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

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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.

LanguageEnglish (US)
Pages12-16
Number of pages5
JournalJournal of Pediatric Neurology
Volume14
Issue number1
DOIs
StatePublished - Mar 1 2016

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Cerebral Palsy
Skeletal Muscle
Muscle Spasticity
Articular Range of Motion
Outcome Assessment (Health Care)
Population

Keywords

  • hypertonia
  • patient-related outcome
  • pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

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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.",
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