Axe neurosciences du Centre de recherche du CHU de Québec, Clinical Neuroscience and neuroStimulation Laboratory, 2705 Boul. Laurier, Local RC-9800, Québec, Qc, Canada, G1V 4G2.
J Rehabil Med. 2013 Jan;45(1):14-23. doi: 10.2340/16501977-1082.
To conduct a systematic review using validated critical appraisal scales to analyze both the quality and content of the psychometric evidence of spasticity measurement tools in cerebral palsy children and adolescents.
The literature search was performed in 3 databases (Pubmed, CINAHL, Embase) up to March 2012.
To be retained for detailed review, studies had to report on at least one psychometric property of one or many spasticity assessment tool(s) used to evaluate cerebral palsy children and adolescents.
Two raters independently reviewed admissible articles using a critical appraisal scale and a structured data extraction form.
A total of 19 studies examining 17 spasticity assessment tools in cerebral palsy children and adolescents were reviewed. None of the reviewed tools demonstrated satisfactory results for all psychometric properties evaluated, and a major lack of evidence concerning responsiveness was emphasized. However, neurophysiological tools demonstrated the most promising results in terms of reliability and discriminating validity.
This systematic review revealed insufficient psychometric evidence for a single spasticity assessment tool to be recommended over the others in pediatric and adolescent populations.
使用经过验证的批判性评估量表进行系统评价，分析脑瘫儿童和青少年痉挛评估工具的心理测量学证据的质量和内容。
文献检索截至 2012 年 3 月在 3 个数据库（Pubmed、CINAHL、Embase）中进行。
为了进行详细的回顾，研究必须报告至少一种用于评估脑瘫儿童和青少年的痉挛评估工具的一个或多个心理测量学特性。
两名评估员使用批判性评估量表和结构化数据提取表独立审查合格文章。
共回顾了 19 项研究，评估了 17 种用于脑瘫儿童和青少年的痉挛评估工具。没有一种被审查的工具在评估的所有心理测量学特性方面都表现出令人满意的结果，并且强调了关于反应性的主要证据不足。然而，神经生理学工具在可靠性和区分有效性方面显示出最有前途的结果。
这项系统评价表明，没有单一的痉挛评估工具在儿科和青少年人群中具有足够的心理测量学证据，可以推荐其优于其他工具。
