Article

OBJECTIVE: To systematically evaluate the level of evidence of the clinimetric
properties of measures of aerobic and anaerobic capacity used for children with
cerebral palsy (CP). DATA SOURCES: A systematic search of databases PubMed,
Embase, SPORTDiscus, and PsycINFO through April 2011 was performed. STUDY
SELECTION: Two independent raters identified and examined studies that reported
laboratory- or field-based measures of maximal aerobic or anaerobic capacity in
children with CP aged 5 to 14 years. The COnsensus-based
Standards for the selection of health status Measurement INstruments (COSMIN)
checklist was used by 2 independent raters to evaluate the methodologic quality
of the included clinimetric studies and to identify measures used in these
studies. DATA SYNTHESIS: Twenty-four studies that used a maximal aerobic or
anaerobic capacity measure were identified. Five studies reported clinimetric
properties for 5 measures (2 aerobic and 3 anaerobic measures). Methodologic
quality was excellent in 3 studies, showing good validity and reliability of
field-based aerobic (Shuttle Run Test) and anaerobic (Muscle Power Sprint Test)
measures. The studies on laboratory-based measures were rated fair, mainly
because of inadequate statistics. The level of evidence was strong for good
validity and reliability of the field-based tests. The level of evidence was
unknown for validity and low to moderate for good reliability of laboratory-based
tests. CONCLUSIONS: There is a paucity of research on the clinimetric properties
of measurement instruments to assess aerobic and anaerobic capacity for children
with CP. Further clinimetric studies of laboratory-based measures in children
with CP at all Gross Motor Function Classification System (GMFCS) levels, and
clinimetric studies of field-based measures in children who are classified as
GMFCS levels III to V are required.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS