Segmental Assessment of Trunk Control (SATCo): Difference between revisions
No edit summary |
No edit summary |
||
| Line 8: | Line 8: | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Objective< | == Objective == | ||
The objective of the Segmental Assessment of Trunk Control (SATCo) is to provide a detailed assessment of trunk control, identifying the highest segmental level at which intervention must be targeted and the optimal level of support needed by the individual.<ref name=":0">Butler P, Saavedra MS, Sofranac MM, Jarvis MS, Woollacott M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927393/ Refinement, reliability and validity of the segmental assessment of trunk control (SATCo).] Pediatric physical therapy: the official publication of the Section on Pediatrics of the American Physical Therapy Association. 2010;22(3):246.</ref> <ref name=":1">Pin TW, Butler PB, Cheung HM, Shum SL. [https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-018-1153-4 Segmental Assessment of Trunk Control in infants from 4 to 9 months of age-a psychometric study]. BMC pediatrics. 2018 Dec;18:1-8.</ref> | |||
== Intended Population<br> | It is an '''assessment tool and outcome measure''' which provides a "close definition of the level at which trunk control difficulties present and leads to a 'level by level' treatment to the development of trunk control" (Butler et al, 2010). <ref name=":0" /><ref>Leckley. [https://www.leckey.com/media/3260/satco-clinical-workbook.pdf SATCo Segmental Assessment of Trunk Control]. Lisburn: Leckley.com </ref><br> | ||
== Intended Population == | |||
SATCo has initially been developed for infants and children with neuromotor developmental impairments.<ref name=":1" /><br> | |||
== Method of Use == | == Method of Use == | ||
SATCo is performed in the clinical setting or at home. | |||
It examines postural control in a '''sitting position''' by a gradual '''reduction of support''' and under '''three different conditions.''' | |||
The three conditions are: | |||
* '''Static control''' - Maintaining a '''[https://www.leckey.com/media/3514/leckey_neutral-vertical.pdf neutral vertical posture]''' with no movement. | |||
* '''Active control''' - Maintaining a neutral vertical posture with voluntary head movements or arm movements. | |||
* '''Reactive control''' - A recovery of the neutral vertical posture after a disturbance of balance caused by a nudge. | |||
The support is provided at six distinct levels, moving cephalo-caudally, starting at the shoulder girdle and ending without any support given. | |||
These levels are: | |||
{| class="wikitable" | |||
|+ | |||
!Anatomical level | |||
!Manual support | |||
|- | |||
|C7 | |||
|Shoulders | |||
|- | |||
|T1-3 | |||
|Axillae | |||
|- | |||
|T3-7 | |||
|Inferior scapulae | |||
|- | |||
|T7-T11 | |||
|Lower ribs | |||
|- | |||
|T12-L3 | |||
|Below ribs | |||
|- | |||
|L4-S5 | |||
|Pelvis | |||
|} | |||
== Basic set-up == | |||
The child wears only a nappy or shorts as the trunk need to be clearly observed. | The child wears only a nappy or shorts as the trunk need to be clearly observed. | ||
A minimum of two testers are required: | |||
* One to support the trunk | |||
* Another to a) monitor the child's posture b)monitor the child's hand and arm position and c) provide nudges for the reactive component of SATCo. | |||
Child's position: | Child's position: | ||
| Line 38: | Line 87: | ||
=== Responsiveness === | === Responsiveness === | ||
=== Miscellaneous | === Miscellaneous === | ||
https://www.youtube.com/watch?v=jLzx1e2IQeQ accessed 22nd April | https://www.youtube.com/watch?v=jLzx1e2IQeQ accessed 22nd April | ||
Revision as of 08:56, 25 April 2023
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (25/04/2023)
Original Editor - Lauren Heydenrych
Top Contributors - Lauren Heydenrych
Objective[edit | edit source]
The objective of the Segmental Assessment of Trunk Control (SATCo) is to provide a detailed assessment of trunk control, identifying the highest segmental level at which intervention must be targeted and the optimal level of support needed by the individual.[1] [2]
It is an assessment tool and outcome measure which provides a "close definition of the level at which trunk control difficulties present and leads to a 'level by level' treatment to the development of trunk control" (Butler et al, 2010). [1][3]
Intended Population[edit | edit source]
SATCo has initially been developed for infants and children with neuromotor developmental impairments.[2]
Method of Use[edit | edit source]
SATCo is performed in the clinical setting or at home.
It examines postural control in a sitting position by a gradual reduction of support and under three different conditions.
The three conditions are:
- Static control - Maintaining a neutral vertical posture with no movement.
- Active control - Maintaining a neutral vertical posture with voluntary head movements or arm movements.
- Reactive control - A recovery of the neutral vertical posture after a disturbance of balance caused by a nudge.
The support is provided at six distinct levels, moving cephalo-caudally, starting at the shoulder girdle and ending without any support given.
These levels are:
| Anatomical level | Manual support |
|---|---|
| C7 | Shoulders |
| T1-3 | Axillae |
| T3-7 | Inferior scapulae |
| T7-T11 | Lower ribs |
| T12-L3 | Below ribs |
| L4-S5 | Pelvis |
Basic set-up[edit | edit source]
The child wears only a nappy or shorts as the trunk need to be clearly observed.
A minimum of two testers are required:
- One to support the trunk
- Another to a) monitor the child's posture b)monitor the child's hand and arm position and c) provide nudges for the reactive component of SATCo.
Child's position:
- Seated on a bench. Pelvis is stabilised by support system. Feet supported (age dependent).
- Head is central with eyes looking forward. The chin is neither protracted or retracted.
- Shoulder girdle is neither protracted nor retracted.
- Hands and arms are free from contact with own body or any external support.
- Spinal profile should be normal for age with no joints at end of range.
- Pelvis in neutral.
- Hip and knee angles both at 90°
- Feet supported if age appropriate.
Important to remember: The head and body is to be kept in a neutral vertical posture both above and below manual support provided.
Reference
[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous[edit | edit source]
https://www.youtube.com/watch?v=jLzx1e2IQeQ accessed 22nd April
https://www.youtube.com/watch?v=jMS4C6eDg6Y
Links[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Butler P, Saavedra MS, Sofranac MM, Jarvis MS, Woollacott M. Refinement, reliability and validity of the segmental assessment of trunk control (SATCo). Pediatric physical therapy: the official publication of the Section on Pediatrics of the American Physical Therapy Association. 2010;22(3):246.
- ↑ 2.0 2.1 Pin TW, Butler PB, Cheung HM, Shum SL. Segmental Assessment of Trunk Control in infants from 4 to 9 months of age-a psychometric study. BMC pediatrics. 2018 Dec;18:1-8.
- ↑ Leckley. SATCo Segmental Assessment of Trunk Control. Lisburn: Leckley.com
