Development of a Clinical Framework for the Assessment of Dyskinesia and Function in the Upper Limb in Children with Cerebral Palsy.
Phys Occup Ther Pediatr
; 43(1): 1-13, 2023.
Article
en En
| MEDLINE
| ID: mdl-36097697
ABSTRACT
OBJECTIVE:
Dyskinesia in cerebral palsy (CP) is a complex movement disorder that can significantly impact upper limb function. Despite a range of available tools, there is no consensus on best practice assessment of upper limb function in children with CP and dyskinesia. This study aimed to develop a clinical framework for the assessment of the impact of dyskinesia on upper limb function in children with CP.DESIGN:
Modified Delphi study using expert consensus.METHODS:
An expert panel of six highly experienced Australian therapists ranked assessment tools sourced from existing evidence-based literature using a five-point Likert scale. Tools rated as important for use "most" or "all" of the time, by 80% of respondents were accepted into the framework following two survey rounds and a third stage discussion.RESULTS:
Of 21 tools, 12 were included in the framework under five categories (i) screening for dyskinesia; (ii) measuring the severity of dyskinesia; (iii) Classifying upper limb functional ability; (iv) measuring upper limb functional ability; and (v) measuring upper limb movement.CONCLUSIONS:
The framework for assessing the impact of dyskinesia on upper limb function in CP aims to guide clinicians to improve assessment consistency and facilitate individualized goal-directed management. Further studies with a larger number of expert clinicians and researchers will further strengthen the utility of the framework.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Parálisis Cerebral
/
Discinesias
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Límite:
Child
/
Humans
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Phys Occup Ther Pediatr
Año:
2023
Tipo del documento:
Article
País de afiliación:
Australia