Assessment of mirror movements in children and adolescents with unilateral cerebral palsy : Reliability of the Woods and Teuber Scale

Journal article

Magne, Victoria A., Adde, Lars, Hoare, Brian, Klingels, Katrijn, Simon Martinez, Cristina, Mailleux, Lisa, Lydersen, Stian and Elvrum, Ann-Kristin G.. (2021). Assessment of mirror movements in children and adolescents with unilateral cerebral palsy : Reliability of the Woods and Teuber Scale. Developmental Medicine and Child Neurology. 63(6), pp. 736-742. https://doi.org/10.1111/dmcn.14806
AuthorsMagne, Victoria A., Adde, Lars, Hoare, Brian, Klingels, Katrijn, Simon Martinez, Cristina, Mailleux, Lisa, Lydersen, Stian and Elvrum, Ann-Kristin G.
Abstract

Aim
To investigate the inter- and intrarater reliability of the Woods and Teuber scale to detect mirror movements in children and adolescents with unilateral cerebral palsy (CP).

Method
A convenience sample of children and adolescents with unilateral CP (n=68; 31 males, 37 females; mean age 12y 2mo, SD 3y 6mo) in Manual Ability Classification levels I to III was recruited from Norway, Australia, and Belgium. Three therapists scored mirror movements according to the Woods and Teuber scale from three video-recorded tasks at two separate time points. A two-way, mixed model regression was used to calculate intraclass correlation coefficients (ICCs) reflecting overall inter- and intrarater reliability. In addition, ICCs for each hand and task were calculated separately.

Results
The overall interrater reliability ICC was 0.90 and the corresponding intrarater reliability ICC was 0.92. The ICCs for each hand ranged from 0.86 to 0.92 and for each task from 0.63 to 0.89.

Interpretation
The Woods and Teuber scale shows excellent reliability for scoring mirror movements in children and adolescents with unilateral CP. The assessment is easy to administer with no need for specific equipment and scoring can be determined from short video recordings, making it a feasible instrument in research and clinical practice.

Year2021
JournalDevelopmental Medicine and Child Neurology
Journal citation63 (6), pp. 736-742
PublisherWiley-Blackwell Publishing Ltd.
ISSN1469-8749
Digital Object Identifier (DOI)https://doi.org/10.1111/dmcn.14806
PubMed ID33469938
Scopus EID2-s2.0-85100031513
Page range736-742
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online19 Jan 2021
Publication process dates
Accepted03 Dec 2020
Deposited12 Jul 2023
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