Validity evidence of the Lateral Step Up (LSU) test for adolescents with spastic cerebral palsy

Disabil Rehabil. 2013 Jun;35(11):875-80. doi: 10.3109/09638288.2012.711896. Epub 2012 Sep 20.

Abstract

Purpose: The present study examined the concurrent and construct validity of the Lateral Step Up (LSU) test, for adolescents with CP.

Method: A total of 35 adolescents, classified as GMFCS Levels I, II and III, were examined using LSU, GMFM - 88 (D & E), other functional mobility measures (TUG, STS, TUDS), body structures and functions (strength, ROM and spasticity).

Results: LSU inter-correlations with: (i) GMFM - 88 (D & E) (r = 0.656), (ii) functional mobility measures (r = -0.567 to 0.721) and (iii) body structures and functions (r = 0.155 to 0.563) were at the appropriate range. The LSU differentiated adolescents with CP (F = 16.185, p = 0.000, η(2) = 0.503), according to their GMFCS (I > II, II > III, I > III). Finally, 50.27% of the LSU variability was explained by GMFCS differences, with 65.7% of adolescents classified correctly across the three levels.

Conclusions: The LSU may be perceived as a valid instrument for assessing the functional mobility of adolescents with CP.

Implications for rehabilitation: • LSU is valid for assessing functional mobility and strength in CP adolescents. • LSU may be used in accordance with other functional mobility measures in the school environment. • The LSU may be used from physical therapists to predict the functional mobility of CP adolescents at GMFCS Levels I–III.

MeSH terms

  • Adolescent
  • Cerebral Palsy / classification
  • Cerebral Palsy / physiopathology*
  • Child
  • Disability Evaluation
  • Exercise Test / methods*
  • Female
  • Humans
  • Male
  • Motor Skills / classification*
  • Muscle Spasticity / physiopathology*
  • Muscle Strength
  • Physical Therapy Modalities
  • Range of Motion, Articular*
  • Reproducibility of Results
  • Severity of Illness Index
  • Walking