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Pediatric Performance-Based Outcome Measures for Upper Extremity Function: A Scoping Review and Linking to the
Insights
This study identified common upper extremity performance-based outcome measures (PBOMs) used in pediatric rehabilitation. Most measures linked to the International Classification of Functioning, Disability and Health
Area of Science:
- Pediatric Rehabilitation
- Outcome Measurement
- Occupational Therapy
Background:
- Performance-based outcome measures (PBOMs) objectively assess physical capacity and task performance.
- PBOMs are crucial for evaluating functional improvements in pediatric rehabilitation.
Purpose of the Study:
- Identify frequently reported PBOMs for pediatric upper extremity (UE) function.
- Determine the link between PBOM concepts and the International Classification of Functioning, Disability and Health (ICF).
Main Methods:
- Systematic search of pediatric UE PBOMs across four databases.
- Inclusion criteria applied through title/abstract screening and full-text review.
- Independent concept extraction and linking to ICF by two reviewers.
Main Results:
- 32 PBOMs were included, with 538 items linked to the ICF.
- Assisting Hand Assessment, Jebsen-Taylor Hand Function Test, and Melbourne Assessment of Unilateral Upper Limb were most common.
- Activity and Participation domains (364 codes) were most frequently linked, followed by Body Functions (174 codes).
Conclusions:
- Most identified PBOMs align with ICF's Mobility and Fine Hand Use categories.
- Selection of PBOMs requires careful consideration of the specific health concepts being assessed.
Abstract:
Background. Performance-based outcome measures (PBOMs) are objective measures that assess physical capacity or performance in specific tasks or movements. Purpose. 1) to identify which PBOMs are most frequently reported to evaluate upper extremity (UE) function in pediatric rehabilitation 2) to determine the link between constructs of the ICF and meaningful concepts extracted from each identified PBOM. Methods. Pediatric UE PBOMs were searched in four databases. The selection of outcome measures included an initial title and abstract screening, followed by full-text review of the articles to be included based on identified selection criteria. Two reviewers were appointed to link the meaningful concepts identified in the outcome measures independently and a third reviewer was consulted in case of ambiguity to make a final decision. Findings. After the initial screening, 1786 full-text articles were reviewed, 1191 met the inclusion criteria, in which 77 outcome measures were identified and 32 were included in the linking process. From the included 32 outcome measures, 538 items were extracted and linked to the ICF. The most commonly cited measures included Assisting Hand Assessment, Jebsen-Taylor Hand Function Test, Melbourne Assessment of Unilateral Upper Limb. The Activity and Participation domain represented 364 codes followed by the Body Functions domain domain which represented 174 codes. Implications. A majority of the outcome measures identified were linked with the Mobility, Fine Hand Use of the ICF. Therefore, when selecting a PBOM, careful considerations need to be made regarding which concept of health is to be assessed.
