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Development of the Assisting Hand Assessment for adolescents (Ad-AHA) and validation of the AHA from 18 months to 18 years
Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
Örebro University, School of Health Sciences. (Research Enabling an Active Life)ORCID iD: 0000-0001-5418-3154
Neuropediatric Unit, Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden.
2016 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 58, no 12, 1303-1309 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To develop and evaluate a test activity from which bimanual performance in adolescents with unilateral cerebral palsy (CP) can be observed and scored with the Assisting Hand Assessment (AHA), and to evaluate the construct validity of the AHA test items for the extended age range 18 months to 18 years.

Method: A new test activity was developed and evaluated for its ability to elicit bimanual actions in adolescents with (n=20) and without (n=10) unilateral CP. The AHA scores of 126 adolescents (mean age 14y 3mo, SD 2y 6mo; 71 males, 55 females) and 157 children with unilateral CP (mean age 6y 1mo, SD 2y 10mo; 102 males, 55 females) were analysed using the Rasch measurement model.

Results: The test activity elicited bimanual actions in 100% of typically developing adolescents and in 96.8% and 57.9% of adolescents with unilateral CP (moderately and severely limited hand function respectively). The scale demonstrated good construct validity; thus the same scoring criteria can be used for the age range studied.

Interpretation: The new Assisting Hand Assessment for adolescents (Ad-AHA) activity is valid for use with 13- to 18-year-olds to elicit bimanual performance in adolescents with unilateral CP. The same AHA scoring criteria can be used both for children and for adolescents within the age range 18 months to 18 year

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2016. Vol. 58, no 12, 1303-1309 p.
Keyword [en]
Hand function, assessment, cerebral palsy
National Category
Neurology Pediatrics
Research subject
Neurology; Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-50754DOI: 10.1111/dmcn.13168ISI: 000387758200020PubMedID: 27291981Scopus ID: 2-s2.0-84978286891OAI: oai:DiVA.org:oru-50754DiVA: diva2:936330
Note

Funding Agencies:

Stichting Rotterdams Kinderrevalidatie Fonds Adriaanstichting

Johanna KinderFonds (the Netherlands)

Stiftelsen Frimurare-Barnhuset

Strategic Research Funding for Health Care Science (SFO-V)

Norrbacka-Eugenia Stiftelsen (Sweden)

Available from: 2016-06-13 Created: 2016-06-13 Last updated: 2017-10-17Bibliographically approved

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