Clinical rating scale for head control – A pilot study

Rao, Chavan Shashidhar (2007) Clinical rating scale for head control – A pilot study. The Indian Journal of Occupational Therapy, 39 (3). pp. 59-64.

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In this study, a clinical scale to evaluate head control was designed. It included the components of integrity of muscle strength, postural control against gravity, body movement and dynamic stability. Three testing positions: Prone, supine and supported/ recline sitting were analyzed for their influence on the head control on an ordinal scale. From the convenient sample of 36 patients, 28 children with delayed development were included in the study. Three occupational therapists with varied experience served as independent rater to establish the interrater reliability for the scale. Kappa statistic was employed to compute the data. The analysis of the result revealed varied picture. Among the three positions, prone items had low agreement. However, the other two positions revealed moderate to good agreement. Also, kappa values with the examiner having least experience was found to be low indicating that with experience, the scale can be administered reliably. This tool is recommended for the clinical purpose.

Item Type: Article
Uncontrolled Keywords: Head control, Cerebral palsy, delayed motor milestone, severity, measurement, reliability.
Subjects: Allied Health > MCOAHS Manipal > Occupational Therapy
Depositing User: KMC Manipal
Date Deposited: 29 Jul 2011 05:38
Last Modified: 25 Feb 2013 11:22

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