Does the modification of manual form perception test modified by Cooper et al. make the test more sensitive?
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- Background: Intensive interventions in children with cerebral palsy (CP) palsy improves motor function of the upper limbs which has an important link with stereognosis. The Manual Form Perception Test modified by Cooper et al (C10) that is often used to assess the stereognosis in children with CP showed no significant improvement after such therapies. It might be linked to a lack of sensitivity to slight changes or would be limited by a ceiling effect. We then decided to modify the C10 by adding new objects and considering time taken to recognize the objects. We named this new test the “Modified Cooper Test” (C16). Aim: Compare C16 to C10 to examine if the new version of the test would be more sensitive to changes after intensive interventions. Methods: Tactile sensitivity of the 28 children with CP included in the study underwent CIMT, HABIT or HABIT-ILE interventions during summer 2016. Children have been evaluated before and after intervention with C16 and C10 to compare their respective sensitivity to changes. Pearson and Spearman coefficients were used to test correlation between the two tests. Two-way ANOVA RM were performed to compare changes. Effect-size were used to quantify changes. Results: C16 and C10 showed significant correlation but did not significantly differ.The effect size was larger in C16,when considering the time needed to identify objects (indexes). Conclusion: Considering the time needed to recognize objects would make C10 more sensitive to changes