CC BY 4.0 ATTRIBUTION 4.0 INTERNATIONAL DeedMarsico, PetraMeier, LeaBuchmann, AnkeKläy, Andrinavan der Linden, MariettaMercer, TomVan Hedel, Hubertus J.2024-07-092024-07-092024-08-09Marsico, P., Meier, L., Buchmann, A., Kläy, A., Van Der Linden, M., Mercer, T. and Van Hedel, H.J. (2024) ‘Assessing proprioception in children with upper motor neuron lesions: feasibility, validity, and reliability of the proprioception measurement tool(Prometo)’, Frontiers in Rehabilitation Sciences, 5. Available at: https://doi.org/10.3389/fresc.2024.1373793.Frontiers in Rehabilitation Scienceshttps://eresearch.qmu.ac.uk/handle/20.500.12289/13812https://doi.org/10.3389/fresc.2024.1373793Petra Marsico - ORCID: 0000-0002-2503-9142 https://orcid.org/0000-0002-2503-9142Marietta van der Linden - ORCID: 0000-0003-2256-6673 https://orcid.org/0000-0003-2256-6673Tom Mercer - ORCID: 0000-0002-5078-4769 https://orcid.org/0000-0002-5078-4769Hubertus J. Van Hedel - ORCID: 0000-0002-9577-5049 https://orcid.org/0000-0002-9577-5049VoR added 2024-08-09Introduction: To investigate the feasibility, discriminative and convergent validity, and reliability of a lower limb sensor-based proprioception measure in children with upper motor neuron (UMN) lesions. Method: We assessed three proprioception modalities (joint movement, joint position, and dynamic position sense) of the lower limbs in 49 children with UMN lesions and 50 typically developing (TD) peers (5-19y). Forty-three children with UMN lesion had a congenital and six an acquired brain lesion and 82% are able to walk without a walking aid. We evaluated the feasibility, compared the test results between children with UMN lesions and TD peers, and calculated Spearman correlations (rs) between the modalities. We quantified relative reliability with Intra-Class Correlation Coefficients (ICC) and absolute reliability with Smallest Detectable Changes (SDC). Results: Most children with UMN lesions (>88%) found the tests easy to perform. The children with UMN lesions had significantly (p<0.001) lower proprioceptive function than the TD children. The correlation between the three proprioceptive modalities was moderate to high (0.50 ≤ rs ≤ 0.79). The relative reliability for test-retest and the inter-rater reliability was moderate to high (ICCs=0.65-0.97), and SDC between 2° and 15°. Discussion: The three tests are feasible, and discriminative and convergent validity and reliability were confirmed. Further studies should investigate the influence on motor function and performance in children with UMN lesions.enCopyright: © 2024 Marsico, Meier, Buchmann, Kläy, Van Der Linden, Mercer and Van Hedel. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.http://creativecommons.org/licenses/by/4.0/Outcome MeasuresCerebral PalsyPsychometricsMovement ControlRehabilitationArticle