Article

We investigated the validity of the Gait Outcomes Assessment List (GOAL), as
an assessment of gait function in children with cerebral palsy (CP). METHOD: We
studied a prospective cohort of 105 children with CP (Gross Motor Function
Classification System [GMFCS] levels I-III; 65 males, 40 females; mean [SD] age
11y 11mo [3y 5mo], range 6-20y), who attended gait assessment over a 10-month
period. Parents completed the GOAL, Functional Mobility Scale (FMS), and
Functional Assessment Questionnaire (FAQ) during their child's gait evaluation.
Ninety children completed instrumented gait analysis (IGA). Total GOAL and domain
scores, Gait Profile Score (GPS), and Gait Variable Scores were calculated.
RESULTS: The total GOAL discriminated between GMFCS levels (mean [SD] GMFCS level
I, 72.5 [12.7]; GMFCS level II, 61.4 [13.0]; GMFCS level III, 38.8 [10.6]; [F2,97
=42.4, p<0.001]). Moderate correlations were found between total GOAL and FMS (5m
and 50m r=0.59; 500m r=0.66) and FAQ walking (r=0.77) and activities list
(r=0.75, p<0.01). There was a moderate negative correlation between total GOAL
and GPS (r=-0.59) and gait appearance domain and GPS (r=-0.52, p<0.01).
INTERPRETATION: The GOAL is a valid assessment of gait function in ambulant
children with CP. It has the potential to improve understanding of the child's
and parents' priorities and thus, in conjunction with IGA, provide a more
balanced assessment across the domains of the World Health Organization's
International Classification of Functioning, Disability and Health. WHAT THIS
PAPER ADDS: The Gait Outcomes Assessment List (GOAL) can discriminate between
Gross Motor Function Classification System levels. The GOAL correlates with
standard functional assessments and gait analysis. Used with gait analysis, the
GOAL provides comprehensive assessment across all International Classification of
Functioning, Disability and Health domains.
CI - (c) 2018 Mac Keith Press.

Langue : ANGLAIS