Evaluating the Responsiveness of 2 Versions of the Gross Motor Function Measure for Children With Cerebral Palsy

Wang, Hui-Yi; Yang, Yi‐Hsin

doi:10.1016/j.apmr.2005.08.117

Cited by 116 publications

(92 citation statements)

References 21 publications

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“…Four studies described the sample thoroughly using more than one descriptor, for example, GMFCS level and topography. 43,[47][48][49] Inclusion criteria were well described in 21 studies but eight supplied insufficient information. 34,35,39,41,42,44,50,51 Exclusion criteria were only adequately described in four studies.…”

Section: Results Of Study Designmentioning

confidence: 99%

“…34,35,39,41,42,44,50,51 Exclusion criteria were only adequately described in four studies. 48,49,52,53 FEASIBILITY AND CLINICAL UTILITY Feasibility involves the time taken, equipment required, and training required to administer a tool. 6,28 The time taken to administer the tools was reported to vary from 9 minutes to 60 minutes.…”

Section: Results Of Study Designmentioning

confidence: 99%

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A systematic review of measures of activity limitation for children with cerebral palsy

Harvey

Robin

Morris

et al. 2008

Develop Med Child Neuro

131

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This systematic review critically appraises the literature on the psychometric properties and clinical utility of evaluative activity limitation outcome measures used for children with cerebral palsy (CP). The search strategy yielded 29 articles for eight outcome measures that met the inclusion criteria for the review. The Gross Motor Function Measure and Activities Scale for Kids were found to have sound psychometric properties in most areas. Reliability was found to be adequate for all tools. For the CP population, further examination of some aspects of validity is required for the Child Health Questionnaire (CHQ), Functional Assessment Questionnaire (FAQ), Functional Mobility Scale (FMS), Pediatric Evaluation of Disability Inventory, Pediatric Outcomes Data Collection Instrument (PODCI), and the Functional Independence Measure for Children. The FAQ, CHQ, FMS, and PODCI were found to require further examination for responsiveness. Clinical utility of the measures varied. The FMS was the only one to differentiate between function in the home, school, and community and to consider different assistive devices. These findings suggest that a range of measures is required to evaluate activity, and assessment should be tailored to the individual needs of children with CP.

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Section: Results Of Study Designmentioning

confidence: 99%

Section: Results Of Study Designmentioning

confidence: 99%

A systematic review of measures of activity limitation for children with cerebral palsy

Harvey

Robin

Morris

et al. 2008

Develop Med Child Neuro

131

View full text Add to dashboard Cite

show abstract

“…Although both versions evaluate changes in gross motor function over time, the GMFM-66 is a revised version of GMFM-88 in which scores are converted and plotted in an interval scale of gross motor function as opposed to the ordinal scaling of the original GMFM-88. According to Wang and Yang, 64 the responsiveness of the two versions of the GMFM for children with CP was analyzed and the results showed 'no great difference in responsiveness between GMFM-66 and GMFM-88 in discriminating between clinically meaningful motor improvement and no improvement. However, under this clinical condition, the correct negative responsiveness (specificity) of GMFM-66 was better than that of GMFM-88.'…”

Section: Methodological Considerationsmentioning

confidence: 99%

Efficacy of suit therapy on functioning in children and adolescents with cerebral palsy: a systematic review and meta‐analysis

Martins

Cordovil

Oliveira

et al. 2015

Develop Med Child Neuro

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ASTAdeli AIM This systematic review and meta-analysis presents an overview of the efficacy of suit therapy on functioning in children and adolescents with cerebral palsy (CP).METHOD A systematic review with meta-analysis was conducted. A comprehensive search of peer-reviewed articles was performed on electronic databases, from their inception to May 2014. Studies included were rated for methodological quality using the Physiotherapy Evidence Database scale. Effects of suit therapy on functioning were assessed using metaanalytic techniques.RESULTS From the 46 identified studies, four met the inclusion criteria and were included in the meta-analysis. Small, pooled effect sizes were found for gross motor function at posttreatment (g=0.46, 95% confidence interval [CI] 0.10-0.82) and follow-up (g=0.47, 95% CI 0.03-0.90). INTERPRETATIONThe small number of studies, the variability between them, and the low sample sizes are limitations of this review. Findings suggest that to weigh and balance benefits against harms, clinicians, patients, and families need better evidence to examine and prove the effects of short intensive treatment such as suit therapy on gross motor function in children and adolescents with CP. Therefore, more research based on high-quality studies focusing on functioning in all dimensions of the International Classification of Functioning, Disability and Health perspective is necessary to clarify the impact of suit therapy.Cerebral palsy (CP) designates a group of permanent disorders of the development of movement and posture, which causes activity limitations. These disorders are attributed to non-progressive disturbances that occur in the developing fetal or infant brain, and are often accompanied by other conditions such as: (1) disturbances of sensation, perception, cognition, communication, and behaviour; (2) epilepsy; and (3) secondary musculoskeletal problems. 1 In the general population, the estimated prevalence is two in every 1000 live births. 2,3 From an International Classification of Functioning, Disability and Health perspective (ICF), CP affects a person's 'functioning', inclusive of body structures and functions, activities, and participation, which may in turn cause 'disabilities' such as impairments, activity limitations, and participation restrictions. 4 The limitations in activity require individual rehabilitation throughout the lifespan. 5 Rehabilitation in children with CP aims to minimize the effect of physical impairments, promote independence, and improve the quality of life of children and their families who play a major role in the process. 6,7 The process of rehabilitation is influenced by the clinical type and severity of the CP, the existence of additional disabilities (e.g. visual, auditory, or cognitive), emotional problems, the physiological age of the child, and the family's socioeconomic status. 8 The management of motor disability in CP includes physical therapy and a wide spectrum of other therapeutic interventions. 9 Physical therapy focuses on function, movement...

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“…Th is summarized version of the GMFM-88 test only allows the calculation of the estimated total score by means of the Gross Motor Ability Estimator (GMAE) software which comes with the manual 22 . Studies have shown that the GMFM is valid and reliable when applied to children with CP 11,21,23,24,29 . Th e present study used all of the GMFM-66 dimensions.…”

Section: Instrumentsmentioning

confidence: 99%

“…Th e GMFCS classifi cation is according to child age, and the studies defend the notion that a child's classifi cation according to this system has a good degree of stability over the years, that is, a child usually stays within the same level of classifi cation [18][19][20] . In addition to the systems of functional classifi cation, there are standardized and validated tests, generally used to evaluate the gross motor function and the functional performance of children with CP, such as the Gross Motor Function Measure -version 66 (GMFM-66) and the Pediatric Evaluation of Disability Inventory (PEDI) 11,[21][22][23][24][25][26][27][28][29] . Although the GMFM and the PEDI tests are well-known in the national and international literature, the classifi cation of Brazilian children with the GMFCS and the MACS is still under developed.…”

Section: Introductionmentioning

confidence: 99%

Classificação da função motora e do desempenho funcional de crianças com paralisia cerebral

Chagas¹,

Defilipo²,

Lemos³

et al. 2008

Rev. bras. fisioter.

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Evaluating the Responsiveness of 2 Versions of the Gross Motor Function Measure for Children With Cerebral Palsy

Cited by 116 publications

References 21 publications

A systematic review of measures of activity limitation for children with cerebral palsy

A systematic review of measures of activity limitation for children with cerebral palsy

Efficacy of suit therapy on functioning in children and adolescents with cerebral palsy: a systematic review and meta‐analysis

Classificação da função motora e do desempenho funcional de crianças com paralisia cerebral

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