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Table 1 Details of the caregivers and patients’ responses in the 4 focus groups

From: Content validity and clinical meaningfulness of the HFMSE in spinal muscular atrophy

HMFSE Item

HMFSE activities

Answers

Group 1

Group 2

Group 3

Group 4

1

Able to sit on chair or with legs off bed with or without hand support

Sitting on normal school chair or public spaces (stools in restaurant)

â—Ź

â—Ź

â—Ź

â—Ź

Sitting on toilet

â—Ź

â—Ź

 

â—Ź

Sitting in car

  

â—Ź

 

Independence out of the house

â—Ź

  

â—Ź

Dress by herself/himself

 

â—Ź

  

2

Able to sit on floor cross legged or legs stretched in front

Play on floor with siblings

â—Ź

â—Ź

â—Ź

â—Ź

Sit on lounge chair, deck-chair

 

â—Ź

 

â—Ź

Picnic

  

â—Ź

â—Ź

Travel with less equipment

â—Ź

   

Inclusion in activities

 

â—Ź

  

3

Able to bring hands to face at eye level

Wash face

â—Ź

â—Ź

â—Ź

â—Ź

Brush and style

â—Ź

â—Ź

â—Ź

â—Ź

Eat

â—Ź

 

â—Ź

 

Put on eye glasses

â—Ź

â—Ź

 

â—Ź

Answer telephone

  

â—Ź

 

Blow nose

â—Ź

   

4

Able to bring hands to head

Scratch head

â—Ź

â—Ź

â—Ź

â—Ź

Wash, brush, style hair

 

â—Ź

â—Ź

â—Ź

Put on hat

â—Ź

â—Ź

 

â—Ź

Dress upper body

â—Ź

 

â—Ź

 

5

Roll to side

Sleep by myself in my own room

 

â—Ź

â—Ź

 

Caregiver does not have to wake up to turn him/her

â—Ź

â—Ź

 

â—Ź

Help during dressing lying down

 

â—Ź

â—Ź

 

Not having to turn head to see

â—Ź

   

6-7-8-9

Roll

Play

â—Ź

â—Ź

  

Sleep well

 

â—Ź

â—Ź

 

Sunbathe

 

â—Ź

â—Ź

 

Experience space

â—Ź

  

â—Ź

Reach for something at sides when lying down

 

â—Ź

 

â—Ź

10

Able to lye down from sitting

Independence: lye down and rest when tired

â—Ź

â—Ź

â—Ź

â—Ź

Fun movement when falling

â—Ź

â—Ź

  

Rest on the back

  

â—Ź

 

Safety: Fall in a controlled way (avoid head trauma)

â—Ź

   

11

Able to raise head when lying prone

Turn head react to stimulus, visual exploration of surroundings

â—Ź

â—Ź

â—Ź

 

Read a book

â—Ź

 

â—Ź

â—Ź

Not be afraid of choking

 

â—Ź

  

Watch TV

 

â—Ź

 

â—Ź

On beach not get sand in face

â—Ź

   

12-13

Able to prop on forearms or extend arms

Read a book

â—Ź

â—Ź

â—Ź

 

Watch TV

 

â—Ź

â—Ź

â—Ź

Stretch back

â—Ź

   

Sun bathe

  

â—Ź

 

14

Able to sit up from lying

No need for assistant

â—Ź

â—Ź

â—Ź

 

Wake up and not have to wait for someone to sit me up

â—Ź

â—Ź

â—Ź

â—Ź

Independence

â—Ź

â—Ź

  

Sit up and drink at night

â—Ź

  

â—Ź

15

Able to four-point kneel

Play like an animal in school

â—Ź

 

â—Ź

â—Ź

Hiding

   

â—Ź

Be able to fit under small spaces

   

â—Ź

16

Able to crawl

Move around

â—Ź

â—Ź

â—Ź

â—Ź

Experience space

 

â—Ź

â—Ź

 

Go get objects

â—Ź

â—Ź

  

Play on floor

  

â—Ź

â—Ź

17

Lift head from supine

Change head position

â—Ź

â—Ź

â—Ź

 

Drink at night

  

â—Ź

â—Ź

Read

â—Ź

   

Watch TV

 

â—Ź

  

Check the clock or alarm

   

â—Ź

18

Stand with support

Use toilet standing (boy)

â—Ź

 

â—Ź

â—Ź

Use full length mirror, perceive body dimensions and proportions

â—Ź

â—Ź

  

Shower properly

â—Ź

   

Climb in car

  

â—Ź

 

Use kitchen burners, cook

 

â—Ź

  

19

Stand without support

Public spaces: wait for bus, stand in cue

 

â—Ź

  

Cook

  

â—Ź

 

Use normal sink

â—Ź

   

Dress

  

â—Ź

 

Reach something on a shelf

   

â—Ź

20

Able to walk

Freedom

â—Ź

â—Ź

â—Ź

 

Go where and when you please

â—Ź

â—Ź

â—Ź

 

Get to places

â—Ź

â—Ź

â—Ź

 

Not to have to rely on wheelchair batteries

  

â—Ź

 

21-22

Able to flex hip from supine

Dress (pants, socks)

â—Ź

â—Ź

â—Ź

â—Ź

Scratch legs, kill mosquito

â—Ź

â—Ź

  

Change position

  

â—Ź

 

23-24-25-26

Able to half kneel

Pick up object on floor

 

â—Ź

â—Ź

 

Tie shoe laces

â—Ź

â—Ź

  

Put away object on low surfaces

â—Ź

   

Pet a dog

 

â—Ź

  

Play

  

â—Ź

 

Make a proposal

   

â—Ź

Kneel in church

   

â—Ź

Talk with a kid

   

â—Ź

27

Able to go from standing to sitting

Not get hurt when falling or not fall in an embarrassing way

â—Ź

 

â—Ź

 

Sit on grass or sand

â—Ź

â—Ź

 

â—Ź

Pet a dog

  

â—Ź

 

Sit beside a friend in same position/play on floor

â—Ź

 

â—Ź

 

Pick up something from floor

 

â—Ź

 

â—Ź

28

Able to squat

Sit when needed

â—Ź

 

â—Ź

 

Pick up objects on floor

 

â—Ź

â—Ź

â—Ź

Pee

â—Ź

  

â—Ź

Tie shoes

  

â—Ź

 

Pull up trousers

â—Ź

   

29

Able to jump

Have fun, play

â—Ź

â—Ź

â—Ź

â—Ź

Dance, gymnastics

 

â—Ź

â—Ź

 

Avoid obstacles

â—Ź

â—Ź

 

â—Ź

Normality

â—Ź

 

â—Ź

 

Go to friends’ home regardless of where they live

â—Ź

 

â—Ź

â—Ź

Stay and live in my own home

 

â—Ź

  

30-31-32-33

Go up and down stairs

Absence of barriers

â—Ź

â—Ź

â—Ź

â—Ź

Normality

â—Ź

â—Ź

  

Go to friends’ home regardless of where they live

â—Ź

â—Ź

 

â—Ź

Stay and live in my own home

  

â—Ź