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Using a goal attainment scale in the evaluation of outcomes in patients with diplegic cerebral palsy

A goal attainment scale (GAS) was used to evaluate outcomes of surgical and
non-surgical interventions to improve gait in 45 children with diplegic cerebral
palsy. Personal goals were recorded during pre-intervention gait analysis in two
groups. Twenty children underwent orthopaedic surgery (Group 1) and 25 children
received a non-operative intervention (Group 2). Children and/or their carers
were contacted post-intervention by telephone to complete a GAS questionnaire,
rating the achievement of goals on a 5-point scale.
The goals were similar in
both groups. The composite GAS was transformed into a standardised measure
(T-score) for each patient. Both groups on average achieved their goals (mean
T-score for Group 2 was 56.3, versus 47.1 for Group 1). The difference between
these two means was significant (p=0.010). Additionally, 16 children had
undergone a follow-up gait analysis during the study period, but the relationship
between their Gait Profile Score and GAS was not statistically significant. Both
surgical and non-surgical interventions enabled children to achieve their goals,
although Group 1 reported higher achievements. The GAS reflects
patient's/parent's/carer's aspirations and may be as relevant as
post-intervention kinematic or kinetic outcomes.
CI - Copyright (c) 2015 Elsevier B.V. All rights reserved.

Langue : ANGLAIS

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