Feasibility of the Trunk and Upper Extremity Assessments for Teleassessment in Children Cerebral Palsy

NCT06707831 | Completed

• 1 other identifier: teleassessmentforCP
• Study Type: observational
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study was conducted to investigate the suitability of trunk and upper extremity assessments used within the scope of the ICF for tele-assessment in children with hemiplegic cerebral palsy (CP).

Conditions

Cerebral Palsy (CP)

Keywords

teleassessment; telerehabilitation; trunk and upper extremity; cerebral palsy; reliability and validity

Outcome Measures

Primary Outcomes (4)

• Trunk Control Measurement Scale (TCMS)

  The TCMS is a clinical tool used to assess trunk control in children with cerebral palsy. It evaluates both static and dynamic aspects of trunk control through tasks divided into three subscales: static sitting balance, dynamic sitting balance and dynamic reaching. It has total 15 items and each item is scored on a scale of 0 to 3, where higher scores indicate better trunk control. The total score ranges from 0 to 58, with subscale scores providing insights into specific components of trunk function.

  5 minutes

• Upper Limb Physician Rating Scale (ULPRS)

  The ULPRS is a clinical assessment tool used to evaluate upper limb function in individuals with conditions like cerebral palsy. It focuses on assessing movement quality, range of motion, and functional use of the upper extremities during specific tasks or movements. The scoring typically reflects the severity of impairment, with lower scores indicating greater functional limitations. It is commonly used to monitor progress and guide treatment planning. Typically, items are scored individually, and the total score represents the overall severity of impairment or functionality.

  5 minutes

• Selective Control of Upper Extremity Scale (SCUES)

  The SCUES is a clinical assessment tool designed to measure selective motor control in the upper extremities, particularly in individuals with neurological conditions such as cerebral palsy. It evaluates the ability to perform isolated, precise movements in the shoulder, elbow, wrist, and fingers without using compensatory patterns. Each limb is scored on a scale from 0 to 3 for each joint, where 0 indicates no selective movement and 3 indicates completely selective movement. The total score for a limb ranges from 0 to 15, with higher scores reflecting greater selectivity.

  5 minutes

• Quality of Upper Extremity Skills Test (QUEST)

  The QUEST is a standardized tool designed to assess upper extremity function in children with neuromotor impairments, particularly cerebral palsy. It evaluates four domains: dissociated movements, grasp, protective extension, and weight-bearing, with 36 items scored from 0 (cannot perform) to 2 (performs fully). The scores are summed for each domain, and a total percentage score is calculated, with higher scores reflecting better movement quality and function. The QUEST is useful for guiding therapy and tracking progress over time.

  5 minutes

Secondary Outcomes (4)

• Abilhand-Kids

  5 minutes

• Pediatric Motor Activity Log (PMAL)

  5 minutes

• The Assessment of Life-Habits (Life-H)

  5 minutes

• European Child Environment Questionnaire (ECEQ)

  5 minutes

Study Arms (1)

Study sample

Children with hemiplegic cerebral palsy aged 4 to 18 years

Other: Teleassessment

Interventions

Teleassessment OTHER

Children underwent assessments on two occasions: one in face-to-face within a clinical setting, and the other through teleassessment using video conferencing. This video conference session was recorded to be later reviewed and scored by two separate raters.

Study sample

Eligibility Criteria

• Age: 4 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Children with cerebral palsy who visit the Pediatric Rehabilitation Department at Hacettepe University, Faculty of Physical Therapy and Rehabilitation, for routine treatment or examination.

You may qualify if:

• Diagnosed with unilateral (hemiplegic) cerebral palsy
• Being 4 - 18 years old
• Classified as Communication Function Classification System (CFCS) level 1 or 2
• Classified as Visual Function Classification System (VFCS) level 1 or 2
• Parents are able to read and write in Turkish

You may not qualify if:

• Diagnosed with epilepsy and active seizures in addition to CP
• Unable to use video call methods
• Refused to participate in the study
• Unable to co-operate during assessments
• The one who refused to continue with the assessments
• Those who had health problems during the assessments and could not continue the assessments

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Ankara, 06100, Turkey (Türkiye)

Location

Related Publications (10)

• Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.

  PMID: 17370477 BACKGROUND

• Delioglu K, Unes S, Tuncdemir M, Ozal C, Biyik KS, Uzumcugil A. Interrater reliability of face-to-face, tele- and video-based assessments with the modified Mallet classification in brachial plexus birth injuries. J Hand Surg Eur Vol. 2024 May;49(5):576-582. doi: 10.1177/17531934231196118. Epub 2023 Sep 8.

  PMID: 37684022 BACKGROUND

• Gungor F, Ovacik U, Ertan Harputlu O, Yekdaneh AA, Kurt I, Erturk Uzunoglu G, Polat Ilguz B, Akuzum F, Akbaba YA. Tele-assessment of core performance and functional capacity: Reliability, validity, and feasibility in healthy individuals. J Telemed Telecare. 2024 Jul;30(6):1017-1025. doi: 10.1177/1357633X221117335. Epub 2022 Aug 2.

  PMID: 35916001 BACKGROUND

• Cabrera-Martos I, Ortiz-Rubio A, Torres-Sanchez I, Lopez-Lopez L, Rodriguez-Torres J, Carmen Valenza M. Agreement Between Face-to-Face and Tele-assessment of Upper Limb Functioning in Patients with Parkinson Disease. PM R. 2019 Jun;11(6):590-596. doi: 10.1002/pmrj.12001. Epub 2019 Mar 6.

  PMID: 30840363 BACKGROUND

• Tan JR, Coulson S, Keep M. Face-to-Face Versus Video Assessment of Facial Paralysis: Implications for Telemedicine. J Med Internet Res. 2019 Apr 12;21(4):e11109. doi: 10.2196/11109.

  PMID: 30977734 BACKGROUND

• Richmond T, Peterson C, Cason J, Billings M, Terrell EA, Lee ACW, Towey M, Parmanto B, Saptono A, Cohn ER, Brennan D. American Telemedicine Association's Principles for Delivering Telerehabilitation Services. Int J Telerehabil. 2017 Nov 20;9(2):63-68. doi: 10.5195/ijt.2017.6232. eCollection 2017 Fall.

  PMID: 29238450 BACKGROUND

• Biyik KS, Ozal C, Tuncdemir M, Unes S, Delioglu K, Gunel MK. The functional health status of children with cerebral palsy during the COVID-19 pandemic stay-at-home period: a parental perspective. Turk J Pediatr. 2021;63(2):223-236. doi: 10.24953/turkjped.2021.02.006.

  PMID: 33929112 BACKGROUND

• Yang P, Liu P, Li D, Zhao D. Corona Virus Disease 2019, a growing threat to children? J Infect. 2020 Jun;80(6):671-693. doi: 10.1016/j.jinf.2020.02.024. Epub 2020 Mar 3.

  PMID: 32142929 BACKGROUND

• Rosenbaum PL, Silva M, Camden C. Let's not go back to 'normal'! lessons from COVID-19 for professionals working in childhood disability. Disabil Rehabil. 2021 Apr;43(7):1022-1028. doi: 10.1080/09638288.2020.1862925. Epub 2020 Dec 23.

  PMID: 33355010 BACKGROUND

• Unes S, Tuncdemir M, Ozal C, Delioglu K, Seyhan Biyik K, Kerem Gunel M. Tele-assessment of trunk control in children with cerebral palsy: Intra- and inter-rater reliability, and validity of the trunk control measurement scale. J Telemed Telecare. 2025 Apr 30:1357633X251336009. doi: 10.1177/1357633X251336009. Online ahead of print.

  PMID: 40302488 DERIVED

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: November 27, 2024
• Study Start: January 1, 2022
• Primary Completion: May 1, 2023
• Study Completion: May 1, 2024
• Last Updated: November 27, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)