Knowledge Hub

SCALE is a standardised clinical tool for assessment of selective voluntary motor control of the lower extremity in patients with spastic cerebral palsy whose reliability and validity have been established. The video and accompanying administration, scoring instructions and score sheet provide instruction so that a clinician may administer and score the tool. The video provides clinical examples and an opportunity for the viewer to practice scoring a clinical example.

SCALE: Selective Control Assessment of the Lower Extremity

Knowledge Hub

SCALE is a standardised clinical tool for assessment of selective voluntary motor control of the lower extremity in patients with spastic cerebral palsy whose reliability and validity have been established. The video and accompanying administration, scoring instructions and score sheet provide instruction so that a clinician may administer and score the tool. The video provides clinical examples and an opportunity for the viewer to practice scoring a clinical example.

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Synopsis of resource

SCALE is a standardized clinical tool for assessment of selective voluntary motor control of the lower extremity in patients with spastic cerebral palsy whose reliability and validity have been established. The video and accompanying administration, scoring instructions and score sheet provide instruction so that a clinician may administer and score the tool. The video provides clinical examples and an opportunity for the viewer to practice scoring a clinical example.

Key learning outcomes

  • Describe the purpose, content and administration of SCALE
  • Describe the scoring system for SCALE
  • Use the SCALE tool in the clinical assessment of patients with spastic CP
Dr. Fowler

Authors

Eileen Fowler PhD, PT, Loretta Staudt PT, MS, Marcia Greenberg MS, PT,  William L. Oppenheim, MD

Dr. Fowler is a Professor in Orthopaedic Surgery at UCLA and holds the Peter William Shapiro Chair. She is Director, Research & Education for the Center for Cerebral Palsy at UCLA, the Director of the Kameron Gait and Motion Analysis Laboratory and a faculty member of the Tarjan Center for Disabilities, a University Center of Excellence. She is a member of the Center for Duchenne Muscuar Dystrophy (DMD) at UCLA and an investigator for multiple clinical trials for DMD novel therapeutics. She was the 2015-16 President of the American Academy of Cerebral Palsy and Developmental Medicine.

Her early research refuted the premise that exercise performance increases spasticity in children with cerebral palsy (CP). Her current focus is reduced selective motor control and maladaptive plasticity in spastic CP using clincal, biomechanical and neural imaging approaches. She oversees a broad research agenda for the Center for Cerebral Palsy, including the unmet healthcare needs of adults and technology to increase recreational opportunities for children with severe movement disorders.

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