Your browser doesn't support javascript.
loading
A systematic review of upper limb activity measures for 5- to 18-year-old children with bilateral cerebral palsy.
Burgess, Andrea; Boyd, Roslyn N; Ziviani, Jenny; Sakzewski, Leanne.
Afiliação
  • Burgess A; Faculty of Medicine, Queensland Cerebral Palsy and Rehabilitation Research, The University of Queensland, South Brisbane, Queensland, Australia.
  • Boyd RN; Faculty of Medicine, Queensland Cerebral Palsy and Rehabilitation Research, The University of Queensland, South Brisbane, Queensland, Australia.
  • Ziviani J; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
  • Sakzewski L; Faculty of Medicine, Queensland Cerebral Palsy and Rehabilitation Research, The University of Queensland, South Brisbane, Queensland, Australia.
Aust Occup Ther J ; 66(5): 552-567, 2019 10.
Article em En | MEDLINE | ID: mdl-31385319
ABSTRACT

AIM:

To investigate measurement properties and feasibility of upper limb activity measures in children aged 5-18 years with bilateral cerebral palsy (CP).

METHODS:

Five electronic databases were searched to identify measures of upper limb activity with published psychometric data for children with bilateral CP aged 5-18 years. Measures included both Patient-Reported Outcome Measures (PROMs) and observational measures. The COnsensus-based Standards for selection of health Measurement Instruments checklist was used to evaluate methodological quality of studies for each measure.

RESULTS:

Forty-eight measures were identified, eight of which met inclusion criteria for reliability and validity. Four PROMs were included the ABILHAND-Kids and Children's Arm Rehabilitation Measure are parent questionnaires measuring overall manual ability; the ACTIVLIM-CP is a parent questionnaire measuring global activity (upper and lower extremity) performance, and, the Pediatric Upper Limb Measure, Short Form is a child self-report questionnaire. Four observational measures were included the Both Hands Assessment (BoHA) is an observational measure of bimanual activity performance; the Melbourne Assessment of Unilateral Upper Limb Function and the Melbourne Assessment 2 measure quality of movement of each upper limb separately, and the Peabody Developmental Motor Scales-Second Edition assesses fine motor skill capacity in young children. Based upon available evidence, the most suitable PROM for evaluation of upper limb activity in children with bilateral CP is the ACTIVLIM-CP, and the most suitable observational measure is the BoHA.

CONCLUSION:

Selection of upper limb measures depend on clinical information required and available resources. The BoHA is the only observational-based assessment which measures bimanual upper limb activity performance in children with bilateral CP. Recommendation for future measurement studies include familiarisation with the standards required for excellence, which include adequate sample size and content validity studies for PROMs.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia Cerebral / Terapia Ocupacional / Extremidade Superior / Avaliação da Deficiência Tipo de estudo: Guideline / Prognostic_studies / Systematic_reviews Limite: Adolescent / Child / Child, preschool / Humans Idioma: En Revista: Aust Occup Ther J Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paralisia Cerebral / Terapia Ocupacional / Extremidade Superior / Avaliação da Deficiência Tipo de estudo: Guideline / Prognostic_studies / Systematic_reviews Limite: Adolescent / Child / Child, preschool / Humans Idioma: En Revista: Aust Occup Ther J Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Austrália