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Related Experiment Videos

Training users in the gross motor function measure: methodological and practical issues

D J Russell1, P L Rosenbaum, M Lane

  • 1Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Physical Therapy
|July 1, 1994
PubMed
Summary
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Training pediatric therapists to use the Gross Motor Function Measure (GMFM) significantly improved scoring accuracy for children with cerebral palsy. Videotape training enhances reliability but doesn't assess administration skills.

Area of Science:

  • Pediatric Physical Therapy
  • Motor Function Assessment
  • Cerebral Palsy Research

Background:

  • The Gross Motor Function Measure (GMFM) is crucial for tracking motor function in children with cerebral palsy (CP).
  • Standardized training is essential for reliable GMFM administration and scoring.
  • Assessing the effectiveness of training methods is vital for clinical practice.

Purpose of the Study:

  • To evaluate the impact of training on pediatric therapists' ability to administer and score the GMFM.
  • To analyze the reliability of GMFM scoring post-training using videotaped assessments.
  • To discuss practical and methodological considerations in therapist training for the GMFM.

Main Methods:

  • Therapists participated in pre- and post-training workshops.

Related Experiment Videos

  • Scoring agreement was measured using weighted kappa estimates against expert scores.
  • Videotaped assessments of children with CP, varying in age and severity, were used.

    • Main Results:

    • Significant improvement in GMFM scoring agreement was observed post-training.
    • Mean kappa scores increased substantially, indicating enhanced inter-rater reliability.
    • The training effectively improved scoring accuracy for the GMFM.

    Conclusions:

    • Videotape-based training effectively improves GMFM scoring reliability.
    • This method is advantageous for training and assessing scoring accuracy.
    • Further research is needed to confirm reliability during actual clinical administration and scoring.