Medical-Rehabilitation Research Center, Franciscan Children's Hospital, Boston, MA, USA.
CRECare, LLC, West Newbury, MA, USA.
Phys Occup Ther Pediatr. 2021;41(2):120-137. doi: 10.1080/01942638.2020.1766639. Epub 2020 May 18.
To identify available judgment-based measures of ambulation with assistive devices for the purpose of examining item content and responses to aid in the expansion of the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) Mobility Domain.
PubMed and CINAHL databases were used to identify measures meeting the following criteria: 1) applicable for children/youth; 2) self-report, proxy-report, or interview administration; and 3) assistive device (walker, cane, crutches, gait trainer) use specified or considered with responses. Population, administration, respondent(s), items, and responses were compiled. Item content was categorized and response scales grouped by type.
Fifteen measures met inclusion criteria. Measures included child and proxy-report. Item categories included Surfaces, Steps/Stairs, Dual Tasks, Negotiation of Environment, Distance, and Time. Only two measures distinguished between device type within items. One measure specified gait trainers. "Difficulty" and "Assistance" were the most frequently used response scales.
Available measures have content examining device use; however, none of the measures are comprehensive, devices are not consistently specified, and responses are imprecise. Items with well-defined responses for measuring a child's ambulation with an assistive device are needed for clinical practice, research, and program evaluation.
为了扩展儿科残疾评估计算机自适应测试（PEDI-CAT）的移动领域，确定可用于评估使用助行器辅助行走的判断性测量方法，并检查其项目内容和反应。
使用 PubMed 和 CINAHL 数据库确定符合以下标准的测量方法：1）适用于儿童/青少年；2）自我报告、代理报告或访谈管理；3）规定或考虑使用助行器（步行器、拐杖、腋杖、步态训练器）的情况，并对其反应进行评估。汇总了人群、管理、受访者、项目和反应。对项目内容进行分类，并按类型对反应量表进行分组。
符合纳入标准的有 15 项测量方法。这些方法包括儿童和代理报告。项目类别包括表面、台阶/楼梯、双重任务、环境协商、距离和时间。只有两项措施在项目中区分了设备类型。有一项措施规定了步态训练器。“困难”和“辅助”是最常用的反应量表。
现有的测量方法具有评估设备使用情况的内容；但是，没有一种方法是全面的，设备没有得到一致规定，反应也不精确。需要有针对使用助行器辅助行走的儿童进行测量的项目，以便在临床实践、研究和方案评估中使用。
