Turkish Translation , Validity and Reliability of the Hypertonia Assessment Tool in Children With Motor Disorders

NCT07267442 | Recruiting

• 1 other identifier: 2024 - 1944
• Study Type: observational
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Translating batteries with good psychometric properties into Turkish will increase the number of assessment batteries we can use in our language for clinical and academic studies. Therefore, the aim of our study was to verify the validity, reliability, and translation into Turkish of the Hypertonus Assessment Tool for children with motor disorders.

Conditions

Hypertonia; Motor Disorder; Reliability and Validity

Keywords

Hypertonia; Motor Disorder; Reliability and Validity

Outcome Measures

Primary Outcomes (1)

• Hypertonia Assessment Tool

  The Hypertonia Assessment Tool (HAT) was developed to address the need for a single instrument capable of evaluating different subtypes of increased muscle tone within one assessment battery. The HAT involves observing a patient's limb during a targeted passive stretch and during voluntary movement to assess increased tone or resistance. The scale consists of seven items in total: two assess spasticity, two assess rigidity, and three assess dystonia.

  The patient, diagnosed by a pediatric neurologist, is evaluated by the researcher. A second evaluation is repeated one week later after a follow-up examination to ensure test-retest reliability.

Study Arms (1)

Children with motor disorders

Eligibility Criteria

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

Study Population

This methodological study was designed as a Turkish language adaptation, validity, and reliability study. It will be conducted at the Developmental Physiotherapy and Pediatric Rehabilitation Unit of the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, between January 15, 2025, and January 15, 2026. Children with neuromotor disorders diagnosed by a pediatric neurologist and attending routine clinical follow-up visits will be recruited through convenience sampling. The total sample size was determined as 70 participants, corresponding to ten times the number of items in the scale. Children whose parents provide written and verbal informed consent will be included in the study.

You may qualify if:

• as voluntary participation in the study,
• a diagnosis of a neuromotor disorder under the age of 18,
• sufficient cognitive ability to follow verbal commands

You may not qualify if:

• Patients with any other systemic disease,
• Who had received botulinum toxin A injections or undergone surgery within the past three months,
• Be unable to follow verbal instructions
• Medical treatment had been modified within the last month

Sponsors & Collaborators

• Kastamonu University: lead
• Gazi University: collaborator

Study Sites (1)

Gazi University

Ankara, Turkey (Türkiye)

RECRUITING

Related Publications (4)

• Marsico P, Frontzek-Weps V, Balzer J, van Hedel HJ. Hypertonia Assessment Tool. J Child Neurol. 2017 Jan;32(1):132-138. doi: 10.1177/0883073816671681. Epub 2016 Oct 15.

  PMID: 27742862 RESULT

• Jethwa A, Mink J, Macarthur C, Knights S, Fehlings T, Fehlings D. Development of the Hypertonia Assessment Tool (HAT): a discriminative tool for hypertonia in children. Dev Med Child Neurol. 2010 May;52(5):e83-7. doi: 10.1111/j.1469-8749.2009.03483.x.

  PMID: 20540176 RESULT

• Haberfehlner H, Goudriaan M, Bonouvrie LA, Jansma EP, Harlaar J, Vermeulen RJ, van der Krogt MM, Buizer AI. Instrumented assessment of motor function in dyskinetic cerebral palsy: a systematic review. J Neuroeng Rehabil. 2020 Mar 5;17(1):39. doi: 10.1186/s12984-020-00658-6.

  PMID: 32138731 RESULT

• Hadders-Algra M. Early Diagnostics and Early Intervention in Neurodevelopmental Disorders-Age-Dependent Challenges and Opportunities. J Clin Med. 2021 Feb 19;10(4):861. doi: 10.3390/jcm10040861.

  PMID: 33669727 RESULT

MeSH Terms

Conditions

Motor Disorders; Muscle Hypertonia

Condition Hierarchy (Ancestors)

Mental Disorders; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Bulent Elbasan, Prof. Dr.

  Gazi University

  STUDY CHAIR

Central Study Contacts

Hidayet Cuha, PhD(c)

CONTACT

+90 534 646 01 06; hcuha@kastamonu.edu.tr

Esra Serdaroglu, MD, Assoc. Prof.

CONTACT

+90 312 202 6090; esras@gazi.edu.tr

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer, PT, PhD(c)

Study Record Dates

• First Submitted: November 23, 2025
• First Posted: December 5, 2025
• Study Start: January 10, 2025
• Primary Completion: January 10, 2026
• Study Completion (Estimated): June 10, 2026
• Last Updated: December 5, 2025

Record last verified: 2025-12

Locations

TU (1)