Movement disorders - Childhood Rating Scale 4-18 revised in children with dyskinetic cerebral palsy.

BACKGROUND: \r\nMovement Disorders - Childhood Rating Scale 4-18 (MD-CRS 4-18) is a tool aimed to evaluate movement disorders in developmental age, validated since 2008 and applied in literature. Psychometric properties, including inter- and intra-reliability and construct validity have been evaluated over time on children and adolescents with different types of movement disorders.\r\nAIM: \r\nAim of the study is to revise the Movement Disorders - Childhood Rating Scale 4-18 (MD-CRS 4-18 R) and evaluate its psychometric properties, compared to previous version of the scale, in Dyskinetic Cerebral palsy.\r\nDESIGN: \r\nThis is a measurement-focused study of video recorder sessions.\r\nSETTING: \r\nVideo session carried out inpatient and outpatient.\r\nPOPULATION: \r\nThis measurement-focused study was carried out on a cohort of 57 participants with DCP (37 males; mean age 9y 6mo, SD 3y 8mo) evaluated through video-recorded sessions by experienced scorers using MD-CRS 4-18 and MR-CRS 4-18 R.\r\nMETHODS: \r\nInter-rater reliability, intra-rater reliability of MD-CRS 4-18 and MD-CRS 4-18 R were performed.\r\nRESULTS: \r\nThis study supports the relevant contribution of MD-CRS 4-18 R to identify the severity of movement disorders in dyskinetic cerebral palsy, as indicated by the higher ICC values on Index II compared to previous MD-CRS 4-18 results. Standard Error Measurement (SEM) and Minimally Detectable Difference (MDD) of MD-CRS 4-18 R in DCP were all very low, with SEMs ranging from 0.01 to 0.02 and MDD from 0.03 to 0.06.\r\nCONCLUSIONS: \r\nData obtained with MD-CRS 4-18 R are in accordance with previous scale on individuals with movement disorders due to different aetiologies, tested with MD-CRS 4-18.\r\nCLINICAL REHABILITATION IMPACT: \r\nMD-CRS 4-18 R is able to verify natural history of the disease and represents a standardized clinical outcome measure in the evaluation and follow-up of children with DCP. Also MD-CRS 4-18 Revised form is a feasible tool, now easier to understand than the previous one, more available for incoming clinical trials.