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Original articles • Fisioter. mov. 28 (1) • Mar 2015 • https://doi.org/10.1590/0103-5150.028.001.AO01   copy

Repeatability and comparison of clinical tests in children with spastic diplegia and with typical development1 1 Grant support: This manuscript is based on a master’s thesis submitted in partial fulfillment of the requirements for a Master’s degree in Physical Education in the Biological Sciences Sector of the Federal University of Paraná (Universidade Federal do Paraná), by the master’s student Tainá Ribas Mélo, supervised by professor PhD Vera Lúcia Israel and professor PhD André Luiz Félix Rodacki. ,2 2 Conflict of Interest statement: The authors declare no conflict of interest.

Repetibilidade e comparação de testes clínicos para crianças diparéticas e com desenvolvimento típico

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

The aims of this study were to evaluate the reliability of three range of motion tests (Straight Leg Raise, Modified Thomas, and Duncan-Ely) using photographic measurements in children with spastic diplegic cerebral palsy (SD) and with typical development (TD).

Methods

A cross-sectional test-retest design was applied to compare muscle-tendon unit shortening tests between groups.

Results

The tests showed reliability that ranged from good to excellent (ICC > 0.8), except for the Thomas Test for the bi-articular hip flexor muscle-tendon unit of the TD group (ICC = 0.7). Differences between groups were found in all tests (p < 0.05), except when the range of motion of the bi-articular hip flexor muscles was assessed using the Thomas test (p > 0.05).

Conclusion

Children with SD presents a smaller range of motion than the TD group. However, the Thomas Test for the bi-articular hip flexor muscles was unable to determine differences between children with spastic diplegic cerebral palsy from that with typical development.

Diplegia; Range of motion; Photographic measurements; Clinical tests; Cerebral palsy

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