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A systematic review of scales to measure dystonia and choreoathetosis in children with dyskinetic cerebral palsy

STEWART K; HARVEY A; JOHNSTON LM
DEV MED CHILD NEUROL , 2017, vol. 59, n° 8, p. 786-795
Doc n°: 184430
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.13452
Descripteurs : AJ23 - PARALYSIE CEREBRALE, AD31 - TROUBLES DU TONUS

AIM: To identify and systematically review the psychometric properties and
clinical utility of dystonia and choreoathetosis scales reported for children
with cerebral palsy (CP). METHOD: Six electronic databases were searched for
dystonia and choreoathetosis scales with original psychometric data for children
with CP aged 0 to 18 years. RESULTS: Thirty-four papers met the inclusion
criteria, which contained six scales purported to measure dystonia and/or
choreoathetosis in children with CP: the Burke-Fahn-Marsden Dystonia Rating
Scale; Barry-Albright Dystonia Scale; Unified Dystonia Rating Scale; Movement
Disorder-Childhood Rating Scale; Movement Disorder-Childhood Rating Scale 0-3
Years; and the Dyskinesia Impairment Scale. INTERPRETATION: Each scale provides
useful information about dyskinesia, with most focusing on dystonia. The
Barry-Albright Dystonia Scale, which was designed for CP, is the most commonly
reported scale and least complex to use clinically. The Dyskinesia Impairment
Scale is the only tool to consider both dystonia and choreoathetosis in CP. All
tools are designed to classify movement disorders at the level of body functions
and structures, rather than activity limitations or participation restrictions,
although many provide some insight into the impact of dystonia on activities.
Further studies are required to fully examine the validity, reliability,
responsiveness, and clinical utility of each scale specifically for children with
CP.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS

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