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    Upper limb activity measures for 5- to 16-year-old children with congenital hemiplegia: A systematic review

    Access Status
    Open access via publisher
    Authors
    Gilmore, R.
    Sakzewski, L.
    Boyd, Roslyn
    Date
    2010
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Gilmore, R. and Sakzewski, L. and Boyd, R. 2010. Upper limb activity measures for 5- to 16-year-old children with congenital hemiplegia: A systematic review. Developmental Medicine and Child Neurology. 52 (1): pp. 14-21.
    Source Title
    Developmental Medicine and Child Neurology
    DOI
    10.1111/j.1469-8749.2009.03369.x
    ISSN
    0012-1622
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/9021
    Collection
    • Curtin Research Publications
    Abstract

    Aim: This systematic review aimed to compare the validity, reliability, evaluative validity, and clinical utility of upper limb activity measures for children aged 5 to 16 years with congenital hemiplegia. Method: Electronic databases were searched to identify assessments that measure upper limb activity available for use and for which published validity and reliability data for the population are obtainable. Assessment items were coded according to the International Classification of Functioning, Disability and Health (ICF) categories to determine if at least 35% of the assessment items fell within the activity component of the ICF. Assessments that met these criteria were included in the review. Results: Thirty-eight measures were identified, and five met the inclusion criteria. The best measure of unimanual capacity was the Melbourne Assessment of Unilateral Upper Limb Function (MUUL); however, the Shriners Hospital Upper Extremity Evaluation (SHUEE) and the Quality of Upper Extremity Skills Test (QUEST) could also be considered, depending on the type of information required. The performance-based measure of bimanual upper limb activity in children with hemiplegia with the best psychometric properties was the Assisting Hand Assessment (AHA). The ABILHAND-Kids is a parent-report, performance-based questionnaire with excellent clinical utility and psychometric properties. Interpretation: Clinicians may choose to use more than one of these measures to detect changes in unimanual or bimanual upper limb activity. © The Authors. Journal compilation © Mac Keith Press 2009.

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