Article

ABILHAND-Kids is a parent-reported questionnaire measuring manual ability in
children with cerebral palsy (CP). Its psychometric properties have been
established, with the exception of responsiveness, which is examined here.
METHOD: In this cohort study, 98 children (46 males, 52 females; range 6-19y,
mean 11y, standard deviation [SD] 3.3y) with unilateral CP underwent three
assessments of upper extremity function: at baseline (T1); after 80 to 90 hours
of intensive training (T2);
and at follow-up (T3). The responsiveness was
analyzed using global, group (based on age and on Manual Ability Classification
System [MACS] level), and individual approaches during two time periods (T1-T2
and T2-T3). Effect size was used to quantify magnitude of changes. RESULTS: The
global approach showed significant improvements between T1 and T2 (p<0.001) but
not between T2 and T3 (p=0.222). In the group analyses, effect size and SRM
demonstrated large changes in younger children (6-12y, n=52, mean change=1.06
logit, effect size >0.8) and small changes in the older children (13-19y, n=46,
mean change=0.71 logit, effect size >0.4). Children in MACS level II demonstrated
larger changes than children in MACS level I or III. INTERPRETATION: The
ABILHAND-Kids exhibited responsiveness in detecting changes after intensive
training. Therefore, this scale is potentially useful in assessing the functional
status of children with unilateral CP in clinical trials.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS