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Clinical tools designed to assess motor abilities in children with cerebral palsy
Silvia L Pavão1, Fernanda P S Silva1, Stacey C Dusing2
1a Department of Physiotherapy, Neuropediatrics Section , Federal University of São Carlos , São Carlos, São Paulo, Brazil.
Insights
Many tools for testing motor abilities in children with cerebral palsy (CP) lack evaluated psychometric properties. This review identifies tools and suggests those with stronger empirical support for CP evaluations.
Area of Science:
- Rehabilitation Science
- Pediatric Neurology
- Motor Development
Background:
- Cerebral palsy (CP) significantly impacts motor abilities in children.
- Standardized tools are crucial for assessing motor function in pediatric populations.
- Evaluating the psychometric properties of assessment tools is essential for reliable clinical application.
Purpose of the Study:
- To systematically review tools used by rehabilitation professionals to assess motor abilities in children with cerebral palsy (CP).
- To determine if these tools possess psychometric properties validated specifically for the CP population.
- To identify the key characteristics of the identified motor assessment tools.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (Web of Science, PEDro, PubMed/MEDLINE, Science Direct, SciELO).
- Studies assessing the psychometric properties of identified tools were specifically searched in PubMed/MEDLINE.
- Quality assessment of included studies utilized agreement-based standards and Terwee criteria.
Main Results:
- Eighteen distinct tools for assessing motor abilities in children with CP were identified.
- A significant number of these tools have not undergone psychometric evaluation within the CP population.
- The methodological quality of psychometric property evaluations for many tools was found to be poor.
Conclusions:
- There is a need for more robust psychometric validation of motor assessment tools in children with CP.
- Rehabilitation professionals should prioritize tools with stronger empirical support and demonstrated validity in this population.
- Further research is recommended to develop and validate high-quality measurement instruments for pediatric CP.
Objective:
This systematic review aimed to list the tools used by rehabilitation professionals to test motor abilities in children with cerebral palsy (CP), to determine if these tools have psychometric properties specifically measured for CP, and to identify the main characteristics of these tools.
Method:
Web of Science, PEDro, PubMed/MEDLINE, Science Direct, and SciELO databases were searched to identify the tools. PubMed/MEDLINE was then searched to identify the studies assessing those tools' psychometric properties. The agreement-based standards for the selection of health measurement tools and the Terwee criteria were used to assess the quality and the results of each included study, respectively.
Results:
Eighteen tools were identified. The psychometric properties of many of the tools used with children with CP have not been evaluated for this population.
Conclusion:
The psychometric properties evaluated often have a poor methodological quality of measurement. Overall, we suggest the tools with most empirical support to evaluate children with CP.

