Selecting assessment tools to characterize upper limb function of children with cerebral palsy: A mega-review of systematic reviews

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Leonardo Vinícius Thomé Teixeira da Silva, Milena Vegas, N. Aquaroni Ricci, Cristina S Cardoso de Sá, S. Alouche
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引用次数: 0

Abstract

ABSTRACT Aim A mega-review of published systematic reviews without restriction on year of publication was implemented to summarize available assessment tools of upper limb (UL) function in children with Cerebral Palsy (CP). Method A multi-prong search strategy was used to identify 12 systematic literature reviews for inclusion in the mega-review. Included reviews were coded by descriptive analyses, which included methodological and reported measurement property description. Methodological quality of the selected systematic reviews was evaluated with the AMSTAR-2. We synthetized the measurement properties of the revised assessment tools and their coverage within the International Classification of Functioning, Disability and Health (ICF) domains. Results The 12 systematic reviews addressed 84 assessment tools. Systematic reviews’ methodological quality varied between critically low to moderate. Suggested assessment tools covered ICF domains of body structure and function, and activities and participation. Measurement property data analysis was based mostly on reliability and validity. Interpretation Based on the findings of the mega-review, the ABILHAND-Kids, Assisting Hand Assessment (AHA) and Melbourne Assessment of Unilateral Upper Limb Function (MUUL) are the most suitable tools to evaluate children between 6 and 12 years of age with unilateral CP.
选择评估工具表征脑瘫儿童上肢功能:系统评价的大型综述
【摘要】目的对已发表的不受发表年份限制的系统综述进行大型综述,总结脑瘫(CP)患儿上肢(UL)功能的可用评估工具。方法采用多管齐下的检索策略,筛选出12篇系统性文献综述纳入大综述。纳入的评审通过描述性分析进行编码,其中包括方法学和报告的测量属性描述。采用AMSTAR-2评价所选系统评价的方法学质量。我们综合了修订后的评估工具的测量特性及其在国际功能、残疾和健康分类(ICF)领域中的覆盖范围。结果12项系统评价涉及84种评价工具。系统评价的方法学质量在极低到中等之间变化。建议的评估工具包括身体结构和功能以及活动和参与的ICF领域。测量性能数据分析主要基于信度和效度。基于大型综述的结果,ABILHAND-Kids、辅助手评估(AHA)和单侧上肢功能墨尔本评估(MUUL)是评估6 - 12岁单侧CP儿童最合适的工具。
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来源期刊
Developmental Neurorehabilitation
Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS
CiteScore
3.10
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.
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