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Reliability of the modified Gross Motor Function Measure-88 (GMFM-88) for children with both Spastic Cerebral Palsy and Cerebral Visual Impairment: a preliminary study

  • Masoud Salavati
  • , Wim Krijnen
  • , E.A.A. Rameckers
  • , P.L. Looijestijn
  • , C.G. Maathuis
  • , Cees van der Schans
  • , B. Steenbergen
  • Royal Dutch Visio, Centres of Expertise for Blind and Partially Sighted People
  • Adelante Center of Expertise in Rehabilitation and Audiology
  • University of Groningen, Special Needs Education & Youth Care
  • De Noorderbrug, Centre for Persons with Disabilities and Chronic Illnesses
  • University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine
  • Radboud University, Behavioural Science Institute

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

PURPOSE: The aims of this study were to adapt the Gross Motor Function Measure-88 (GMFM-88) for children with Cerebral Palsy (CP) and Cerebral Visual Impairment (CVI) and to determine the test-retest and interobserver reliability of the adapted version.

METHOD: Sixteen paediatric physical therapists familiar with CVI participated in the adaptation process. The Delphi method was used to gain consensus among a panel of experts. Seventy-seven children with CP and CVI (44 boys and 33 girls, aged between 50 and 144 months) participated in this study. To assess test-retest and interobserver reliability, the GMFM-88 was administered twice within three weeks (Mean=9 days, SD=6 days) by trained paediatric physical therapists, one of whom was familiar with the child and one who wasn't. Percentages of identical scores, Cronbach's alphas and intraclass correlation coefficients (ICC) were computed for each dimension level.

RESULTS: All experts agreed on the proposed adaptations of the GMFM-88 for children with CP and CVI. Test-retest reliability ICCs for dimension scores were between 0.94 and 1.00, mean percentages of identical scores between 29 and 71, and interobserver reliability ICCs of the adapted GMFM-88 were 0.99-1.00 for dimension scores. Mean percentages of identical scores varied between 53 and 91. Test-retest and interobserver reliability of the GMFM-88-CVI for children with CP and CVI was excellent. Internal consistency of dimension scores lay between 0.97 and 1.00.

CONCLUSION: The psychometric properties of the adapted GMFM-88 for children with CP and CVI are reliable and comparable to the original GMFM-88.

Original languageEnglish
Pages (from-to)32-48
JournalResearch in Developmental Disabilities
Volume45-46
DOIs
Publication statusPublished - 25 Jul 2015

Keywords

  • cerebral palsy
  • children

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

  • Healthy Ageing

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

  • Frailty and adequate care

Publinova themes

  • Other
  • Health

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