Article

The aim of the study was to investigate the construct validity of the
Quality of Upper Extremity Skills Test (QUEST) in children with cerebral palsy
(CP). METHOD: A total of 170 QUEST assessments from a convenience sample of 94
children with CP involved in clinical and research treatment programmes (54
males, 40 females; mean age 6y 10mo, SD 2y 11mo, range 2-16y; Gross Motor
Function Classification System levels I-V) were reviewed. RESULTS: The QUEST was
not unidimensional; many items demonstrated poor fit when total scores were
analysed; goodness of fit improved when domains were considered independently and
limbs separately examined. QUEST items involving elbow flexion and/or forearm in
pronation were easily achieved, thus reducing test sensitivity. Postures items in
the grasp domain behaved erratically, with little total score relationship.
INTERPRETATION: Calculating total scores is discouraged. Reporting QUEST results
separately for domains and each limb is recommended. Posture items in the grasp
domain had little relationship with total scores and it is recommended that they
be removed from the test.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS