Article

The aim of this study was to determine the psychometric properties and
clinical utility of objective measures of oropharyngeal dysphagia (OPD) in
children with cerebral palsy or neurodevelopmental disabilities aged 12 months to
5 years. Method Five electronic databases were searched to identify measures of
OPD. The Consensus-based Standards for the Selection of Measurement Instruments
(COSMIN) Checklist was used to assess psychometric properties and a Modified
CanChild Outcome Rating Form was used for clinical utility. Results Nine measures
of OPD from 27 papers were assessed: the Brief Assessment of Motor Function -
Oral Motor Deglutition Scale;
the Behavioral Assessment Scale of Oral Functions
in Feeding; the Dysphagia Disorders Survey; the Feeding Behaviour Scale; the
Functional Feeding Assessment, modified; the Gisel Video Assessment; the Oral
Motor Assessment Scale;
the Pre-Speech Assessment Scale; and the Schedule for
Oral Motor Assessment. Interpretation The Schedule for Oral Motor Assessment and
the Functional Feeding Assessment, modified, proved to be the strongest measures
based on published psychometric properties of validity and reliability.
The Schedule for Oral Motor Assessment and the Dysphagia Disorders Survey were found
to have the strongest clinical utility. Further studies to test the psychometric
properties of existing measures, in particular predictive validity,
responsiveness, and test-retest reliability, would be beneficial for selecting an
appropriate measure for both clinical and research contexts.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS