Upper limb assessment in children with cerebral palsy: Translation and reliability of the French version for the Melbourne unilateral upper limb assessment (test de Melbourne)

Bard, Rachel; Chaléat-Valayer, Emmanuelle; Combey, A.; Bleu, P.E.; Perretant, I.; Bernard, J.-C.

doi:10.1016/j.rehab.2009.02.007

Cited by 16 publications

(11 citation statements)

References 5 publications

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“…Furthermore, the quality of how validity properties had been investigated was rated as ‘poor’ ( n =3), ‘fair’ ( n =2), and ‘excellent’ ( n =7) (Table SVI). The reasons for low‐quality scores for construct validity were poor description of comparator instrument, as well as methodological issues such as lack of a priori formulated hypothesis and use of repeated assessments . All studies of content validity were rated as ‘excellent’ .…”

Section: Resultsmentioning

confidence: 99%

“…The descriptions of the populations with bilateral CP in which the measures have been applied varied. Only three studies investigating measurement properties of the QUEST reported MACS levels, [42][43][44] suggesting that the QUEST is appropriate for children in MACS levels I to V. For the other outcome measures studies investigating measurement properties reported the Gross Motor Function Classification System levels 41,45,46 or clinical descriptions such as the severity of CP (mild, moderate, and severe) [47][48][49][50] or CP subtype. [51][52][53][54] Several of the studies not reporting on MACS levels were published before this classification system became available.…”

Section: Characteristics Of the Hand Function Measuresmentioning

confidence: 99%

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Outcome measures evaluating hand function in children with bilateral cerebral palsy: a systematic review

Elvrum

Sæther

Riphagen

et al. 2016

Develop Med Child Neuro

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AIM To review outcome measures used to evaluate hand function, with emphasis on manual capacity and performance, in children with bilateral cerebral palsy (CP), to describe the content and measurement properties of such measures, and to investigate the quality of the studies that have examined these properties.METHOD Embase, MEDLINE, PubMed, and CINAHL were searched. The COSMIN-criteria (COnsensus-based Standards for the selection of health Measurement INstruments) were used to assess the quality of studies and the Terwee criteria were used to assess the result of the studies.RESULTS Five hand function measures were identified from 16 papers. The strongest level of evidence for aspects of validity and reliability was found for the Melbourne Assessment 2, assessing unimanual capacity, and for the questionnaire ABILHAND-Kids, assessing perceived manual ability in daily activities. However, evidence for the responsiveness of these measures is missing. INTERPRETATIONFurther high-quality studies providing evidence for responsiveness, as well as for additional aspects of validity and reliability of the Melbourne Assessment 2 and the ABILHAND-Kids, are needed. Furthermore, there is a need to develop appropriate outcome measures evaluating how children with bilateral CP use their hands when handling objects in bimanual tasks.Outcome measures with sound measurement properties are crucial for appropriate planning and evaluation of interventions, as well as for the assessment of the development of children with chronic health conditions such as cerebral palsy (CP). The assessment of a child's development can be used to counsel families regarding prognostic factors, as well as informing about the child's strengths and limitations in the attribute measured and expected treatment outcomes. In addition, changes over time associated with service provision can be documented, to allow enhanced clinical decision-making and appropriate allocation of resources. 1The selection of appropriate outcome measures can be facilitated by systematic appraisal of the content and measurement properties of the instruments in question.2 An outcome measure used for evaluation should address the domain of concern, be valid and reliable in the population of interest, be responsive to change, and have good clinical utility.3 Recent reviews have confirmed that valid and reliable outcome measures exist to evaluate hand function in children with unilateral CP 4-8 and a few systematic reviews have summarized evidence on parent-reported measures of functional hand use, 9 assessment tools, and classification systems of the upper extremity in children with CP in general.10,11 For children with bilateral CP, however, there is little evidence on efficacy of interventions targeting their upper extremity function, 12 and this may in part be because of a lack of appropriate outcome measures. This is of concern because more than 60% of children with bilateral CP have decreased hand function.13 Thus, it is of the upmost importance to identify and appraise outcome ...

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of the Hand Function Measuresmentioning

confidence: 99%

Outcome measures evaluating hand function in children with bilateral cerebral palsy: a systematic review

Elvrum

Sæther

Riphagen

et al. 2016

Develop Med Child Neuro

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“…Initially developed by Melinda Randall and her colleagues, 9 this tool was then translated and validated in French, with the Melbourne Royal Children Hospital authorization. 15 The Melbourne test was found reliable (inter-rater reliability CIC 0.95 and intra-rater reliability CIC 0.97). -The analysis of bimanual performance was realized with the Assisting Hand Assessment (AHA).…”

Section: Instrumentsmentioning

confidence: 90%

Relation between unimanual capacities and bimanual performance in hemiplegic cerebral-palsied children: Impact of synkinesis

Chaléat-Valayer¹,

Bard-Pondarré²,

Ganne

et al. 2015

European Journal of Paediatric Neurology

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“…The best evidence synthesis did not reveal any tool of strong positive evidence for reliability ( Table 5). For the Melbourne Assessment (Melbourne), [33][34][35][36][37][38][39] there was moderate positive evidence for interrater reliability. The MACS [61][62][63][64][65][66][67][68][69][70] as well as the Pediatric Motor Activity Log (PMAL) "how well" scale 53,54 showed moderate positive evidence for test-retest reliability.…”

Section: Reliabilitymentioning

confidence: 98%

Reliability and Responsiveness of Upper Limb Motor Assessments for Children With Central Neuromotor Disorders

Gerber

Labruyère

Hedel

2015

Neurorehabil Neural Repair

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Background. To investigate the effectiveness of upper limb rehabilitation, sound measures of upper limb function, capacity, and performance are paramount. Objectives. 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.

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Upper limb assessment in children with cerebral palsy: Translation and reliability of the French version for the Melbourne unilateral upper limb assessment (test de Melbourne)

Abstract: The Melbourne test is a tool which has good psychometric properties. The French version is usable and reliable.

Cited by 16 publications

References 5 publications

Outcome measures evaluating hand function in children with bilateral cerebral palsy: a systematic review

Outcome measures evaluating hand function in children with bilateral cerebral palsy: a systematic review

Relation between unimanual capacities and bimanual performance in hemiplegic cerebral-palsied children: Impact of synkinesis

Reliability and Responsiveness of Upper Limb Motor Assessments for Children With Central Neuromotor Disorders

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