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Selective voluntary motor control measures of the lower extremity in children with upper motor neuron lesions: a systematic review
Author(s) -
Balzer Julia,
Linden Marietta L,
Mercer Thomas H,
Hedel Hubertus J A
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13417
Subject(s) - upper motor neuron , motor control , physical medicine and rehabilitation , motor neuron , medicine , psychology , neuroscience , pathology , disease , amyotrophic lateral sclerosis , spinal cord
Aim Recovery and trainability of impaired selective voluntary motor control ( SVMC ) of the lower extremity in children with upper motor neuron lesions has received little attention. To facilitate an evidence‐based debate about this topic, this review evaluates the evidence level of the psychometric properties of SVMC measures. Method MEDLINE , Embase, CINAHL , Psyc INFO , Scopus, Cochrane and PED ro databases were systematically searched up to July 2016. Two independent raters scored the methodological quality in accordance to the CO nsensus‐based Standards for the selection of health Measurement IN struments ( COSMIN ) checklist. The overall level of evidence was scored according to Cochrane criteria. Results We identified 3590 studies, of which 17 were included. COSMIN scores ranged from ‘poor’ to ‘excellent’ for studies investigating measurement properties of the Selective Motor Control test, modified Trost test, Gillette's Selective Motor Control test, Selective Control Assessment of the Lower Extremity (SCALE), kinematic measures, electromyography, and torque steadiness. Studies assessing the SCALE scored highest on COSMIN items. Evidence levels for SCALE's validity and reliability properties were moderate, while for the other SVMC measures these ranged from unknown to moderate. Responsiveness was not assessed. Interpretation Further psychometric studies of SVMC measures are needed to provide a scientific contribution to the ongoing debate of SVMC trainability.