Debuse Dorothée, Brace Hal
Division of Allied Health, Northumbria University, Newcastle upon Tyne, Tyne and Wear, United Kingdom.
Pediatr Phys Ther. 2011 Fall;23(3):221-31. doi: 10.1097/PEP.0b013e318227bbc6.
The purpose of this systematic review was to identify valid, reliable, and clinically practical measures of function/activity for children with cerebral palsy.
Cochrane, MEDLINE, CINAHL, AMED, PEDro, and ScienceDirect were searched to identify relevant studies. Reference lists were hand-searched, and databases were searched specifically for outcome measures (OMs) identified. Studies were examined for bias based on published recommendations.
Seven studies on 6 OMs were included, which were of moderate or good methodological quality.
Most measures require further research to fully establish their psychometric properties. Only the Gross Motor Function Measure versions 88 and 66 and the Pediatric Evaluation of Disability Inventory were identified as potentially appropriate for this client group, but not all are valid for children of all ages and Gross Motor Function Classification System levels. The clinical application of these OMs is discussed in relation to capacity, capability, or performance; new developments are highlighted.
本系统评价的目的是确定针对脑瘫儿童的有效、可靠且临床实用的功能/活动测量方法。
检索Cochrane、MEDLINE、CINAHL、AMED、PEDro和ScienceDirect以识别相关研究。手动检索参考文献列表，并专门针对已识别的结局测量指标检索数据库。根据已发表的建议对研究进行偏倚检查。
纳入了7项关于6种结局测量指标的研究，这些研究的方法学质量为中等或良好。
大多数测量方法需要进一步研究以充分确立其心理测量特性。仅粗大运动功能测量量表第88版和第66版以及儿童残疾评定量表被确定可能适用于该患者群体，但并非所有这些量表对所有年龄和粗大运动功能分类系统水平的儿童都有效。讨论了这些结局测量指标在能力、功能或表现方面的临床应用；突出了新进展。
