Pediatric Physical Therapy

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Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e3182983399
Research Article

The Use of Video Clips in Teleconsultation for Preschool Children With Movement Disorders

Gorter, Hetty PT, MSc; Lucas, Cees PhD; Groothuis-Oudshoorn, Karin PhD; Maathuis, Carel MD, PhD; van Wijlen-Hempel, Rietje MD, PhD; Elvers, Hans RI, MSc

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Purpose: To investigate the reliability and validity of video clips in assessing movement disorders in preschool children.

Methods: The study group included 27 children with neuromotor concerns. The explorative validity group included children with motor problems (n = 21) or with typical development (n = 9). Hempel screening was used for live observation of the child, full recording, and short video clips. The explorative study tested the validity of the clinical classifications “typical” or “suspect.”

Results: Agreement between live observation and the full recording was almost perfect; Agreement for the clinical classification “typical” or “suspect” was substantial. Agreement between the full recording and short video clips was substantial to moderate. The explorative validity study, based on short video clips and the presence of a neuromotor developmental disorder, showed substantial agreement.

Conclusion: Hempel screening enables reliable and valid observation of video clips, but further research is necessary to demonstrate the predictive value.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins and the Section on Pediatrics of the American Physical Therapy Association.


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