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Development of a quality-of-movement measure for children with cerebral palsy
W F Boyce1, C Gowland, S Hardy
1Department of Pediatrics, Queen's University, Kingston, Ontario, Canada.
Insights
Developing a reliable measure for gross motor performance in children with cerebral palsy (CP) is challenging. This study outlines the creation of the Gross Motor Performance Measure, focusing on quality of movement assessment for CP.
Area of Science:
- Pediatrics
- Rehabilitation Medicine
- Movement Science
Background:
- Assessing gross motor performance in children with cerebral palsy (CP) requires specialized tools.
- Existing measures may not fully capture the nuances of movement quality in CP.
- A comprehensive and validated measure is needed for accurate assessment and intervention planning.
Purpose of the Study:
- To describe the development and methodology of the Gross Motor Performance Measure (GMPM).
- To define and operationalize key attributes of gross motor performance in children with CP.
- To establish the content validity of the GMPM for assessing movement quality in CP.
Main Methods:
- Multicenter, interdisciplinary collaboration involving therapists, methodologists, and experts.
- Definition, scaling, and operationalization of five key attributes of gross motor performance.
- Content validity studies to assess completeness, clarity, and potential for evaluating change.
Main Results:
- The Gross Motor Performance Measure (GMPM) has been developed through a collaborative effort.
- Five attributes of gross motor performance have been defined and operationalized.
- Initial content validity studies indicate the GMPM is adequate in completeness and clarity for assessing movement quality in children with CP.
Conclusions:
- The development of the Gross Motor Performance Measure (GMPM) addresses a need for assessing movement quality in children with cerebral palsy.
- The measure has undergone rigorous development and initial validation.
- Further testing is underway to confirm the reliability, validity, and responsiveness of the GMPM scores.
Abstract:
Development of a suitable measure of quality of movement, or gross motor performance, for children with cerebral palsy is a complex undertaking. A variety of conceptual, methodological, and practical issues inherent in such a project are discussed in this article. We report on the methodology used in the planning and construction of the Gross Motor Performance Measure. The measure has been developed by a multicenter, interdisciplinary group of therapists, methodologists, research staff, and international experts. Five attributes of gross motor performance have been defined, scaled, and operationalized. Results of content validity studies demonstrate that the measure has adequate completeness, clarity, and potential for evaluating change in quality of movement in children who have cerebral palsy. The measure is currently undergoing extensive testing to determine the reliability, validity, and responsiveness of the obtained scores. [Boyce WF, Gowland C, Hardy S, et al. Development of a quality-of-movement measure for children with cerebral palsy.