A systematic review of activities of daily living measures for children and adolescents with cerebral palsy
Article first published online: 12 AUG 2013
© 2013 Mac Keith Press
Developmental Medicine & Child Neurology
How to Cite
James, S., Ziviani, J. and Boyd, R. (2013), A systematic review of activities of daily living measures for children and adolescents with cerebral palsy. Developmental Medicine & Child Neurology. doi: 10.1111/dmcn.12226
- Article first published online: 12 AUG 2013
- Manuscript Accepted: 16 MAY 2013
- Australian Federal Government Australian Postgraduate Award (APA)
- Queensland Government Smart Futures PhD Scholarship
- NHMRC Career Development Award Fellowship. Grant Number: 1037220
- University of Queensland
This study aimed to systematically review the psychometric properties and clinical utility of measures of activities of daily living (ADL) for children with cerebral palsy (CP) aged 5 to 18 years.
Five electronic databases were searched to identify available ADL measures with published psychometric data for school-aged children with CP. Measures were included if at least 60% of the items addressed ADL in the full assessment or in an independent domain. A modified CanChild Outcome Rating Form was used to report the validity, reliability, responsiveness, and clinical utility of the measures.
Twenty-six measures were identified and eight met inclusion criteria. The Pediatric Evaluation of Disability Inventory (PEDI) had the strongest psychometric properties but was limited by its age range. The Assessment of Motor and Process Skills (AMPS) was the most comprehensive evaluation of underlying motor and cognitive abilities yet further psychometric testing is required for children with CP.
The PEDI should be used to measure ADL capability in elementary school aged children. The AMPS is the best measure to evaluate ADL performance or capacity and is suitable for all ages. Future research should examine the reliability of the AMPS to determine its stability in children and adolescents with CP.