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  1. Article: A Novel Medical Image Enhancement Algorithm for Breast Cancer Detection on Mammography Images Using Machine Learning.

    Avcı, Hanife / Karakaya, Jale

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 3

    Abstract: Mammography is the most preferred method for breast cancer screening. In this study, computer-aided diagnosis (CAD) systems were used to improve the image quality of mammography images and to detect suspicious areas. The main contribution of this study ... ...

    Abstract Mammography is the most preferred method for breast cancer screening. In this study, computer-aided diagnosis (CAD) systems were used to improve the image quality of mammography images and to detect suspicious areas. The main contribution of this study is to reveal the optimal combination of various pre-processing algorithms to enable better interpretation and classification of mammography images because pre-processing algorithms significantly affect the accuracy of segmentation and classification methods. In this study, the effect of combinations of different preprocessing methods in differentiating benign and malignant breast lesions was investigated. All image processing algorithms used for lesion detection were used in the mini-MIAS database. In the first step, label information and pectoral muscle resulting from the acquisition of mammography images were removed. In the second step, median filter (MF), contrast limited adaptive histogram equalization (CLAHE), and unsharp masking (USM) algorithms with different combinations of the resolution and visibility of images are increased. In the third step, suspicious regions are extracted from the mammograms using the k-means clustering technique. Then, features were extracted from the obtained ROIs. Finally, feature datasets were classified as normal/abnormal, and benign/malign (two class classification) using Machine Learning algorithms. Test performance measures of the classification methods were examined. In both classifications made in the study, lower classification performance values were obtained when the CLAHE algorithm was used alone as a pre-processing method compared to other pre-processing combinations. When the median filter and unsharp masking algorithms are added to the CLAHE algorithm, the performance of the classification methods has increased. In terms of classification success, Support Vector Machines, Random Forest, and Neural Networks showed the best performance. It was found by comparing the performances of the classification methods that different preprocessing algorithms were effective in detecting the presence of breast lesions and distinguishing benign and malignant.
    Language English
    Publishing date 2023-01-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13030348
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  2. Article ; Online: Association of ocular surface and meibomian gland alterations with silicone hydrogel contact lens wear.

    Colak, Dilan / Kocabeyoglu, Sibel / Karakaya, Jale / Irkec, Murat

    Contact lens & anterior eye : the journal of the British Contact Lens Association

    2023  Volume 47, Issue 1, Page(s) 102093

    Abstract: Purpose: To evaluate silicone hydrogel contact lens (SH-CL) effects on the meibomian glands, corneal structure, and ocular surface parameters.: Methods: Fifty SH-CL wearers for at least 6 months, and 50 sex and age-matched control subjects were ... ...

    Abstract Purpose: To evaluate silicone hydrogel contact lens (SH-CL) effects on the meibomian glands, corneal structure, and ocular surface parameters.
    Methods: Fifty SH-CL wearers for at least 6 months, and 50 sex and age-matched control subjects were recruited for this cross-sectional study. Visual display terminal (VDT) work and CL wear duration were questioned, ocular surface and tear functions were evaluated using OSDI questionnaire, tear break-up time (TBUT), corneal fluorescein staining, and Schirmer test. Corneal sensitivity was measured with Cochet-Bonnet aesthesiometry. Meibography and in vivo confocal microscopy (IVCM) were performed to evaluate meibomian glands and corneal structure. Intergroup comparisons were made using the Chi-square test, Wilcoxon test, or Kruskal-Wallis test.
    Results: In the CL group, TBUT was shorter (P = 0.01), corneal fluorescein staining (P = 0.04), OSDI scores (P < 0.001), and meiboscores (P < 0.001) were higher than the control group. The biomicroscopic evaluation revealed meibomian gland dysfunction (MGD) in 34 % of the CL group and 20 % of the control group, which was not statistically significant (P > 0.05). IVCM showed that endothelial cell density was lower (P = 0.01) and polymegethism was higher (P < 0.001) in the CL group. Subbasal nerve density and corneal sensitivity measurements were similar in the two groups (P > 0.05). The longer VDT work duration was associated with increased CFS in the CL group (P = 0.05).
    Conclusion: The results showed that SH-CL wear increased dry eye symptoms and ocular discomfort, especially in longer VDT work duration. Meibography revealed significantly worse results in SH-CL wearers. SH-CL-related ocular discomfort seems to be more associated with MGD rather than neurosensorial alterations.
    MeSH term(s) Humans ; Meibomian Glands ; Hydrogels ; Silicones ; Cross-Sectional Studies ; Contact Lenses ; Dry Eye Syndromes/diagnosis ; Dry Eye Syndromes/etiology ; Tears/chemistry ; Fluoresceins/analysis
    Chemical Substances Hydrogels ; Silicones ; Fluoresceins
    Language English
    Publishing date 2023-11-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2004847-6
    ISSN 1476-5411 ; 1367-0484
    ISSN (online) 1476-5411
    ISSN 1367-0484
    DOI 10.1016/j.clae.2023.102093
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  3. Article ; Online: Effect of upper eyelid blepharoplasty on the ocular surface, tear film, and corneal microstructure.

    Aygun, Orhan / Arat, Yonca Ozkan / Dikmetas, Ozlem / Karakaya, Jale / Baytaroglu, Ata / Irkec, Murat

    Arquivos brasileiros de oftalmologia

    2024  Volume 87, Issue 3, Page(s) e20220220

    Abstract: Purpose: This study aimed to investigate the effect of upper eyelid blepharoplasty with the removal of the skin and a strip of orbicularis oculi muscle on the ocular surface, tear film, and dry eye-related symptoms.: Methods: Twenty-two eyes of 22 ... ...

    Abstract Purpose: This study aimed to investigate the effect of upper eyelid blepharoplasty with the removal of the skin and a strip of orbicularis oculi muscle on the ocular surface, tear film, and dry eye-related symptoms.
    Methods: Twenty-two eyes of 22 consecutive patients operated by a single surgeon (21 females; mean age, 61 years; age range, 41-75 years) were included. All subjects completed the Ocular Surface Disease Index questionnaire, underwent in vivo confocal microscopy, tear film breakup time measurements, the Schirmer test with anesthesia, and fluorescein and lissamine green staining measurements before, 1 month, and 6 months after upper blepharoplasty alone with preseptal orbicularis excision.
    Results: A significant increase in Ocular Surface Disease Index, and corneal fluorescein and lissamine green staining and a significant decrease in tear film breakup time were observed after 1 month (p=0.003, p=0.004, p=0.029, and p=0.024 respectively) and 6 months (p=0.001 for all findings). No significant difference in the Schirmer test score was observed during the follow-up. None of the in vivo confocal microscopy parameters showed significant changes during the study.
    Conclusions: An increase in dry eye symptoms and a decrease in tear film stability along with ocular surface staining were observed in patients undergoing upper eyelid blepharoplasty.
    MeSH term(s) Female ; Humans ; Adult ; Middle Aged ; Aged ; Blepharoplasty ; Cornea/surgery ; Eyelids/surgery ; Tears/physiology ; Dry Eye Syndromes/diagnosis ; Fluorescein
    Chemical Substances Fluorescein (TPY09G7XIR)
    Language English
    Publishing date 2024-03-22
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 603915-7
    ISSN 1678-2925 ; 0004-2749
    ISSN (online) 1678-2925
    ISSN 0004-2749
    DOI 10.5935/0004-2749.2022-0220
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Is the Pupil Involved in Duane Syndrome? Static and Dynamic Pupillometry Characteristics.

    Taylan Şekeroğlu, Hande / Şekeroğlu, Mehmet Ali / Özgül Yılmazoğlu, Meltem / Karakaya, Jale

    Turkish journal of ophthalmology

    2023  Volume 53, Issue 1, Page(s) 18–22

    Abstract: Objectives: Duane syndrome (DS) is typically characterized by abduction and/or adduction deficiency accompanied by eyelid and ocular motility disturbances. Maldevelopment or absence of the sixth nerve has been shown to be the causative factor. The aim ... ...

    Abstract Objectives: Duane syndrome (DS) is typically characterized by abduction and/or adduction deficiency accompanied by eyelid and ocular motility disturbances. Maldevelopment or absence of the sixth nerve has been shown to be the causative factor. The aim of the present study was to investigate static and dynamic pupillary characteristics in patients with DS and compare the results with those of healthy eyes.
    Materials and methods: Patients with unilateral isolated DS and no history of ocular surgery were enrolled in the study. Healthy subjects with a best corrected visual acuity (BCVA) of 1.0 or higher were assigned to the control group. All subjects underwent complete ophthalmological examination and pupillometry measurements (MonPack One, Vision Monitor System, Metrovision, Perenchies, France) including static and dynamic pupil evaluation.
    Results: A total of 74 patients (22 with DS and 52 healthy subjects) were included in the study. The mean age of the DS patients and healthy subjects was 11.05±5.19 and 12.54±4.05 years, respectively (p=0.188). There was no difference in sex distribution (p=0.502). Mean BCVA differed significantly between eyes with DS and healthy eyes, and between healthy eyes and the fellow eyes of DS patients (p<0.05). No significant difference was found in any static or dynamic pupillometry parameters (p>0.05 for all).
    Conclusion: In the light of the results of the present study, the pupil seems to be not involved in DS. Larger studies including more patients with different types of DS in different age groups or comprising patients with non-isolated DS may reveal different findings.
    MeSH term(s) Humans ; Child, Preschool ; Child ; Adolescent ; Duane Retraction Syndrome ; Pupil ; Eyelids ; Eye Movements ; Healthy Volunteers
    Language English
    Publishing date 2023-02-27
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2586160-8
    ISSN 2149-8709 ; 2147-2661 ; 2149-8709 ; 1300-0659
    ISSN (online) 2149-8709
    ISSN 2147-2661 ; 2149-8709 ; 1300-0659
    DOI 10.4274/tjo.galenos.2022.26460
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  5. Article ; Online: Psychometric properties of Fullerton Advanced Balance Scale in patients with stroke.

    Kızılkaya, Ertan / Köse, Nezire / Ünsal Delialioğlu, Sibel / Karakaya, Jale / Fil Balkan, Ayla

    Topics in stroke rehabilitation

    2023  Volume 31, Issue 2, Page(s) 145–156

    Abstract: Background: Patients experience falls frequently after stroke. Preserved or acquired balance skills decrease fall risk and improve independence. Feasibility of Fullerton Advanced Balance Scale (FAB) has been shown in balance assessment in some ... ...

    Abstract Background: Patients experience falls frequently after stroke. Preserved or acquired balance skills decrease fall risk and improve independence. Feasibility of Fullerton Advanced Balance Scale (FAB) has been shown in balance assessment in some neurological diseases except stroke.
    Objectives: The purpose of this study was to investigate the reliability and validity of Turkish version of FAB (FAB-T) in patients with stroke (PwS).
    Methods: This cross-sectional study included 51 PwS (60.64 ± 7.66 years). Reliability analyses were conducted with Cronbach's alpha, intraclass correlation coefficient (ICC), and Spearman correlation analysis. Intra-rater and inter-rater reliability were assessed with three raters. FAB-T, Stroke Rehabilitation Assessment of Movement (STREAM), Brunnstrom Recovery Stages (BRS), Barthel Index (BI), and 36-Item Short Form Health Survey (SF-36) were used for convergent validity. Correlations of FAB-T with Berg Balance Scale (BBS) and Mini-Balance Evaluation Systems Test (Mini-BESTest) were measured for concurrent validity. Spearman correlation analysis was used for convergent and concurrent validity. For predictive validity patients' self-reports of falling were analyzed with ROC.
    Results: Intra-rater (ICC = 0.998) and inter-rater reliability (ICCs = 0.984; 0.984; 0.990), and internal consistency (Cronbach's alpha = 0.930) were excellent. FAB-T had good correlations with STREAM (ρ = 0.677) and BI (ρ = 0.628), moderate correlations with BRS (ρ = 0.504 and ρ = 0.579) and physical function of SF-36 (ρ = 0.436). FAB-T excellently correlated with Mini-BESTest and BBS (ρ = 0.928 and ρ = 0.942). The cutoff score of FAB-T was determined to be 21.5 points, with sensitivity of 84% and specificity of 61% (AUC = 0.749).
    Conclusions: FAB-T is a reliable and valid balance assessment tool with an acceptable accuracy of fall prediction in PwS.
    MeSH term(s) Humans ; Psychometrics ; Stroke/complications ; Reproducibility of Results ; Cross-Sectional Studies ; Postural Balance ; Disability Evaluation
    Language English
    Publishing date 2023-07-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1213112-x
    ISSN 1945-5119 ; 1074-9357
    ISSN (online) 1945-5119
    ISSN 1074-9357
    DOI 10.1080/10749357.2023.2235800
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  6. Article ; Online: Is Fixation Preference a Potential Indicator of Macular Function in Children?

    Taylan Şekeroğlu, Hande / Bilgiç, Ahmet Alp / Karakaya, Jale

    Turkish journal of ophthalmology

    2021  Volume 51, Issue 3, Page(s) 151–155

    Abstract: Objectives: Fixation preference testing is widely used to detect amblyopia, particularly in preverbal children. Pattern electroretinogram (pERG) is an electrophysiological test which is a sensitive indicator of macular function. The aim of this study ... ...

    Abstract Objectives: Fixation preference testing is widely used to detect amblyopia, particularly in preverbal children. Pattern electroretinogram (pERG) is an electrophysiological test which is a sensitive indicator of macular function. The aim of this study was to investigate the relationship between fixation preference and macular function on pERG in children with strabismus.
    Materials and methods: The study included 11 children with strabismus. All underwent ophthalmological examination including fixation preference by binocular fixation pattern test, best corrected visual acuity (BCVA) assessment, and pERG.
    Results: The mean age of the patients was 10.09±1.18 years. All patients had unilateral fixation. The mean BCVA was 0.85±0.17 in preferred and 0.48±0.19 in non-preferred eyes (p=0.003). The mean p50 amplitude was 6.07±2.06 μV in preferred and 5.29±2.20 μV in non-preferred eyes (p=0.203), and the mean N95 amplitude was 8.27±2.86 μV and 8.03±3.24 μV respectively (p=0.594). BCVA was correlated with p50 and N95 amplitudes in the non-preferred eyes (p=0.023 and p=0.014). Interocular BCVA difference was correlated with interocular P50 amplitude difference (r=0.688, p=0.019).
    Conclusion: Although amblyopia is typically considered a cortical phenomenon, future larger studies are needed to investigate the relationship between fixation preference and macular electrophysiological function.
    MeSH term(s) Amblyopia/diagnosis ; Amblyopia/physiopathology ; Child ; Electroretinography/methods ; Female ; Fixation, Ocular/physiology ; Humans ; Macula Lutea/physiopathology ; Male ; Retinal Ganglion Cells/pathology ; Strabismus/diagnosis ; Strabismus/physiopathology ; Tomography, Optical Coherence ; Visual Acuity ; Visual Fields/physiology
    Language English
    Publishing date 2021-06-29
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2586160-8
    ISSN 2149-8709 ; 2147-2661 ; 1300-0659 ; 1300-0659 ; 2149-8695
    ISSN (online) 2149-8709 ; 2147-2661 ; 1300-0659
    ISSN 1300-0659 ; 2149-8695
    DOI 10.4274/tjo.galenos.2020.41524
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  7. Article: Measurement of Uncertainty in Prediction of No-Reflow Phenomenon after Primary Percutaneous Coronary Intervention Using Systemic Immune Inflammation Index: The Gray Zone Approach.

    Ozturk, Ebru / Esenboga, Kerim / Kurtul, Alparslan / Kilickap, Mustafa / Karaagaoglu, Ergun / Karakaya, Jale

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 4

    Abstract: Systemic immune-inflammation index (SII), which is a good predictive marker for coronary artery disease, can be calculated by using platelet, neutrophil, and lymphocyte counts. The no-reflow occurrence can also be predicted using the SII. The aim of this ...

    Abstract Systemic immune-inflammation index (SII), which is a good predictive marker for coronary artery disease, can be calculated by using platelet, neutrophil, and lymphocyte counts. The no-reflow occurrence can also be predicted using the SII. The aim of this study is to reveal the uncertainty of SII for diagnosing ST-elevation myocardial infarction (STEMI) patients who were admitted for primary percutaneous coronary intervention (PCI) for the no-reflow phenomenon. A total of 510 consecutive acute (STEMI) patients with primary PCI were reviewed and included retrospectively. For diagnostic tests which are not a gold standard, there is always an overlap between the results of patients with and without a certain disease. In the literature, for quantitative diagnostic tests where the diagnosis is not certain, two approaches have been proposed, named "grey zone" and "uncertain interval". The uncertain area of the SII, which is given the general term "gray zone" in this article, was constructed and its results were compared with the "grey zone" and "uncertain interval" approaches. The lower and upper limits of the gray zone were found to be 611.504-1790.827 and 1186.576-1565.088 for the grey zone and uncertain interval approaches, respectively. A higher number of patients inside the gray zone and higher performance outside the gray zone were found for the grey zone approach. One should be aware of the differences between the two approaches when making a decision. The patients who were in this gray zone should be observed carefully for detection of the no-reflow phenomenon.
    Language English
    Publishing date 2023-02-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13040709
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  8. Article ; Online: The reliability, validity, and responsiveness of Cognitive Exercise Therapy Approach: Biopsychosocial Questionnaire for patients with psoriatic arthritis.

    Bulut, Senem / Karakaya, Jale / Oksuz, Sevim / Kalyoncu, Umut / Unal, Edibe

    Rheumatology international

    2022  Volume 42, Issue 11, Page(s) 1973–1981

    Abstract: Although the importance of the biopsychosocial model that aims the optimum treatment is emphasized in the literature, there is a lack of scales that evaluate individuals with PsA in a multi-dimensional way, including all areas of influence. This study ... ...

    Abstract Although the importance of the biopsychosocial model that aims the optimum treatment is emphasized in the literature, there is a lack of scales that evaluate individuals with PsA in a multi-dimensional way, including all areas of influence. This study aimed to determine the validity, reliability, and responsiveness of the Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire (BETY-BQ) in individuals diagnosed with Psoriatic Arthritis (PsA). Psoriatic Arthritis Quality of Life Questionnaire (PsAQoL), Health Assessment Questionnaire, Hospital Anxiety and Depression Scale, and Short Form-36 were used for the validity of the BETY-BQ. For scale reliability, the test-retest method was performed, Intraclass Correlation Coefficient (ICC) was calculated, and Cronbach's alpha (α) coefficient was checked for internal consistency. For the responsiveness of the scale, all scales were re-applied with 3 months intervals. The correlations of BETY-BQ with the other scales were found medium to very high. ICC was analyzed to compare the reliability of the test-retest results and it was found to be excellent. Cronbach's α value was found to be 0.940 which showed an excellent internal consistency. The time-dependent change sensitivity of BETY-BQ was found to be highly correlated with the PsA-specific scale, the PsAQoL questionnaire. BETY-BQ was determined as a valid, reliable, and sensitive assessment tool that health professionals can use in individuals with PsA diagnosis. In this study, a scale that will reveal the biopsychosocial responses of individuals with PsA to pharmacological and non-pharmacological treatments was presented to the literature.
    MeSH term(s) Arthritis, Psoriatic/diagnosis ; Arthritis, Psoriatic/psychology ; Arthritis, Psoriatic/therapy ; Cognition ; Exercise Therapy ; Humans ; Psychometrics ; Quality of Life/psychology ; Reproducibility of Results ; Surveys and Questionnaires
    Language English
    Publishing date 2022-07-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 8286-7
    ISSN 1437-160X ; 0172-8172
    ISSN (online) 1437-160X
    ISSN 0172-8172
    DOI 10.1007/s00296-022-05170-9
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  9. Article ; Online: Elucidating the level of developmental risk in a busy paediatric practice clinic from a middle-income country.

    Çelen Yoldaş, Tuba / Şenkon, Oben Gözde / Karakaya, Jale / Özmert, Elif Nursel

    Child: care, health and development

    2022  Volume 48, Issue 5, Page(s) 781–787

    Abstract: Background: Identifying young children with serious developmental concerns is a common challenge in paediatric settings around the world. Elucidating parental concerns about their children's development is a useful predictor of developmental status. The ...

    Abstract Background: Identifying young children with serious developmental concerns is a common challenge in paediatric settings around the world. Elucidating parental concerns about their children's development is a useful predictor of developmental status. The aim of this study is to elucidate the level of developmental risk in a busy outpatient paediatric clinic using the Parents' Evaluation of Developmental Status (PEDS) and observe the associated factors in a middle-income country.
    Methods: Parents attending a medical appointment for their children in a paediatric outpatient clinic were asked to complete the PEDS and a questionnaire pertaining to sociodemographic details. A total of 151 parents were eligible to participate in the study. Parents also rated the ease of completion of the test with the response options being 'difficult, a little difficult, easy, very easy'.
    Results: In our total sample, 9.3% (n = 14) were at high risk, 16.6% (n = 25) were at moderate risk and the remainder were at low/no risk. Being at high or moderate risk (25.8%, n = 39) was higher in male gender (p = 0.046) and older age children (p = 0.004). Hospitalization in a neonatal intensive care unit longer than 3 days, maternal employment status/housewife, long duration of screen viewing were independent risk factors significantly associated with high or moderate risk in multivariable analyses. Among the participants, 98.7% of parents reported that the PEDS was easy or very easy to complete in the clinical setting.
    Conclusion: In this study, in a cosmopolitan city of a middle-income country, a quarter of children were observed to be at high or moderate risk. The findings highlight the importance of elucidating the prevalence of developmental concerns among the population to enable families to access universal high-quality early childhood services.
    MeSH term(s) Ambulatory Care Facilities ; Child ; Child, Preschool ; Developmental Disabilities/diagnosis ; Developmental Disabilities/epidemiology ; Humans ; Infant ; Infant, Newborn ; Male ; Parents ; Risk Factors ; Surveys and Questionnaires
    Language English
    Publishing date 2022-02-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 223039-2
    ISSN 1365-2214 ; 0305-1862
    ISSN (online) 1365-2214
    ISSN 0305-1862
    DOI 10.1111/cch.12987
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  10. Article ; Online: Reliability and Validity of the Turkish Version of the Selective Control of the Upper Extremity Scale in Children with Cerebral Palsy.

    Tunçdemir, Merve / Karakaya, Jale / Kerem-Günel, Mintaze

    Physical & occupational therapy in pediatrics

    2021  Volume 42, Issue 1, Page(s) 99–112

    Abstract: Aims: To investigate the psychometric properties of the Selective Control of the Upper Extremity Scale (SCUES).: Methods: Fifty-two children (27 females and 25 males; mean age 9.8 ± 4.4 years) with spastic type of cerebral palsy (CP) participated in ... ...

    Abstract Aims: To investigate the psychometric properties of the Selective Control of the Upper Extremity Scale (SCUES).
    Methods: Fifty-two children (27 females and 25 males; mean age 9.8 ± 4.4 years) with spastic type of cerebral palsy (CP) participated in the study. Psychometric analyses included reliability, concurrent validity, construct validity, and discriminant validity. Upper Limb Physician's Rating Scale (ULPRS), Modified Ashworth Scale (MAS), Quality of Upper Extremity Skills Test (QUEST) were used for concurrent validity. Manual Ability Classification System (MACS) was used for construct validity. Differences in SCUES scores were determined between participants categorized according to their limb distribution and MACS levels.
    Results: Intra-rater reliability (intraclass correlation coefficient [ICC] = 0.98) of the SCUES was excellent. SCUES and ULPRS (r = 0.87, p < 0.001), SCUES and MAS (r=-0.93, p < 0.001), SCUES and QUEST (r=0.81, p < 0.001) were highly correlated. SCUES and MACS (r=-0.67, p < 0.001) was moderately correlated. SCUES scores differed significantly between children classifed as MACS levels I versus II and III and between children with hemiparetic and diparetic CP.
    Conclusion: The SCUES appears to be a valid and reliable tool to assess selective voluntary motor control of the upper extremities in children with spastic CP, which may be useful in selecting and planning interventions.
    MeSH term(s) Adolescent ; Cerebral Palsy ; Child ; Child, Preschool ; Disability Evaluation ; Female ; Humans ; Male ; Muscle Spasticity ; Psychometrics ; Reproducibility of Results ; Upper Extremity
    Language English
    Publishing date 2021-05-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 783998-4
    ISSN 1541-3144 ; 0194-2638
    ISSN (online) 1541-3144
    ISSN 0194-2638
    DOI 10.1080/01942638.2021.1928809
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