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Open AccessArticle

Development of the Dyskinesia Impairment Mobility Scale to Measure Presence and Severity of Dystonia and Choreoathetosis during Powered Mobility in Dyskinetic Cerebral Palsy

1
KU Leuven, Bruges Campus, Department of Rehabilitation Sciences, Research Group for Neurorehabilitation, 8200 Bruges, Belgium
2
KU Leuven, Department of Biosystems, Division of Animal and Human Health Engineering, Measure, Model and Manage Bioresponse (M3–BIORES), 3001 Leuven, Belgium
3
KU Leuven, Bruges Campus, Department of Computer Science, Mechatronics Research Group, 8200 Bruges, Belgium
*
Author to whom correspondence should be addressed.
Appl. Sci. 2019, 9(17), 3481; https://doi.org/10.3390/app9173481
Received: 20 July 2019 / Revised: 17 August 2019 / Accepted: 20 August 2019 / Published: 23 August 2019
(This article belongs to the Special Issue Human Health Engineering)
The majority of individuals with dyskinetic cerebral palsy cannot use powered mobility with a joystick, due to the lack of manual abilities by the severe presence of dystonia and choreoathetosis. Reliable measurements of these movement disorders is indispensable for good evaluation towards evidence–based insights during powered mobility. This study aimed to develop and assess the Dyskinesia Impairment Mobility Scale (DIMS), a video–based tool to measure presence and severity of dystonia and choreoathetosis during powered mobility. DIMS was measured for the neck and arms region during five mobility tasks. Interrater reliability, test–retest reliability, internal consistency and concurrent validity of the DIMS were assessed. Interrater reliability coefficients ranged between 0.68 and 0.87 for the total DIMS, and the dystonia and choreoathetosis subscales. Test–retest reliability was moderate to excellent (range 0.51–0.93) while Cronbach’s alpha was good (range 0.69–0.81) for the total scale and subscale scores. Concurrent validity showed during mobility tasks significant correlations with rest postures in the arm region, and with requested but voluntary activity in the neck region. The DIMS reliably measures the presence and severity of the movement disorders during powered mobility, increasing insights into the underlying mechanisms of independent mobility. This scale may therefore be a promising tool to evaluate mobility training. View Full-Text
Keywords: powered mobility; dyskinetic cerebral palsy; dystonia; choreoathetosis; mobility scale; movement disorder; children; youth; reliability; validity powered mobility; dyskinetic cerebral palsy; dystonia; choreoathetosis; mobility scale; movement disorder; children; youth; reliability; validity
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Bekteshi, S.; Konings, M.; Nica, I.G.; Gakopoulos, S.; Vanmechelen, I.; Aerts, J.-M.; Hallez, H.; Monbaliu, E. Development of the Dyskinesia Impairment Mobility Scale to Measure Presence and Severity of Dystonia and Choreoathetosis during Powered Mobility in Dyskinetic Cerebral Palsy. Appl. Sci. 2019, 9, 3481.

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