Validation of accelerometer cut-points in children with cerebral palsy aged 4 to 5 years

Purpose: To derive and validate triaxial accelerometer cut-points in children with cerebral palsy (CP) and compare these with previously established cut-points in children with typical development. Methods: Eighty-four children with CP aged 4 to 5 years wore the ActiGraph during a play-based gross m...

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Bibliographic Details
Main Authors: Keawutan, P., Bell, K., Oftedal, S., Davies, P., Boyd, Roslyn
Format: Journal Article
Published: Lippincott Williams & Wilkins, Inc. 2016
Online Access:http://hdl.handle.net/20.500.11937/30250
Description
Summary:Purpose: To derive and validate triaxial accelerometer cut-points in children with cerebral palsy (CP) and compare these with previously established cut-points in children with typical development. Methods: Eighty-four children with CP aged 4 to 5 years wore the ActiGraph during a play-based gross motor function measure assessment that was video-taped for direct observation. Receiver operating characteristic and Bland-Altman plots were used for analyses. Results: The ActiGraph had good classification accuracy in Gross Motor Function Classification System (GMFCS) levels III and V and fair classification accuracy in GMFCS levels I, II, and IV. These results support the use of the previously established cut-points for sedentary time of 820 counts per minute in children with CP aged 4 to 5 years across all functional abilities. Conclusions: The cut-point provides an objective measure of sedentary and active time in children with CP. The cut-point is applicable to group data but not for individual children.