Hemiplejik Serebral Palsili Çocuklarda “Çocukların El Becerileri Değerlendirmesi (Çebd)” ve “Çocuk El Beceri Anketi’nin (Çeba)” Türkçe'ye Uyarlanması, Geçerliliği ve Güvenilirliği

Abstract

This study was planned to adapt the Assessment of Children’s Hand Skills and Children’s Hand Skills Ability Questionnaire to Turkish and investigate the assessments’ reliability and validity in children with hemiplegic cerebral palsy. 112 children with hemiplegic cerebral palsy between 2 and 12 years of age were included. The translation procedure defined by Beaton was conducted. After the Turkish translation, the assessments were translated back to English by native English speakers and necessary cultural adaptations were discussed and determined by the jury. All participants were re-evaluated 1 week after the initial assessments. The researchers did not encounter with any problems related to cultural agreement. Validity of ACHS and CHSQ was tested with construct and criterion validity; and the assessments’ reliability was tested with internal consistency and test-retest methods. When the relationship between ACHS and its reference test, Shriners Hospital Upper Extremity Evaluation (SHUEE) was analyzed, a very strong correlation was detected between ACHS and SHUEE Spontaneous Functional Analysis (r=0.856) as well as SHUEE Grasp and Release Analysis (r=0.862) and a strong correlation was detected between ACHS and SHUEE Dynamic Positional Analysis (r=0.780). When the relationship between CHSQ and its reference test, ABILHAND was analyzed; a strong correlation was detected between CHSQ’s Activities of Daily Living (r=0.762), School Related Work (r=0.745) and Leisure and Play (r=0.799) parameters and ABILHAND scores. For the tests’ construct validity, the score differences between genders were analyzed. The tests were found to be consistent across genders with no difference found between different gender groups’ scores in ACHS (p=0.70) as well as CHSQ’s Activities of Daily Living (p=0,15), School Related Work (p=0,90) and Leisure and Play (p=0,49) parameters. The Cronbach’s α value for was 0.98 for ACHS and 0.84 for CHSQ. The test-retest analysis for CHSQ yielded excellent reliability for time related equability for all the sub-tests (ICC>0.8). The test-retest analysis result was similar for ACHS (ICC>0.8). Conclusively, the Turkish adaptations for ACHS and CHSQ were reliable and valid assessment tools for children with hemiplegic cerebral palsy.