Document Detail


Identification of a core set of exercise tests for children and adolescents with cerebral palsy: a Delphi survey of researchers and clinicians.
MedLine Citation:
PMID:  21309764     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim  Evidence-based recommendations regarding which exercise tests to use in children and adolescents with cerebral palsy (CP) are lacking. This makes it very difficult for therapists and researchers to choose the appropriate exercise-related outcome measures for this group. This study aimed to identify a core set of exercise tests for children and adolescents with CP. Method  Fifteen experts (10 physical therapists/researchers and five exercise physiologists; three from the Netherlands, two from the USA, one from the UK, five from Canada, and four from Australia) participated in a Delphi survey which took four stages to achieve a consensus. Based on the information that was collected during the survey, a core set of measures was identified for levels I to IV of the Gross Motor Function Classification System (GMFCS). Results  For children with CP classified at GMFCS levels I and II, tests were identified for two motor skills (walking and cycling). For the subgroup of children with CP classified at GMFCS level III, the tests that were identified related to walking, cycling, and arm cranking. For children with CP classified at GMFCS level IV, the tests included in the core set were related to cycling and arm cranking. Interpretation  The core set will help physical therapists, exercise physiologists, and other health professionals who work with children and adolescents with CP to decide which test(s) to use in clinical practice or research. This will facilitate comparability of results across studies and clinical programmes.
Authors:
Olaf Verschuren; Marjolijn Ketelaar; Daniel Keefer; Virginia Wright; Jane Butler; Louise Ada; Carol Maher; Siobhan Reid; Marilyn Wright; Blythe Dalziel; Lesley Wiart; Eileen Fowler; Viswanath Unnithan; Désirée B Maltais; Rita VAN DEN Berg-Emons; Tim Takken
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-11
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  -     ISSN:  1469-8749     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© The Authors. Journal compilation © Mac Keith Press 2011.
Affiliation:
 Centre of Excellence, Rehabilitation Centre ''De Hoogstraat', Utrecht, the Netherlands  Partner of NetChild, Network for Childhood Disability Research, Utrecht, the Netherlands  Department of Rehabilitation, Nursing Science and Sports, University Medical Center, Rudolf Magnus Institute of Neuroscience, Utrecht, the Netherlands  Department of Wellness and Sport Sciences, Millersville University, Millersville, PA, USA  Holland Bloorview Kids Rehabilitation Hospital, Child Development Program, Toronto, ON, Canada  Department of Physical Therapy, University of Toronto, Toronto, ON, Canada  Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia  Health and Use of Time Research Group, School of Health Sciences, University of South Australia, Adelaide, SA, Australia  School of Sport Science, Exercise and Health, University of Western Australia, Perth, WA, Australia  McMaster University, Hamilton, ON, Canada  Clinical Outcomes, Glenrose Rehabilitation Hospital, Edmonton, AB, Canada  Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada  Department of Orthopaedic Surgery, UCLA/Orthopaedic Hospital Centre for Cerebral Palsy, University of California, Los Angeles, CA, USA  Centre for Sport, Health and Exercise Research, Staffordshire University, Stoke-on-Trent, Staffordshire, UK  Department of Rehabilitation, Laval University, Quebec City, QC, Canada  Department of Rehabilitation Medicine and Physical Therapy, Erasmus Medical Center, Rotterdam, the Netherlands  Child Development and Exercise Center, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, the Netherlands.
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