Resumen
El estudio evaluó la fiabilidad, validez concurrente y utilidad del medidor de habilidades motoras "Ignite Challenge" en niños con trastorno del espectro autista (TEA).
Se encontró que el "Ignite Challenge" es una medida confiable y válida para identificar las fortalezas y desafíos en las habilidades motoras de los niños con TEA, lo que permite una evaluación más apropiada y una mejor fijación de objetivos en los programas de actividad física.
Además, la herramienta fue bien recibida por los niños y los fisioterapeutas, con buena facilidad de administración y compromiso del niño.
Evaluación de habilidades motoras en niños con autismo utilizando Ignite Challenge
Los fisioterapeutas pueden mejorar la evaluación y tratamiento en clínicas de fisioterapia implementando el Ignite Challenge. Esta herramienta permite evaluar las habilidades motoras en niños con autismo de manera efectiva, ayudando a desarrollar planes de tratamiento personalizados y mejorando la calidad de vida de estos pacientes.
Abstract original
Getting into the game: evaluation of the reliability, validity and utility of the Ignite Challenge scale for school-aged children with autism spectrum disorder
Purpose: Evaluate reliability, concurrent validity and utility of the Ignite Challenge motor skills measure for children with autism spectrum disorder (ASD).
Materials/methods: In this measurement study, children completed the Ignite Challenge twice, 1-3 weeks apart. A physiotherapist assessor (one of seven) conducted a child's test-retest assessments and scored administration ease and child engagement (/10 visual analogue scale). A second assessor rated baseline assessment videos. Validity data (parent-report PEDI-CAT) were collected at baseline. Reliability analysis employed ICCs (95% CI) and evaluated minimum detectable change (MDC80). Pearson's correlations (r) estimated validity.
Results: Forty-seven children with ASD (mean 9.34 years [SD = 2.35]; 10 girls; independent social communication) were tested at baseline; 45 were retested. Ignite Challenge baseline and retest mean scores were 69.0% (SD = 17.1) and 69.5% (SD = 16.6) respectively, with excellent inter-rater/test-retest reliability (ICC = 0.96 [95% CI 0.92, 0.97] and ICC = 0.91 [95% CI 0.84, 0.95]) respectively, and MDC80 = 9.28. Administration ease and child engagement were 6.5/10 (SD = 2.4) and 6.7/10 (SD = 2.2). Ignite Challenge and PEDI-CAT Social/Mobility (n = 45) associations were r = 0.54 and 0.57. Minimal suggestions for measure revisions arose from child/assessor feedback.
Conclusions: Ignite Challenge can reliably identify movement strengths and challenges of children with ASD. Use may permit more appropriate evaluation and goal setting within physical activity-based programs.IMPLICATIONS FOR REHABILITATIONIgnite Challenge is a reliable and valid advanced motor skills measure for children with Autism Spectrum Disorder (ASD), ages 6 years and up.Ignite Challenge can be reliably scored in-person ("live") even with younger children and those requiring increased assessor attention to optimize engagement.Most children enjoyed playing the Ignite Challenge "mini games"-this positive engagement ("getting into the game") helps support assessment of their best motor performance abilities.Ignite Challenge identifies motor-related challenges that impact a child's physical activity participation, and thus informs meaningful goal setting/intervention with children with ASD.
| Autores | F Virginia Wright Annemarie Wright Catriona Bauve Kerry Evans |
| revista | Disabil Rehabil |
| DOI | 10.1080/09638288.2023.2198257 |