse A, Weston T, Baker R. The variability of goniometric measurements in ambulatory children with spastic cerebral palsy. Gait Posture. 2000 Oct;12(2):114-21. doi: 10.1016/s0966-6362(00)00068-0.

  PMID: 10998607 BACKGROUND

• McWhirk LB, Glanzman AM. Within-session inter-rater realiability of goniometric measures in patients with spastic cerebral palsy. Pediatr Phys Ther. 2006 Winter;18(4):262-5. doi: 10.1097/01.pep.0000234960.88761.97.

  PMID: 17108799 BACKGROUND

Related Links

• CPUP IS A FOLLOW-UP SURVEILLANCE PROGRAMME FOR PEOPLE WITH CEREBRAL PALSY (CP)

MeSH Terms

Conditions

Cerebral Palsy; Muscle Spasticity

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Muscular Diseases; Musculoskeletal Diseases; Muscle Hypertonia; Neuromuscular Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Gunnar Hägglund

  Lund University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant pediatric orthopedic surgeon

Study Record Dates

• First Submitted: February 28, 2024
• First Posted: March 6, 2024
• Study Start: October 1, 2023
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: July 29, 2025

Record last verified: 2025-07

Locations

SE (1)