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Spasticity Measurement Tools and Their Psychometric Properties Among Children and Adolescents With Cerebral Palsy: A
Saleh M Aloraini1, Amnah M Alassaf, Mada M Alrezgan
1Department of Physical Therapy (Drs Aloraini, Alassaf, and Alrezgan), College of Medical Rehabilitation, Qassim University, Buraydah, Saudi Arabia; Department of Rehabilitation Sciences (Dr Aldaihan), College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Purpose:
To identify and appraise the literature on the psychometric properties of spasticity measures that have been used among children and adolescents with cerebral palsy (CP).
Methods:
A comprehensive literature search was conducted in 5 databases. Two independent reviewers screened the literature search results for relevant studies. Reviewers extracted the data using a standardized form and study quality was assessed using a critical appraisal tool.
Results:
A total of 44 studies met the selection criteria and were included. We identified 22 different spasticity assessment tools, with different levels of evidence regarding their psychometric properties.
Conclusion:
The findings of the current review indicate that there is limited evidence to recommend 1 spasticity assessment method for children and adolescents with CP. Spasticity assessment in its current state lacks a method that possesses the necessary psychometric properties and is easily used in the clinical setting.
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