Article

Availability of outcome measures (OMs) with robust psychometric properties is an
essential prerequisite for the evaluation of interventions designed to address
gait deterioration in young people with Cerebral Palsy (CP). This review
evaluates evidence for the reliability, validity and responsiveness of outcome
measures of gait quality and walking performance in young people with CP. A
systematic search was performed in MEDLINE, CINAHL, PubMed and Scopus. Articles
that met the eligibility criteria were selected. Methodological quality of
studies was independently rated by two raters using the modified COnsensus-based
Standard for the selection of health status Measurement INstruments checklist.
Strength of evidence was rated using standardised guidelines. Best evidence
synthesis was scored according to Cochrane criteria. Fifty-one articles reporting
on 18 distinct OMs were included for review. Best evidence synthesis indicated a
moderate to strong evidence for the reliability for OMs of walking performance
but conflicting evidence for the reliability of OMs of gait quality. The evidence
for responsiveness for all OMs included in this review was rated as 'unknown'.
The limitations of using the modified COSMIN scoring for small sample sizes are
acknowledged. Future studies of high methodological quality are needed to explore
the responsiveness of OMs assessing gait quality and walking performance in young
people with CP.
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Langue : ANGLAIS