Article

This systematic review investigates reliability and responsiveness of
upper limb measurement tools used in pediatric neurorehabilitation. METHODS:
A 2-tiered search was conducted up to July 2014. The first search identified upper
limb motor assessments for 1- to 18-year-old children with neuromotor disorders.
The second search examined the psychometric properties of the tools.
Methodological quality was rated according to COSMIN guidelines, and results for
each tool were assembled in a "best evidence synthesis." Furthermore, we
delineated whether tools were unimanual or bimanual tests and if they measured
recovery or did not distinguish between physiological and compensatory movements.
RESULTS: The first search delivered 2546 hits. Of these, 110 articles on 51 upper
limb assessment tools were included. The second search resulted in 58 studies on
reliability, 11 on measurement error, and 10 on responsiveness. Best evidence
synthesis revealed only 2 assessments with moderate positive evidence for
reliability, whereas no evidence on measurement error and responsiveness was
found. The Melbourne Assessment showed moderate positive evidence for interrater
and a fair positive level of evidence for intrarater reliability. The Pediatric
Motor Activity Log Revised revealed moderate positive evidence for test-retest
reliability. CONCLUSIONS:
There is a lack of high-quality studies about
psychometric properties of upper limb measurement tools in children with
neuromotor disorders. To date, upper limb rehabilitation trials in children and
adolescents risk being biased by insensitive measurement tools lacking
reliability.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS