Reliability and validity of the Brachial Plexus Outcome Measure in children with obstetric brachial plexus palsy
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Published on: December 19, 2019
Zeynep Hosbay1, Safiye Ozkan2, Muberra Tanriverdi1
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakıf University, Istanbul, Turkey.
Insights
The Turkish Brachial Plexus Outcome Measure (BPOM) scale is a reliable tool for assessing function in children with obstetric brachial plexus palsy (OBPP). This study confirmed its validity and reliability in the Turkish population.
Area of Science:
- Pediatrics
- Rehabilitation Medicine
- Clinical Measurement
Background:
- Brachial plexus palsy (BPP) significantly impacts children's daily activities and function.
- Numerous assessment scales exist, but the Brachial Plexus Outcome Measure (BPOM) is a 14-item scale developed in 2012.
- The BPOM assesses both activity performance and self-evaluation in affected children.
Purpose of the Study:
- To cross-culturally translate the BPOM scale into Turkish.
- To evaluate the psychometric properties of the Turkish version of the BPOM scale.
- To establish the validity and reliability of the Turkish BPOM for assessing children with obstetric brachial plexus palsy (OBPP).
Main Methods:
- Standard cross-cultural translation procedures were employed for the BPOM scale.
- Psychometric evaluations were conducted on 48 children diagnosed with OBPP.
- Reliability was assessed using internal consistency (Cronbach's alpha) and test-retest reliability.
- Concurrent construct validity was determined by correlating OBPP scores with the Mallet classification system.
Main Results:
- The study included 48 children (37.5% girls, 62% boys) with a mean age of 8.7 years.
- Cronbach's alpha coefficients ranged from 0.89 to 0.96, with an overall scale value of 0.938, indicating high internal consistency.
- Test-retest reliability was found to be high, and moderate correlations were observed between different measures.
Conclusions:
- The Turkish translation of the BPOM scale demonstrates high test-retest reliability.
- The scale exhibits moderate correlations with other relevant measures, supporting its validity.
- The Turkish BPOM scale is a valid and reliable instrument for assessing functional outcomes in Turkish children with OBPP.
Study Design:
Clinical measurement and cross-sectional study.
Introduction:
Numerous scales have been developed to examine activities of daily living and function in children with brachial plexus palsy. The Brachial Plexus Outcome Measure (BPOM) scale was developed in 2012 by Emily S. Ho and contains 14 items that measure activity and self-evaluation.
Purpose Of The Study:
The aim of the study was to cross-culturally translate the BPOM scale into Turkish and test its measurement properties in children with brachial plexus palsy.
Methods:
The scale was translated into Turkish using standard cross-cultural translation procedures. Forty-eight children with obstetric brachial plexus palsy (OBPP) were included in psychometric evaluations. Internal structure consistency and test-retest reliability were measured for reliability analyses. For each item on the scale, Cronbach alpha coefficient and item-total score correlations for all subscales were calculated. The scale was administered at baseline and 1 week later by 2 different physiotherapists to evaluate test-retest reliability. Concurrent construct validity was assessed using Pearson correlations between the OBPP and the Mallet classification system.
Results:
Eighteen (37.5%) girls and 30 (62%) boys, in total 48 children, whose mean age was 8.7 ± 2.4 (minimum-maximum = 5-14) years were included in the study; 9 (18.9%) have a history of both early microsurgery and tendon transfers and 39 (81.3%) have a history of only tendon transfer. Cronbach alpha ranged from 0.89 to 0.96, and for the whole scale, it was calculated as 0.938.
Discussion:
Test-retest reliability was high. Moderate correlations were observed between the measures.
Conclusion:
The Turkish BPOM scale is a valid and reliable measurement for assessing function in children with OBPP in the Turkish population.
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