Validation of the 0-10 Numeric Rating Scale Measure of Spasticity in Children with Cerebral Palsy

Shelun Tsai; Joanna Blackburn; Deborah Gaebler-Spira

doi:10.1055/s-0036-1572521

Validation of the 0-10 Numeric Rating Scale Measure of Spasticity in Children with Cerebral Palsy

Shelun Tsai, Joanna Blackburn, Deborah Gaebler-Spira^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

This study investigated the spasticity 0-10 Numeric Rating Scale (NRS) as a potential patient-related outcome measure in a population of children with cerebral palsy. Each child and caretaker rated the child's perceived gastrocnemius-soleus muscle spasticity on the 0-10 NRS, where 0 is no spasticity and 10 is the worst possible spasticity. Results suggest that children relate spasticity to end range of motion and caretakers relate spasticity to generalized hypertonia, while clinicians emphasize a velocity-dependent component of spasticity. Therefore, the 0-10 NRS may be useful in evaluating certain properties of spasticity but may be inaccurate as a specific spasticity measure.

Original language	English (US)
Pages (from-to)	12-16
Number of pages	5
Journal	Journal of Pediatric Neurology
Volume	14
Issue number	1
DOIs	https://doi.org/10.1055/s-0036-1572521
State	Published - Mar 1 2016

Keywords

hypertonia
patient-related outcome
pediatric

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Clinical Neurology

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10.1055/s-0036-1572521

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title = "Validation of the 0-10 Numeric Rating Scale Measure of Spasticity in Children with Cerebral Palsy",

abstract = "This study investigated the spasticity 0-10 Numeric Rating Scale (NRS) as a potential patient-related outcome measure in a population of children with cerebral palsy. Each child and caretaker rated the child's perceived gastrocnemius-soleus muscle spasticity on the 0-10 NRS, where 0 is no spasticity and 10 is the worst possible spasticity. Results suggest that children relate spasticity to end range of motion and caretakers relate spasticity to generalized hypertonia, while clinicians emphasize a velocity-dependent component of spasticity. Therefore, the 0-10 NRS may be useful in evaluating certain properties of spasticity but may be inaccurate as a specific spasticity measure.",

keywords = "hypertonia, patient-related outcome, pediatric",

author = "Shelun Tsai and Joanna Blackburn and Deborah Gaebler-Spira",

note = "Funding Information: This study was funded by the Rehabilitation Research Experience for Medical Students (RREMS) Program from the Association of Academic Physiatrists and the Swaiman Medical Scholarship from the Child Neurology Foundation Publisher Copyright: {\textcopyright} Copyright 2016 by Georg Thieme Verlag KG, Stuttgart New York.",

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doi = "10.1055/s-0036-1572521",

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AU - Gaebler-Spira, Deborah

N1 - Funding Information: This study was funded by the Rehabilitation Research Experience for Medical Students (RREMS) Program from the Association of Academic Physiatrists and the Swaiman Medical Scholarship from the Child Neurology Foundation Publisher Copyright: © Copyright 2016 by Georg Thieme Verlag KG, Stuttgart New York.

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N2 - This study investigated the spasticity 0-10 Numeric Rating Scale (NRS) as a potential patient-related outcome measure in a population of children with cerebral palsy. Each child and caretaker rated the child's perceived gastrocnemius-soleus muscle spasticity on the 0-10 NRS, where 0 is no spasticity and 10 is the worst possible spasticity. Results suggest that children relate spasticity to end range of motion and caretakers relate spasticity to generalized hypertonia, while clinicians emphasize a velocity-dependent component of spasticity. Therefore, the 0-10 NRS may be useful in evaluating certain properties of spasticity but may be inaccurate as a specific spasticity measure.

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Validation of the 0-10 Numeric Rating Scale Measure of Spasticity in Children with Cerebral Palsy

Abstract

Keywords

ASJC Scopus subject areas

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