Video-based documentation and rating system of the motor behaviour of handicapped children treated with physiotherapy--a new outcome measure.
OBJECTIVE
Development of an instrument to measure modifications of motor quality in handicapped children receiving physiotherapy.


METHODS
A video-based documentation method of motor behaviour in children from 0 to 3 years receiving physiotherapy was elaborated, consisting of a standardized set of scenes (script) and a rating procedure concerning different categories of motor behaviour such as coordination, stability and effort.


RESULTS
The construction of the script and the rating system proved to be sensitive in documenting and evaluating the motor behaviour of handicapped children receiving physiotherapy. A good inter-rater reliability of 0.85 was obtained. The chosen rating categories represent two independent factors: One relating more to the motor functions (motor component) and the other relating to the psycho-social aspects of movement (interactive component).


CONCLUSIONS
The instrument allows to evaluate the quality aspects of movement. They can be observed in motor behaviour regardless of which function is being executed and may develop in a different pace and at different stages of therapy than specific motor functions such as turning, sitting or walking. The instrument is intended to complement a standard neurological examination and the application of motor function tests, especially, to evaluate therapeutic outcomes.
Kraus de Camargo
O
O
Sozialpädiatrisches Zentrum, Universtitätskinderklinik, Ulm/Donau, Germany. olaf.krausdecamargo@medizin.uni-ulm.de
Storck
M
M
Bode
H
H
D002675:Child, Preschool; D006233:Persons with Disabilities / Q000534:rehabilitation*; D004282:Documentation; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009048:Motor Skills; D015588:Observer Variation; D026741:Physical Therapy Modalities / Q000592:standards*; D015203:Reproducibility of Results; D013997:Time Factors; D016896:Treatment Outcome; D014743:Videotape Recording