Article

The purpose of this study was to determine if mobility goals were met when
set and rated by the family using a modified Goal Attainment Scale following
lower extremity orthopedic surgery or on follow-up without surgery. METHODS:
Parents were asked to establish the top three goals for their child's mobility
during a visit to the Motion Analysis Laboratory. Three groups of subjects were
established: (1) 25 children with CP who had surgery, (2) 13 children with CP who
did not have surgery and (3) 13 children without CP who had surgery. Goals were
rated at the follow-up visit to the Motion Analysis Laboratory a mean of 12.4
months after initial visit using a non-criterion reference scale. The PODCI, Gait
Deviation Index and Gillette FAQ were additional standardized tools used to
measure outcomes. Data were reviewed retrospectively. RESULTS: Both groups that
had surgery on average met their goals. The group that did not have surgery did
not, on average, meet their goals (overall, no change). Significant improvements
were noted in both surgery groups on the PODCI and Gait Deviation Index while no
changes were found for the group without surgery. CONCLUSION: Generally, goals
are met following orthopedic surgery when set and rated by the family using a
modified Goal Attainment Scale in the Motion Analysis Laboratory. However, goals
are not universally met which presents an opportunity to improve the goal setting
and evaluation process. Goals identified in this study are specific and unique to
the family and agree with other standardized outcome tools.
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Langue : ANGLAIS