Clinical Rehabilitation

 

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Clinical Rehabilitation, Vol. 21, No. 2, 163-170 (2007)
DOI: 10.1177/0269215506071253

Development of a set of activities to evaluate the arm and hand function in children with obstetric brachial plexus lesion

K H Boeschoten

Department of Occupational Therapy, VU University Medical Centre, Amsterdam, The Netherlands, Karin.Boeschoten{at}vumc.nl

K B Folmer

Department of Rehabilitation Medicine, VU University Medical Centre, Rehabilitation Centre De Trappenberg, Huizen, The Netherlands

J H van der Lee

Department of Rehabilitation Medicine, VU University Medical Centre, Centre for Pediatric Clinical Epidemiology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

F Nollet

Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands

Objective: To develop an observational instrument that can be used to evaluate the quality of arm and hand skills in daily functional activities in children with obstetric brachial plexus lesion (OBPL). A set of functional activities was constructed and standardized, and the intra-observer reliability of the assessment of this set of activities was studied.

Setting: Department of Occupational Therapy and Department of Rehabilitation Medicine, VU University Medical Centre.

Subjects: Twenty-six children with OBPL in the age range of 4 -6 years.

Interventions: The children were asked to perform 47 bimanual activities, which were recorded on videotape.

Main measures: The videotapes were scored twice by the same occupational therapist.

Results: The percentage of agreement in scoring ‘hand-use’, ‘speed’ and ‘assistance’ was over 80% for a substantial number of activities, indicating a strong agreement. However, in scoring ‘deviations in movements and body posture’ the percentage of agreement was insufficient in most activities.

Conclusions: This set of activities has good potential for assessment of the performance of functional activities in children with OBPL. This study, however, showed a number of difficulties in observing and scoring the activities that have to be considered when developing a standardized video observation.


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