Effectiveness of Wearable Trackers and Telerehabilitation in Cerebral Palsy

The PAQ-A was developed by Kowalski et al. in 1997 to assess physical activity levels in adolescents (Kowalski et al., 2004). It is suitable for the 14-20 age group. The questionnaire consists of nine questions and assesses physical activity levels over the past seven days. The Turkish validity and reliability study was conducted in 2017. PAQ-A contains eight questions scored between 1 and 5, with a ninth question asking about any condition that might have prevented physical activity during the past week. A score of "1" indicates low-intensity physical activity, while "5" indicates high-intensity physical activity. The ninth question is not included in the scoring. The total score is calculated by averaging the scores of all questions (Aygün Polat, 2017).

The PAES is a satisfaction scale developed by Mullen et al., consisting of eight items rated on a 7-point Likert scale (Mullen, 2011). The Turkish validity and reliability study was conducted by Bozkurt et al. (Bozkurt et al., 2022).

The CP-QoL Teen scale is a quality-of-life questionnaire designed for adolescents with cerebral palsy (Davis et al., 2013). Its Turkish adaptation was carried out by Çelik et al. (Çelik, 2012). The CP-QoL Teen scale has two versions: one for caregivers and one self-report version for adolescents. The adolescent self-report version consists of six categories: family and friends, school, participation, communication, health, special equipment, and pain and discomfort. These categories are evaluated under four sections: general well-being and participation, communication and physical health, school situation, and social well-being. The caregiver version includes two additional categories: service assessment and family health (Davis et al., 2013). Scoring involves two steps:

• Items are transformed to a scale with a possible range of 0-100;
• The algebraic mean of item values is computer for each domain.

The PSQI is a scale that provides information on sleep quality and the type and severity of sleep disorders in the past month (Buysse et al., 1989). Sleep quality is evaluated based on sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleep medication, and daytime dysfunction. The Turkish validity and reliability study of the scale was conducted by Ağargün et al. (Ağargün et al., 1996). Each question is scored between 0 and 3, with higher scores indicating poorer sleep quality. A total score of less than 5 indicates "Good sleep quality," while a score of 5 or above indicates "Poor sleep quality."

The TCMS is a valid and reliable scale for assessing trunk control in individuals with cerebral palsy (Heyrman, 2011). The Turkish validity and reliability study was conducted by Özal et al. (Özal, 2019). The TCMS evaluates two main components of trunk control during functional activities: maintaining balance within the support surface and actively moving body parts. Therefore, the TCMS consists of two main sections: static sitting balance and dynamic sitting balance.