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Outcome measures evaluating hand function in children with bilateral cerebral palsy

ELVRUM AK; SAETHER R; RIPHAGEN II; VIK T
DEV MED CHILD NEUROL , 2016, vol. 58, n° 7, p. 662-671
Doc n°: 180344
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.13119
Descripteurs : AJ23 - PARALYSIE CEREBRALE, DD82 - EXPLORATION EXAMENS BILANS - MAIN-DOIGTS

AIM: To review outcome measures used to evaluate hand function, with emphasis on
manual capacity and performance, in children with bilateral cerebral palsy (CP),
to describe the content and measurement properties of such measures, and to
investigate the quality of the studies that have examined these properties.
METHOD: Embase, MEDLINE, PubMed, and CINAHL were searched. The COSMIN-criteria
(COnsensus-based Standards for the selection of health Measurement INstruments)
were used to assess the quality of studies and the Terwee criteria were used to
assess the result of the studies. RESULTS: Five hand function measures were
identified from 16 papers. The strongest level of evidence for aspects of
validity and reliability was found for the Melbourne Assessment 2, assessing
unimanual capacity, and for the questionnaire ABILHAND-Kids, assessing perceived
manual ability in daily activities. However, evidence for the responsiveness of
these measures is missing. INTERPRETATION: Further high-quality studies providing
evidence for responsiveness, as well as for additional aspects of validity and
reliability of the Melbourne Assessment 2 and the ABILHAND-Kids, are needed.
Furthermore, there is a need to develop appropriate outcome measures evaluating
how children with bilateral CP use their hands when handling objects in bimanual
tasks.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS

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