Validating the Rett Syndrome Gross Motor Scale

© 2016 Downs et al. Rett syndrome is a pervasive neurodevelopmental disorder associated with a pathogenic mutation on the MECP2 gene. Impaired movement is a fundamental component and the Rett Syndrome Gross Motor Scale was developed to measure gross motor abilities in this population. The current s...

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Main Authors: Downs, Jennepher, Stahlhut, M., Wong, K., Syhler, B., Bisgaard, A., Jacoby, P., Leonard, H.
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/32198
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author Downs, Jennepher
Stahlhut, M.
Wong, K.
Syhler, B.
Bisgaard, A.
Jacoby, P.
Leonard, H.
author_facet Downs, Jennepher
Stahlhut, M.
Wong, K.
Syhler, B.
Bisgaard, A.
Jacoby, P.
Leonard, H.
author_sort Downs, Jennepher
building Curtin Institutional Repository
collection Online Access
description © 2016 Downs et al. Rett syndrome is a pervasive neurodevelopmental disorder associated with a pathogenic mutation on the MECP2 gene. Impaired movement is a fundamental component and the Rett Syndrome Gross Motor Scale was developed to measure gross motor abilities in this population. The current study investigated the validity and reliability of the Rett Syndrome Gross Motor Scale. Video data showing gross motor abilities supplemented with parent report data was collected for 255 girls and women registered with the Australian Rett Syndrome Database, and the factor structure and relationships between motor scores, age and genotype were investigated. Clinical assessment scores for 38 girls and women with Rett syndrome who attended the Danish Center for Rett Syndrome were used to assess consistency of measurement. Principal components analysis enabled the calculation of three factor scores: Sitting, Standing and Walking, and Challenge. Motor scores were poorer with increasing age and those with the p.Arg133Cys, p.Arg294* or p.Arg306Cys mutation achieved higher scores than those with a large deletion. The repeatability of clinical assessment was excellent (intraclass correlation coefficient for total score 0.99, 95% CI 0.93–0.98). The standard error of measurement for the total score was 2 points and we would be 95% confident that a change 4 points in the 45-point scale would be greater than within-subject measurement error. The Rett Syndrome Gross Motor Scale could be an appropriate measure of gross motor skills in clinical practice and clinical trials.
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spelling curtin-20.500.11937-321982017-09-13T15:17:39Z Validating the Rett Syndrome Gross Motor Scale Downs, Jennepher Stahlhut, M. Wong, K. Syhler, B. Bisgaard, A. Jacoby, P. Leonard, H. © 2016 Downs et al. Rett syndrome is a pervasive neurodevelopmental disorder associated with a pathogenic mutation on the MECP2 gene. Impaired movement is a fundamental component and the Rett Syndrome Gross Motor Scale was developed to measure gross motor abilities in this population. The current study investigated the validity and reliability of the Rett Syndrome Gross Motor Scale. Video data showing gross motor abilities supplemented with parent report data was collected for 255 girls and women registered with the Australian Rett Syndrome Database, and the factor structure and relationships between motor scores, age and genotype were investigated. Clinical assessment scores for 38 girls and women with Rett syndrome who attended the Danish Center for Rett Syndrome were used to assess consistency of measurement. Principal components analysis enabled the calculation of three factor scores: Sitting, Standing and Walking, and Challenge. Motor scores were poorer with increasing age and those with the p.Arg133Cys, p.Arg294* or p.Arg306Cys mutation achieved higher scores than those with a large deletion. The repeatability of clinical assessment was excellent (intraclass correlation coefficient for total score 0.99, 95% CI 0.93–0.98). The standard error of measurement for the total score was 2 points and we would be 95% confident that a change 4 points in the 45-point scale would be greater than within-subject measurement error. The Rett Syndrome Gross Motor Scale could be an appropriate measure of gross motor skills in clinical practice and clinical trials. 2016 Journal Article http://hdl.handle.net/20.500.11937/32198 10.1371/journal.pone.0147555 fulltext
spellingShingle Downs, Jennepher
Stahlhut, M.
Wong, K.
Syhler, B.
Bisgaard, A.
Jacoby, P.
Leonard, H.
Validating the Rett Syndrome Gross Motor Scale
title Validating the Rett Syndrome Gross Motor Scale
title_full Validating the Rett Syndrome Gross Motor Scale
title_fullStr Validating the Rett Syndrome Gross Motor Scale
title_full_unstemmed Validating the Rett Syndrome Gross Motor Scale
title_short Validating the Rett Syndrome Gross Motor Scale
title_sort validating the rett syndrome gross motor scale
url http://hdl.handle.net/20.500.11937/32198