Year: 2023 | Month: October | Volume: 13 | Issue: 10 | Pages: 109-114
DOI: https://doi.org/10.52403/ijhsr.20231015
Analysis of Minimal Detectable Change and Minimally Clinical Important Difference of Bruininks-Oseretsky Test of Motor Proficiency Second Edition [Bot-2] for Manual Dexterity Component in Cerebral Palsy Patients
Mrunalini Pawar1, Dr. Abhijit Satralkar2
1Bachelor Of Physiotherapy (Neuro Physiotherapy Department), P.E.S Modern College of Physiotherapy, Pune, India
2HOD and Professor (Neurophysiotherapy Department), P.E.S Modern College of Physiotherapy, Pune, India
Corresponding Author: Mrunalini Pawar
ABSTRACT
Introduction: Cerebral palsy is a group of permanent disorders affecting the development of movement and posture causing activity limitation, which is attributed to non-progressive disturbances that occurred in the developing fetal or infant brain.
Manual dexterity is the ability to make coordinated hand and finger movements and it requires both gross and fine hand motions and coordination. Children with CP usually have difficulties performing manual activities such as grasping, releasing or manipulating objects, which is crucial in the performance of many activities of daily life.
Method: In this Study total 20 cerebral palsy patients both male and females were selected
between the age group of 4-21 years. Bot-2 tests for manual dexterity were done and the total scores were calculated. The Minimal Detectable Change was calculated using a formula and Minimal Clinically Important Difference was calculated using Receiver Operating curve analysis.
Results: The Minimal Detectable Change [MDC] was captured with a confidence level of 95% Minimal Clinically Important Difference [MCID] was calculated using Receiver Operating curve analysis and MDC value is 3.6755 and MCID value is 0.925.
Conclusion: The study indicates excellent value for MCID in Bot-2 compared to PMAL in Manual Dexterity. The clinometric properties of MDC And MCID provided in this study allow clinicians and researchers to determine if a change score indicates a true or clinically meaningful effect at post treatment and at follow-up.
Key words: [Cerebral Palsy, Manual dexterity, Bruininks-Oseretsky test of motor proficiency, Minimal Detectable Change, Minimal Clinically Important Difference.]