İdiopatik Parmak Ucu Yürüyen Çocuklarda “Toe Walking Tool”ölçeğinin Türk Toplumunda Geçerliği ve Güvenirliği

Öz

Çalışmamızda amacımız idiopatik parmak ucu yürüyen çocuklarda “Toe Walking Tool (TWT)” ölçeğinin Türkçe versiyonu ile geçerlik ve güvenirliğini belirlemektir. "Toe Walking Tool" tıbbi, doğum ve gelişim öyküsünü ve değerlendirmeyi ölçen 21 maddeyi içerir. 34 çocuğun demografik bilgileri kaydedildi. Ölçek çeviri adımlarıyla Türkçeye çevrildi. Güvenilirlik analizleri için iç yapı tutarlılığı ve test-tekrar test güvenilirliği kullanılmıştır. Her bir madde için Cronbach alfa katsayısı ve madde-toplam puan korelasyonları hesaplanmıştır. “Toe Walking Tool”'un Türkçe Versiyonu (TWT-TR) iyi test-tekrar test güvenilirliği göstermiştir (ICC: 0,674). İç yapı tutarlılık analizinde Cronbach alfa katsayısının alt ve üst sınır aralıkları 0,476-0,823 arasında hesaplanmıştır. Sonuçlarımız TWT-TR'nin idiyopatik parmak ucu yürüyen çocuklarda geçerli ve güvenilir bir klinik ölçek olduğunu göstermiştir.

Anahtar Kelimeler

• bozukluk
• çocuk
• fonksiyon
• geçerlik
• parmak ucu yürüme

Reliability and Validity of the Toe Walking Tool in Turkish Idiopathic Toe Walking Children

Öz

The aim of our study was to determine the reliability and the validity of the Turkish-language version of the Toe Walking Tool (TWT) in idiopathic toe walking children."Toe Walking Tool” contains 21-items which measure medical, birth & developmental history and assessment. Demographic information of 34 children was recorded. The tool was translated into Turkish with the following translation steps. Internal structure consistency and test-retest reliability were measured for reliability analyses. For each item on the tool, Cronbach's alpha coefficient and item-total score correlations were calculated. Turkish Version of Toe Walking Tool (TWT-TR) showed good test-retest reliability (ICC: 0.674). Lower and upper bound ranged of Cronbach's alpha coefficient in the internal structure consistency analysis was calculated between 0.476-0.823. These data suggest that the TWT-TR is a valid and reliable clinical tool in idiopathic toe walking children.

Anahtar Kelimeler

• children
• disability
• function
• reliability
• toe walking

Kaynakça

1. 1. Crenna P, Fedrizzi E, Andreucci E, Frigo C, Bono R. The heel-contact gait pattern of habitual toe walkers. Gait Posture 2005;21(3):311–7.
2. 2. Perry J, Burnfield JM, Gronley JK, Mulroy SJ. Toe walking: Muscular demands at the ankle and knee. Arch Phys Med Rehabil 2003;84(1):7–16.
3. 3. Engelbert R, Gorter JW, Uiterwaal C, van de Putte E, Helders P. Idiopathic toe-walking in children, adolescents and young adults: a matter of local or generalised stiffness?. BMC Musculoskelet Disord 2011;12(1):61.
4. 4. Martín-Casas P, Ballestero-Pérez R, Meneses-Monroy A, Beneit-Montesinos JV, Atín-Arratibel MA, Portellano-Pérez JA. Neurodevelopment in preschool idiopathic toe-walkers. Neurología 2017;32(7):446-54.
5. 5. Brouwer B, Davidson LK, Olney SJ. Serial casting in idiopathic toe-walkers and children with spastic cerebral palsy. J Pediatr Orthop 2000;20(2):221–5.
6. 6. McMulkin ML, Baird GO, Caskey PM, Ferguson RL. Comprehensive outcomes of surgically treated idiopathic toe walkers. J Pediatr Orthop 2006;26(5):606–11.
7. 7. Hirsch G, Wagner B. The natural history of idiopathic toe-walking: a long-term follow-up of fourteen conservatively treated children. Acta Paediatr 2004;93(2):196-9.
8. 8. Newman CJ, Ziegler AL, Jeannet PY, Roulet-Perez E, Deonna TW. Transient dystonic toe-walking: differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe-walking. Dev Med Child Neurol 2006;48(2):96–102.

9. 9. Hemo Y, Macdessi SJ, Pierce RA, Aiona MD, Sussman MD. Outcome of patients after Achilles tendon lengthening for treatment of idiopathic toe walking. J Pediatr Orthop 2006;26(3):336–40.
10. 10. Williams CM, Tinley P, Curtin M, Wakefield S, Nielsen S. Is idiopathic toe walking really idiopathic? The motor skills and sensory processing abilities associated with idiopathic toe walking gait. J Child Neurol 2014;29(1):71-8.
11. 11. Williams CM, Tinley P, Curtin M. The Toe Walking Tool: a novel method for assessing idiopathic toe walking children. Gait Posture 2010;32(4):508–11.
12. 12. Toro B, Nester C, Farren P. A review of observational gait assessment in clinical practice. Physiother Theory Pract 2003;19(3):137–49.
13. 13. Martin K, Hoover D, Wagoner E, et al. Development and Reliability of an Observational Gait Analysis Tool for Children with Down Syndrome. Pediatr Phys Ther 2009;21(3):261-8.
14. 14. Borel S, Schneider P, Newman CJ. Video analysis software increases the interrater reliability of video gait assessments in children with cerebral palsy. Gait Posture 2011;33(4):727–9.
15. 15. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993;46(12):1417-32.
16. 16. Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med 2016;15(2):155–63.
17. 17. Grouven U, Bender R, Ziegler A, Lange S. Der kappa-koeffizient. Dtsch Med Wochenschr 2007;132(1):65-8.
18. 18. Sinha I, Jones L, Smyth RL, Williamson PR. A systematic review of studies that aim to determine which outcomes to measure in clinical trials in children. Plos Med 2008;5(4):e96.
19. 19. Varni J, Limbers CA, Burwinkle TM. How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 Generic Core Scales. Health Qual Life Out 2007;5(1):1.
20. 20. Bashir M, Afzal MT, Azeem M. Reliability and validity of qualitative and operational research paradigm. Pak J Stat Oper R 2008:35-45.
21. 21. Turhan E, Demirel M, Daylak A, Huri G, Doral MN, Çelik D. Translation, cross-cultural adaptation, reliability and validity of the Turkish version of the Olerud-Molander Ankle Score (OMAS). Acta Orthop Traumato 2017;51(1):60-4.
22. 22. Williams CM, Pacey V, de Bakker PB, Caserta AJ, Gray K, Engelbert RHH. Interventions for idiopathic toe walking (Protocol). Cochrane Db Syst Rev 2016;10:CD01236.
23. 23. Lopez-Bustos-de-Las-Heras R, Cano-de-la-Cuerda R, de-la-Llave-Rincon AI, Guerrero-Blazquez A, Plaza-Manzano G, Martin-Casas P. Translation and transcultural adaptation of the Toe Walking Tool: screening tool of toe walking patients. Rev Neurologia 2019;69(3):99–108.