34
Mahsum EREN
1
, Gamze Ekici
2
, Halil ALKAN
3
Abstract
Purpose: Cerebral Palsy (CP) is a non-progressive lesion in the developing brain due to prenatal,
perinatal and postnatal causes; however, it is a permanent motor function, posture and movement
development disorder that can change with age. Our aim in this study is to investigate the cross-cultural
adaptation, validation and reliability of Children’s Hand-use Experience Questionnaire (CHEQ).
Methods: Ninety-five children between 6 and 18 years of age with hemiparetic Cerebral Palsy (CP)
were included in this study. Gross Motor Function Classification System (GMFCS) was used to
determine their motor levels, Manual Ability Classification System (MACS) was used to determine their
manual ability, Pediatric Evaluation of Disability Inventory (PEDI) was used to determine their
disability level and Children’s Hand-use Experience Questionnaire (CHEQ) was used to determine their
hand use ability.
Results: Investigating reliability of CHEQ, 35 children with hemiparetic CP were evaluated 1week
interval. The test-retest reliability was described by using intra-class correlation coefficient (ICC).
Convergent and divergent construct validities were assessed by examining the Spearman’s correlation
coefficients of the CHEQ compared to MACS and GMFCS and PEDI. Reliability were tested by using
ICC and found to be 1.00. The ‘activities performed independently’ section of the CHEQ had
statistically significant and good correlations (p=0.001) with the MACS and the self-care section of the
PEDI. It had statistically significant but weak correlation (p=0.001) with the GMFCS
1
PT, Ph.D., Assistant Prof. Beykent University, 4441997, Vocational School, Department of Therapy and Rehabilitation,
mahsumeren@beykent.edu.tr
2
Professor, Hacettepe University, 0. 312 305 50 00, Faculty of Health Sciences, Department of Ergotherapy,
fztgamze@yahoo.com
3
PT, Ph.D., Assistant Prof., Muş Aplarslan University, +90 416 249 49 49, Faculty of Health Sciences, Department of
Physiotherapy and Rehabilitation, fzthalilalkan@hotmail.com
SANITAS MAGISTERIUM
Received: 13.10.2021
Published: 01.01.2022
Copyright © 2022
https://dergipark.org.tr/ijhadec
January 2022 •
RELIABILITY AND VALIDITY OF TURKISH VERSION OF CHILDREN’S HAND USE EXPERIENCE
QUESTIONNAIRE FOR CHILDREN WITH HEMIPARETIC CEREBRAL PALSY