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dc.contributor.authorMarsico, Petra
dc.contributor.authorFrontzek-Weps, Victoria
dc.contributor.authorvan Hedel, Hubertus J. A.
dc.identifier.citationMarsico, P., Frontzek-Weps, V., van Hedel, H. J. A. (2021) Velocity dependent measure of spasticity: Reliability in children and juveniles with neuromotor disorders. Journal of Pediatric Rehabilitation Medicine (In Press).
dc.descriptionFrom Crossref journal articles via Jisc Publications Router
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dc.description.abstractPURPOSE: The purpose of this study was to create a clear, standardized test description to rate spasticity severity into four categories according to the definition given by Lance [1], referred to as the Velocity Dependent Measure of Spasticity (VDMS). METHOD: Muscle groups of the upper and lower limbs of children with neuromotor disorders were evaluated on their response to passive movement in a fast-versus slow-velocity test condition. The interrater and test-retest reliability were assessed using Gwet’s alpha one (95%-CI) and the percentage agreement. RESULTS: Two physiotherapists independently assessed 45 children and youths (age 4–19 years). The interrater reliability of the VDMS was substantial to almost perfect (Gwet’s alpha one: 0.66–0.99, n= 45) while the test-retest reliability was almost perfect as well (Gwet’s alpha one: 0.83–1.00, n= 42). CONCLUSION: The VDMS can be recommended as a reliable assessment with a standardized procedure to assess spasticity of the extremities in children with neuromotor disorders.
dc.publisherIOS Press
dc.relation.ispartofJournal of Pediatric Rehabilitation Medicine
dc.subjectCerebral Palsy
dc.subjectMuscle Hypertonia
dc.subjectMuscle Spasticity
dc.subjectOutcome Assessment
dc.titleVelocity dependent measure of spasticity: Reliability in children and juveniles with neuromotor disorders
qmu.authorvan Hedel, Hubertus J. A.
qmu.authorMarsico, Petra
qmu.centreCentre for Health, Activity and Rehabilitation Research

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