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Journal : Indonesia Journal Physical Medicine and Rehabilitation

Validity and Reliability of the Indonesian Version Gross Motor Function Measure to Measure Gross Motor Function in Cerebral Palsy Children Selly C Anggoro; Amendi Nasution; Luh K Wahyuni; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.511 KB) | DOI: 10.36803/ijpmr.v1i1.214

Abstract

Objectives: Cerebral palsy (CP) is the most physical disabling disease in children. Gross motor capacity in CP usually measured and evaluated by Gross Motor Function Measure (GMFM), a standardizedobservational instrument to evaluate gross motor function. Studies showed GMFM reliable, valid, and responsive to change of CP gross motor function. This research aims to examine validity and reliabilityof GMFM translated into Indonesian.Methods: Cross sectional study with consecutive sampling of CP children aged 2-­15 years came to pediatric rehabilitation clinic at RSCM Medical Rehabilitation Department or YPAC Jakarta. Subjects classified by age, type, anatomical distribution, and severity.Gross motor function evaluated with 88 GMFM items translated into Indonesia. Inter-­rater evaluated gross motor function through video records. Criterion validity tested by correlation coefficient, construct validity tested by comparing GMFM item with dimension total scores and GMFM total score with corrected Spearman correlation. Inter-­rater reliability tested by unpaired T-­test, internal consistency by alpha Cronbach.Results: Thirty one CP children with mean age 7 years 11 months, mean GMFM score 58.40 (SD=49.09).No significant difference of all GMFM dimensions; almost all GMFM items obtained from inter-rater evaluation. Good internal consistency (alpha Cronbach 0.884) and good criterion validity of all dimensions;; inter-­item and total correlations good to strong (r=0.523-­0.859).Conclusion: GMFM Indonesian has good to strong criterion validity. Construct validity of all dimensions was quite good. Internal consistency was good. No significant difference between inter-raters showed GMFM inter-­rater reliability good enough.Keywords: Cerebral palsy, gross motor function, gross motor function measure, validity, reliability.
Standard Value of Lower Extremity Muscle Strength of 8 Years Old Children and Its Correlation with Body Weight and Height Sarifitri FH Hutagalung; Ferial Hadipoetro Idris,; Luh K Wahyuni
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.384 KB) | DOI: 10.36803/ijpmr.v2i01.226

Abstract

Objectives: to know the standard value of lower extremity muscle strength of eight year old children and furthermore to explore the correlation of the muscle strength and body height and weight.Methods: The study design is cross sectional. The target is eight year old children in public elementary school in Jakarta Pusat. The subjects’ characteristics are normal nutritional state, and no neurological normusculoskeletal disorders. Sampling was done by cluster randomization to determine the location and simple randomization on site to determine subjects. There were 171 boys and 180 girls in this tudy. Independentvariables are age, sex, body weight, body height and nutritional state that was determine with Z-score of body mass index. Dependent variables are lower extremity muscle strength that classify as torque. This study usedhand-held dynamometer for muscle strength measurement. Statistical analysis was done with descriptive statistic and Pearson and Spearman correlation test.Results: Standard values of eight year old boy’s lower extremity muscle strength are: right hip flexor 21.86 Nm (SD 3.40), left hip flexor 19.64 Nm (SD 3.19), right hip extensor 17.05 Nm (SD 3.66), left hip extensor16.08 Nm (SD 3.56), right knee extensor 18.19 Nm (SD 3.60), left knee extensor 16.09 Nm (SD 3.55), right knee flexor 15.18 Nm (SD 4.23), left knee flexor 14.48 Nm (SD 3.97), right ankle dorsiflexor 6.58 Nm (SD1.53), left ankle dorsiflexor 6.05 Nm (SD 1.42), right ankle plantarflexor 10.08 Nm (SD 1.69), left ankle plantar flexor 9.13 Nm (SD 1.90).Standard values of eight year old girl’s lower extremity muscle strength are: right hip flexor 21.60 Nm (SD 3.62), left hip flexor 19.62 Nm (SD 3.37), right hip extensor 16.66 Nm (SD 4.06), left hip extensor 15.81 Nm(SD 3.94), right knee extensor 17.43 Nm (SD 3.79), left knee extensor 15.20 Nm (SD 3.38), right knee flexor 14.61 Nm (SD 4.28), left knee flexor 13.51 Nm (SD 4.00), right ankle dorsiflexor 6.34 Nm (SD 1.45), leftankle dorsiflexor 5.97 Nm (SD 1.52), right ankle plantarflexor 9.55 Nm (SD 1.98), left ankle plantar flexor 8.69 Nm (SD 1.83). The boy’s lower extremity muscle strength are stronger than the girl’s in left knee extensor,left knee flexor, right ankle plantarflexor and left ankle plantarflexor. The boy’s muscle strength are moderately correlated to body height except for right hip extensor, left hip extensor and right ankle dorsiflexorthat weakly correlated. The boy’s muscle strength are moderately correlated to body weight except for left hip extensor that weakly correlated. The girl’s muscle strength are moderately correlated to body height. Thegirl’s muscle strength are moderately correlated to body weight except for left hip flexor and left hip extensor that weakly correlated.Conclusions: The muscle strength pattern of boys and girls is similar; the strongest are right hip flexor and the weakest are left ankle dorsiflexor.Keywords: Muscle strength, standard values of eight year old children, torque, hand-held dynamometer
The Validity and Reliability Test of Modified Picture Vocabulary Test IV in 48-59 Months Old Children Sumarni; Amendi Nasution; Luh K Wahyuni; Trevino Pakasi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.969 KB) | DOI: 10.36803/ijpmr.v2i01.228

Abstract

Objectives: To investigate the validity and reliability of Modified Picture Vocabulary Test IV (PPVTIV) in 48-59 months old child. Methods 228 items in 19 sets of PPVT IV were translated in Indonesian language and revised according to Indonesian culture. One hundred and five 48-59 months old children were tested. The results wereanalyzed for its construct validity and reliability. The construct validity was valued by the correlation coefficient between the set score and the total score and the correlation coefficient between the itemscore and the set score. The reliability was valued by intra-class correlation coefficient, standard error of measurement (SEM) and Cronbach alpha.Results: The construct validity of Modified PPVT IV was good (r>0.256; α=0.01 n=100) and the reliability was high (internal consistency with Cronbach alpha= 0.938, inter-rater reliability= 0.957-0,985 and standard error of measurement (SEM) = 6.4).Conclusions: Modified PPVT IV was a valid instrument with satisfactory reliability. To increase the construct validity, there were 36 items that should be substituted.Key Words: Modified PPVT IV, construct validity, internal consistency reliability, inter-rater reliability, standard error of measurement Received in