Deramore Denver Belinda, Froude Elspeth, Rosenbaum Peter, Wilkes-Gillan Sarah, Imms Christine
Faculty of Health Sciences, School of Allied Health, Australian Catholic University, Fitzroy, Vic., Australia.
Victorian Paediatric Rehabilitation Service, Monash Children's Hospital, Clayton, Vic., Australia.
Dev Med Child Neurol. 2016 Oct;58(10):1016-29. doi: 10.1111/dmcn.13139. Epub 2016 Apr 21.
To identify and evaluate measures of visual ability used with children with cerebral palsy (CP).
Eight databases were searched for measures of visual ability. Key selection criteria for measures were: use with children with CP; focus of visual ability measurement at the Activities and Participation domain of the International Classification of Functioning, Disability and Health (ICF). The Consensus-based Standards for the Selection of Measurement Instruments (COSMIN) Checklist was used to assess psychometric properties.
From 6763 papers retrieved, 25 were relevant and 19 measures of visual ability were identified. Only 10 measures were supported with evidence of validity or reliability. No discriminative measure analogous to existing CP functional classification systems was found. No outcome measure valid for evaluation of visual abilities of children with CP was found.
Vision impairment is recognized as relevant to the functioning of children with CP; however, measurement of vision is most often focused at 'Body Function' levels, for example visual acuity. Measuring visual abilities in the Activities and Participation domain is important in considering how a child with CP functions in vision-related activities. The lack of psychometrically strong measures for visual ability is a gap in current clinical practices and research.
识别和评估用于脑瘫（CP）儿童的视觉能力测量方法。
检索了八个数据库以查找视觉能力测量方法。测量方法的关键选择标准为：用于CP儿童；在《国际功能、残疾和健康分类》（ICF）的活动与参与领域进行视觉能力测量。使用基于共识的测量工具选择标准（COSMIN）清单来评估心理测量特性。
从检索到的6763篇论文中，有25篇相关，共识别出19种视觉能力测量方法。只有10种测量方法有有效性或可靠性证据支持。未发现类似于现有CP功能分类系统的鉴别性测量方法。未找到可有效评估CP儿童视觉能力的结局测量方法。
视力障碍被认为与CP儿童的功能有关；然而，视力测量通常集中在“身体功能”水平，例如视力。在活动与参与领域测量视觉能力对于考虑CP儿童在与视觉相关活动中的功能方式很重要。目前缺乏心理测量学上强有力的视觉能力测量方法是当前临床实践和研究中的一个空白。
