Article

OBJECTIVE: To identify whether consensus can be achieved in how clinicians and
researchers define, describe, assess, and treat postural control dysfunction in
children with cerebral palsy (CP). DESIGN: Delphi study with 3 iterative rounds.
SETTING: Electronic survey. PARTICIPANTS: Researchers and/or clinicians (N=43)
from 7 countries with a mean +/- SD of 20+/-11 years of experience working with
children with CP participated. Participants included authors of published works
on postural control in CP (identified from a recent systematic review), members
of the Australasian Academy of CP and Developmental Medicine, and 2 major
Australian rehabilitation providers. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: The Delphi study consisted of 3 iterative rounds of surveys. In Round
1, respondents answered open-ended questions regarding their views on (1)
definition items for postural control, (2) theoretical frameworks, (3) methods
for assessment, and (4) interventions for postural control dysfunction in
children with CP. Rounds 2 and 3 were made up of items generated by participants
in Round 1 and combined with items identified from the literature. Participants
indicated their level of agreement for each item on a 7-point Likert scale.
Threshold for consensus was >/=85% agreement. RESULTS: Of 306 items generated,
174 reached consensus by Round 3. Most postural control definition items (90%)
achieved consensus. Two theoretical frameworks (14%) reached consensus. Less than
half (42%) of assessment items reached consensus. More individual assessment
items (89%) reached consensus than multi-item tools (4%). Just over half (61%) of
the items generated for interventions reached consensus. CONCLUSION: Consensus
was achieved for a postural control definition. However, substantial research is
needed to establish a comprehensive, postural control-specific framework and
suite of assessments. These would provide a foundation to improve intervention
selection and dosage.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS