LAUSR

“How could I apply this information?” This study uses a valid design to expand the application of the Segmental Assessment of Trunk Control (SATCo) to infants and toddlers with Down syndrome and provides an objective way to quantify trunk control. The SATCo may be a helpful tool for goal writing and to track change over time, given that intrarater reliability was good to excellent. “What should I be mindful about when applying this information?” Static trunk control had the highest reliability, and reactive trunk control had the lowest reliability; however, reactive trunk control is most relevant for exploration in a child’s natural environment and participation in activities with peers. Reactive trunk control is required for independent walking. This is often the primary goal of families with infants and toddlers. The SATCo requires specific training and equipment, and ideally 2 people and a video camera. The common compensatory strategies used by the children in the study were not always identified by experienced physical therapists, and infants and toddlers were primarily seen in the natural environment. Thus, all of the elements required for an accurate result may not be readily available. The authors state that the SATCo may be a complementary measure to the Gross Motor Function Measure (GMFM) for children who have a functional sitting goal. This may not be as clinically relevant to families as the broader focus of GMFM. The measurement of a body structure and function impairment may be less meaningful to families than a focus on activity and participation measures. Parents may have difficulty understanding how the results of the SATCo translate into functional and therapeutic activities that fit into their everyday life. Although the statistical analysis shows its usefulness, the relevancy to daily life for a busy family needs to be clarified.