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Pediatric Evaluation of Disability Inventory: its application to children with obstetric brachial plexus palsy

Emily S Ho1, Christine G Curtis, Howard M Clarke

  • 1Department of Rehabilitation Services, Division of Occupational Therapy, University of Toronto, Ontario, Canada. emily.ho@sickkids.ca

The Journal of Hand Surgery
|February 14, 2006
PubMed

Insights

The Pediatric Evaluation of Disability Inventory (PEDI) effectively identified self-care deficits in children with obstetric brachial plexus palsy (OBPP) and hand impairment. However, it did not distinguish OBPP patients without hand impairment from their peers.

Area of Science:

  • Pediatric Rehabilitation
  • Neuromuscular Disorders
  • Functional Assessment

Background:

  • Standardized measurement of self-care ability in children with obstetric brachial plexus palsy (OBPP) remains a challenge.
  • The Pediatric Evaluation of Disability Inventory (PEDI) is a widely used tool for assessing childhood disability.

Purpose of the Study:

  • To evaluate the PEDI's ability to discriminate self-care abilities between children with OBPP and their peers.
  • To assess the PEDI's capacity to differentiate self-care performance among children with varying OBPP severities.

Main Methods:

  • Retrospective review of PEDI self-care domain results for 45 children with OBPP.
  • Categorization of children into groups with and without hand impairment.

Main Results:

  • Children with OBPP and hand impairment showed statistically significant deficits in self-care ability (more than 2 SDs below the mean).
  • Children with OBPP but without hand impairment performed within 1 SD above the mean, indicating no significant limitation.

Conclusions:

  • The PEDI effectively identified self-care limitations in children with OBPP and hand impairment.
  • The PEDI differentiated between OBPP severities but could not distinguish children without hand impairment from their typically developing peers.
Abstract

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