Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand; Paediatric Orthopaedic Department, Starship Children's Hospital, Auckland City Hospital, Auckland, New Zealand.
Dev Med Child Neurol. 2014 Sep;56(9):808-14. doi: 10.1111/dmcn.12431. Epub 2014 Mar 28.
Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome measures used in the published literature to assess surgical results, determine range and frequency of use, and map each measure to the International Classification of Functioning, Disability and Health.
A mapped review of literature published between 1990 and 2011 was carried out to identify papers reporting the outcomes of lower limb orthopaedic surgery in ambulatory children with CP, aged 0 to 20 years.
A total of 229 published papers met the inclusion criteria. Thirty-two outcome measures with known psychometric properties were reported in the 229 papers. Twenty measures assess impairments in body structure and function and were used in 91% of studies. Ten measures assess restrictions in activity and participation and were used in 9% of papers. Two measures assessed quality of life. Since 1997, 29% of papers have used the Gross Motor Function Classification System to describe participants.
The body of literature evaluating outcomes of lower limb orthopaedic surgery in CP is small but increasing. There is a need to develop a suite of outcome measures that better reflect outcomes across the International Classification of Functioning, Disability and Health, including activity and participation.
下肢手术常用于伴有脑瘫（CP）的门诊患儿，以改善行走能力。本映射综述报告了已发表文献中用于评估手术结果的评估方法，确定了其使用的范围和频率，并将每种评估方法映射到国际功能、残疾和健康分类。
对 1990 年至 2011 年间发表的文献进行映射综述，以确定报告在年龄为 0 至 20 岁的伴有脑瘫的门诊患儿下肢矫形手术后结果的论文。
共有 229 篇已发表的论文符合纳入标准。在这 229 篇论文中，有 32 种具有已知心理测量特性的评估方法被报道。20 种评估方法评估身体结构和功能损伤，在 91%的研究中使用。10 种评估方法评估活动和参与受限，在 9%的论文中使用。有两种评估方法评估生活质量。自 1997 年以来，29%的论文使用粗大运动功能分类系统来描述参与者。
评估脑瘫下肢矫形手术结果的文献数量较少，但呈上升趋势。需要开发一系列更好地反映国际功能、残疾和健康分类中活动和参与的评估方法。
