Clinical Tools for Assessing One-Handed Skills in Children With Cerebral Palsy: An Umbrella Review.

IF 1.3 4区医学 Q3 REHABILITATION

Occupational Therapy International Pub Date : 2025-06-23 eCollection Date: 2025-01-01 DOI:10.1155/oti/8847527

Samira Boroumand, Marzieh Pashmdarfard, Dorsa Hamedi, Afsoon Hassani Mehraban

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引用次数: 0

Abstract

Introduction: This study is aimed at identifying suitable tools capable of evaluating one-handed skills in children with cerebral palsy (CP). Methods: In this article, the systematic reviews on upper extremity assessment tools for children with CP from 2000 to 2024 were identified in databases, including Google Scholar, PubMed, Web of Knowledge, and Scopus. Then, the obtained tools were evaluated, among which only those capable of assessing one-handed skills in children aged 3 years and older in accordance with the activity level of the International Classification of Functioning, Disability, and Health were selected to evaluate the quality of evidence and psychometric properties in children with CP using CanChild Outcome Measure Rating Form. Results: A total of 13 systematic reviews were selected for further analysis. Subsequently, 149 tools were identified for initial evaluation, of which 18 were capable of assessing one-handed skills in children with CP. Among these, COPM, ACHES, and PMAL_R demonstrated excellent evidence for overall clinical utility. Conclusion: This study showed that among the numerous tools available for assessing one-handed skills in children with CP, only a limited number have excellent evidence for overall clinical utility. These findings can serve as a basis for selecting more precise, evidence-based tools in the assessment, and rehabilitation interventions for these children.

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评估脑瘫儿童单手技能的临床工具：综述。

本研究旨在寻找合适的工具来评估脑瘫（CP）儿童的单手技能。方法：在谷歌Scholar、PubMed、Web of Knowledge、Scopus等数据库中检索2000 - 2024年CP患儿上肢评估工具的系统综述。然后，对获得的工具进行评估，其中仅选择能够根据国际功能、残疾和健康分类的活动水平评估3岁及以上儿童单手技能的工具，使用CanChild结局测量评定量表评估CP儿童的证据质量和心理测量特性。结果：共选取13篇系统综述进行进一步分析。随后，确定了149种工具进行初步评估，其中18种工具能够评估CP患儿的单手技能。其中，COPM、ACHES和PMAL_R在整体临床应用方面表现出良好的证据。结论：本研究表明，在众多可用于评估CP儿童单手技能的工具中，只有有限数量的工具具有全面临床应用的良好证据。这些发现可以作为为这些儿童选择更精确的、基于证据的评估工具和康复干预措施的基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Occupational Therapy International REHABILITATION-

CiteScore

2.50

自引率

6.70%

发文量

121

审稿时长

>12 weeks

期刊介绍： Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.