Article

Lower limb surgery is often performed in ambulatory children with cerebral
palsy (CP) to improve walking ability. This mapping review reports on outcome
measures used in the published literature to assess surgical results, determine
range and frequency of use, and map each measure to the International
Classification of Functioning, Disability and Health. METHOD: A mapped review of
literature published between 1990 and 2011 was carried out to identify papers
reporting the outcomes of lower limb orthopaedic surgery in ambulatory children
with CP, aged 0 to 20 years. RESULTS: A total of 229 published papers met the
inclusion criteria. Thirty-two outcome measures with known psychometric
properties were reported in the 229 papers. Twenty measures assess impairments in
body structure and function and were used in 91% of studies. Ten measures assess
restrictions in activity and participation and were used in 9% of papers. Two
measures assessed quality of life. Since 1997, 29% of papers have used the Gross
Motor Function Classification System to describe participants. INTERPRETATION:
The body of literature evaluating outcomes of lower limb orthopaedic surgery in
CP is small but increasing. There is a need to develop a suite of outcome
measures that better reflect outcomes across the International Classification of
Functioning, Disability and Health, including activity and participation.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS