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Establishing expert consensus on the evaluation of pediatric upper extremity function.

Yumiko Hao1, Katie Bala2, Matthew McRae3

  • 1Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada; Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|December 3, 2014
PubMed
Summary

Experts reached consensus on the importance of pediatric upper extremity (UE) functional outcome measures. However, low satisfaction in the Activity domain highlights a need for improved assessment tools for children with musculoskeletal conditions.

Keywords:
Delphi methodologyOutcome assessmentPediatricsUpper extremity

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Area of Science:

  • Pediatric Musculoskeletal Health
  • Rehabilitation Medicine
  • Outcome Measurement

Background:

  • Lack of consensus exists regarding pediatric upper extremity (UE) functional outcome measures for musculoskeletal conditions.
  • Standardized assessment tools are crucial for effective pediatric UE rehabilitation.

Purpose of the Study:

  • Establish expert consensus on the utility, satisfaction, and importance of functional outcome measures.
  • Evaluate measures across International Classification of Functioning, Disability and Health (ICF) domains for pediatric UE musculoskeletal conditions.

Main Methods:

  • Delphi Consensus Methodology employed with expert panelists.
  • Three rounds of questionnaires administered to achieve consensus.

Main Results:

  • High agreement (α, ICC range = 0.86-0.96) on outcome measures in Body Functions and Structure, Activity, and Participation domains.
  • Mean satisfaction scores ranged from 6.93 to 7.94.
  • The Activity domain, despite lowest satisfaction, was deemed most important by consensus.

Conclusions:

  • Consensus achieved on the relative importance of pediatric UE functional outcome measures.
  • Low satisfaction within the Activity domain indicates a critical need for developing superior outcome measures.
  • Study provides insight into the current utility and application of outcome measures for pediatric UE function.