Functional strength measurement in cerebral palsy: feasibility, test-retest reliability, and construct validity

Dev Neurorehabil. 2019 Oct;22(7):453-461. doi: 10.1080/17518423.2018.1518963. Epub 2018 Sep 12.


Purpose: No instrument exists that measures functional strength in both lower and upper extremities in children with cerebral palsy (CP). Therefore, the functional strength measurement (FSM) was tested for feasibility, test-retest reliability and validity in CP. Methods: Thirty-seven children with CP (aged 4-10 years, Gross Motor Function Classification System I and II) participated. The most common compensations for CP were described; new item descriptions were standardized, and one item was removed. Test-retest reliability was examined. To measure convergent validity, correlations between the FSM-CP and isometric muscle strength measured with the handheld dynamometer (HHD) were determined. Results: Test-retest reliability was considered high for all items (intra-class correlation coefficient 0.79-0.95). Significant correlations between the HHD and FSM-CP ranged from r = 0.36 to 0.75. Conclusion: The FSM-CP is feasible, reliable, and valid to use in children with CP. The FSM-CP can be considered as a helpful tool in clinical practice of physical examination of children with CP.

Keywords: Cerebral palsy; children; feasibility; functional strength measurement; reliability; validity.

MeSH terms

  • Cerebral Palsy / physiopathology*
  • Child
  • Child, Preschool
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Muscle Strength Dynamometer / standards*
  • Muscle Strength*
  • Reproducibility of Results