Article

This systematic review compares the validity, reliability, and clinical use
of habitual physical activity (HPA) performance measures in adolescents with
cerebral palsy (CP). Method Measures of HPA across Gross Motor Function
Classification System (GMFCS) levels I-V for adolescents (10-18y) with CP were
included if at least 60% of items reported HPA performance in the domains of
intensity, frequency, duration, and mode. Results Seven measures of HPA
performance met the criteria: StepWatch, pedometers, Uptimer, heart rate flex
method, accelerometers, and self-report measures including the Children's
Activity Participation and Enjoyment (CAPE) scale and the Physical Activity
Questionnaire for Adolescents. The CAPE scale had the strongest validity and
reliability but was limited by its inability to measure activity intensity. No
study was identified that evaluated the psychometric properties of physical
activity measures in non-ambulant adolescents with CP (GMFCS levels IV and V).
Interpretation When deciding on an appropriate measure of HPA in adolescents with
CP, clinicians need to consider their research question including the domains of
HPA they are evaluating and the population they wish to assess. Accelerometers
provide the most robust information about the patterns of HPA, with some evidence
of validity but limited data on reliability. Further research is needed to
compare the use of tri- and uniaxial accelerometers.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS