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    Systematic review of the clinimetric properties of laboratory- and field-based aerobic and anaerobic fitness measures in children with cerebral palsy

    Access Status
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    Authors
    Balemans, A.
    Fragala-Pinkham, M.
    Lennon, N.
    Thorpe, D.
    Boyd, Roslyn
    O'Neil, M.
    Bjornson, K.
    Becher, J.
    Dallmeijer, A.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Balemans, A. and Fragala-Pinkham, M. and Lennon, N. and Thorpe, D. and Boyd, R. and O'Neil, M. and Bjornson, K. et al. 2013. Systematic review of the clinimetric properties of laboratory- and field-based aerobic and anaerobic fitness measures in children with cerebral palsy. Archives of Physical Medicine and Rehabilitation. 94 (2): pp. 287-301.
    Source Title
    Archives of Physical Medicine and Rehabilitation
    DOI
    10.1016/j.apmr.2012.09.012
    ISSN
    0003-9993
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/29839
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To systematically evaluate the level of evidence of the clinimetric properties of measures of aerobic and anaerobic capacity used for children with cerebral palsy (CP). Data Sources: A systematic search of databases PubMed, Embase, SPORTDiscus, and PsycINFO through April 2011 was performed. Study Selection: Two independent raters identified and examined studies that reported laboratory- or field-based measures of maximal aerobic or anaerobic capacity in children with CP aged 5 to 14 years. Data Extraction: The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist was used by 2 independent raters to evaluate the methodologic quality of the included clinimetric studies and to identify measures used in these studies. Data Synthesis: Twenty-four studies that used a maximal aerobic or anaerobic capacity measure were identified. Five studies reported clinimetric properties for 5 measures (2 aerobic and 3 anaerobic measures). Methodologic quality was excellent in 3 studies, showing good validity and reliability of field-based aerobic (Shuttle Run Test) and anaerobic (Muscle Power Sprint Test) measures. The studies on laboratory-based measures were rated fair, mainly because of inadequate statistics. The level of evidence was strong for good validity and reliability of the field-based tests. The level of evidence was unknown for validity and low to moderate for good reliability of laboratory-based tests. Conclusions: There is a paucity of research on the clinimetric properties of measurement instruments to assess aerobic and anaerobic capacity for children with CP. Further clinimetric studies of laboratory-based measures in children with CP at all Gross Motor Function Classification System (GMFCS) levels, and clinimetric studies of field-based measures in children who are classified as GMFCS levels III to V are required. © 2013 American Congress of Rehabilitation Medicine.

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