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International Delphi Recommendations for Pediatric Lower Limb Neurological Test Protocols for Muscle Strength,
Ramona Clark1, Emmah Baque, Andrea Bialocerkowski
1School of Health Sciences and Social Work (Ms Clark and Dr Baque), Griffith University, Gold Coast, Queensland, Australia; Griffith Health (Dr Bialocerkowski), Griffith University, Gold Coast, Queensland, Australia.
Purpose:
To gain consensus from physical therapists on pediatric lower limb neurological tests of muscle strength, tactile sensitivity, and reflexes.
Methods:
A Delphi technique was used for 2 sequential questionnaire rounds to gain consensus from a panel of pediatric physical therapists (n = 28). Physical therapists rated their agreement to items from statements on pediatric lower limb neurological tests, their protocols, and interpretation using a 6-point Likert scale.
Results:
Ninety percent of items gained consensus: 80% on pediatric lower limb neurological tests, 88% on test protocols, and 92% on test interpretation. Fifty-one percent of items had high agreement and high importance.
Conclusion:
There is variability in pediatric neurological tests used, their protocols, and interpretation. Identification of items with high agreement and importance is the first step to develop a standardized lower limb neurological assessment for pediatric clients of varying ages and diagnoses.
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