School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
School of Community Health, Charles Sturt University, Port Macquarie, New South Wales, Australia.
Dev Med Child Neurol. 2020 Jun;62(6):693-699. doi: 10.1111/dmcn.14524. Epub 2020 Apr 1.
To examine the psychometric evidence for high-level motor skills assessment tools for ambulant, school-aged children with cerebral palsy (CP).
We searched five databases for population (children with CP aged 5-18y in Gross Motor Function Classification System levels I and II), assessment focus (high-level motor skills), and psychometric evidence. We evaluated evidence strength using the number of studies, quality, and conduct according to COnsensus-based Standards for the selection of health status Measurement INstruments checklists.
Eleven assessments (39 studies) met the criteria. Seven high-level motor skills assessment items (Muscle Power Sprint Test, 10m Shuttle Run Test, 10×5m Sprint Test, vertical jump, standing broad jump, seated throw, and Timed Up and Down Stairs) had strong validity and responsiveness evidence. Jumping items and seated throw lacked reliability data. Four high-level motor skills assessment batteries (Functional Strength Measure in CP, Gross Motor Function Measure-Challenge, Peabody Developmental Motor Scale, and Test of Gross Motor Development, Second Edition) had moderate-to-strong validity and/or reliability evidence. Responsiveness data were only available for the Gross Motor Function Measure-Challenge battery. The decision tree was developed with five levels: clinical feasibility, relevance, tool design, clinical utility, and psychometric properties.
High-level motor skills assessment tools have strong psychometric evidence for ambulant, school-aged children with CP. The decision tree can assist clinicians and researchers in identifying appropriate tools to measure high-level motor skills.
An evidence-based decision tree guides the selection of appropriate high-level motor skills assessment tools. Seven high-level motor skills assessment items have strong psychometric evidence and clinical utility for ambulant children with cerebral palsy. Four high-level motor skills assessment batteries with recreation and mobility items have emerging psychometric evidence in this population.
考察适用于能行走、学龄期脑瘫（CP）儿童的高水平运动技能评估工具的心理计量学证据。
我们在五个数据库中搜索了人群（粗大运动功能分级系统 I 和 II 级的 5-18 岁 CP 儿童）、评估重点（高水平运动技能）和心理计量学证据。我们根据共识标准评估健康状况测量工具选择清单，使用研究数量、质量和实施情况来评估证据强度。
有 11 项评估（39 项研究）符合标准。7 项高水平运动技能评估项目（肌肉力量冲刺测试、10m 穿梭跑测试、10×5m 冲刺测试、垂直跳跃、立定跳远、坐姿投掷和上下楼梯计时）具有较强的有效性和反应性证据。跳跃项目和坐姿投掷缺乏可靠性数据。四项高水平运动技能评估工具（CP 功能性力量测量、粗大运动功能测量挑战、Peabody 发育运动量表和运动发育测试第二版）具有中度至强的有效性和/或可靠性证据。仅为粗大运动功能测量挑战工具提供了反应性数据。决策树分为五个层次：临床可行性、相关性、工具设计、临床实用性和心理计量学特性。
适用于能行走、学龄期 CP 儿童的高水平运动技能评估工具具有较强的心理计量学证据。决策树可以帮助临床医生和研究人员识别出合适的工具来测量高水平运动技能。
一个基于证据的决策树指导了合适的高水平运动技能评估工具的选择。7 项高水平运动技能评估项目具有较强的心理计量学证据和临床实用性，适用于能行走的脑瘫儿童。四项具有娱乐和移动项目的高水平运动技能评估工具在该人群中具有新兴的心理计量学证据。
