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Easy-to-use clinical measures of walking ability in children and adolescents with cerebral palsy

HIMURO N; ABE H; NISHIBU H; SEINO T; MORI M
DISABIL REHABIL , 2017, vol. 39, n° 10, p. 957-968
Doc n°: 184697
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09638288.2016.1175036
Descripteurs : DF22 - EXPLORATION EXAMENS BILANS - MARCHE, AJ23 - PARALYSIE CEREBRALE

The aims of this systematic review were to identify quick, simple and
easy-to-use measures of walking ability currently used to assess children and
adolescents with cerebral palsy (CP), and to evaluate the clinical utility and
psychometric properties of these measures. DATA SOURCES:
The PubMed, CINAHL,
SPORTDiscus and MEDLINE databases were searched up to March 2015. REVIEW METHODS:
Two independent reviewers rated the methodological quality of the identified
measures using the COnsensus-based Standards for the selection of health status
Measurement INstruments (COSMIN) checklist. RESULTS: The 1-Minute Walk Test,
Timed Up and Go Test, ABILOCO-Kids, Gillette Functional Assessment Questionnaire
and Functional Mobility Scale were identified. Each measure can be carried out
within 5 min with limited equipment, and does not require examiner training.
There was "limited" to "strong" evidence on the reliability and validity of these
measurements, whereas evidence on measurement error and responsiveness was
limited. CONCLUSION: The identified measures in this systematic review may be
considered for the clinical measurement of walking ability in children and
adolescents with CP in a quick, simple and easy-to-use manner. However, there is
overall a lack of evidence on the psychometric properties of these tools. The
lack of evidence regarding measurement error and responsiveness might limit their
value in measuring change over time. Implications for Rehabilitation The
ABILOCO-Kids, 1-Minute Walk Test, Timed Up and Go Test, Gillette Functional
Assessment Questionnaire, Functional Mobility Scale can be performed within 5 min
with limited equipment, and do not require examiner training for measuring of
walking ability in children and adolescents with cerebral palsy. The clinicians
should use these measurement tools carefully when assessing change over time as
the available evidence on measurement error and responsiveness is limited. When
clinicians use these measurement tools, the psychometric properties reported in
this systematic review should be considered in the selection of tools and
subsequent interpretation of results.

Langue : ANGLAIS

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