Reported outcomes of lower limb orthopaedic surgery in children and adolescents with cerebral palsy: a mapping review
Aim Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome measures used in the published literature to assess surgical results, determine range and frequency of use, and map each measure to the Interna...
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Published in | Developmental medicine and child neurology Vol. 56; no. 9; pp. 808 - 814 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
England
01.09.2014
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Subjects | |
Online Access | Get full text |
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Abstract | Aim
Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome measures used in the published literature to assess surgical results, determine range and frequency of use, and map each measure to the International Classification of Functioning, Disability and Health.
Method
A mapped review of literature published between 1990 and 2011 was carried out to identify papers reporting the outcomes of lower limb orthopaedic surgery in ambulatory children with CP, aged 0 to 20 years.
Results
A total of 229 published papers met the inclusion criteria. Thirty‐two outcome measures with known psychometric properties were reported in the 229 papers. Twenty measures assess impairments in body structure and function and were used in 91% of studies. Ten measures assess restrictions in activity and participation and were used in 9% of papers. Two measures assessed quality of life. Since 1997, 29% of papers have used the Gross Motor Function Classification System to describe participants.
Interpretation
The body of literature evaluating outcomes of lower limb orthopaedic surgery in CP is small but increasing. There is a need to develop a suite of outcome measures that better reflect outcomes across the International Classification of Functioning, Disability and Health, including activity and participation.
What this paper adds
Less than half of recently published studies use the GMFCS to classify participants.
The activity and participation domain of the ICF is not well represented in current studies of orthopaedic surgical outcomes.
Further work is needed to define a minimum data set to adequately capture the outcomes of lower limb orthopaedic surgery in CP. |
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AbstractList | Aim
Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome measures used in the published literature to assess surgical results, determine range and frequency of use, and map each measure to the International Classification of Functioning, Disability and Health.
Method
A mapped review of literature published between 1990 and 2011 was carried out to identify papers reporting the outcomes of lower limb orthopaedic surgery in ambulatory children with CP, aged 0 to 20 years.
Results
A total of 229 published papers met the inclusion criteria. Thirty‐two outcome measures with known psychometric properties were reported in the 229 papers. Twenty measures assess impairments in body structure and function and were used in 91% of studies. Ten measures assess restrictions in activity and participation and were used in 9% of papers. Two measures assessed quality of life. Since 1997, 29% of papers have used the Gross Motor Function Classification System to describe participants.
Interpretation
The body of literature evaluating outcomes of lower limb orthopaedic surgery in CP is small but increasing. There is a need to develop a suite of outcome measures that better reflect outcomes across the International Classification of Functioning, Disability and Health, including activity and participation.
What this paper adds
Less than half of recently published studies use the GMFCS to classify participants.
The activity and participation domain of the ICF is not well represented in current studies of orthopaedic surgical outcomes.
Further work is needed to define a minimum data set to adequately capture the outcomes of lower limb orthopaedic surgery in CP. Less than half of recently published studies use the GMFCS to classify participants. The activity and participation domain of the ICF is not well represented in current studies of orthopaedic surgical outcomes. Further work is needed to define a minimum data set to adequately capture the outcomes of lower limb orthopaedic surgery in CP. AIMLower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome measures used in the published literature to assess surgical results, determine range and frequency of use, and map each measure to the International Classification of Functioning, Disability and Health.METHODA mapped review of literature published between 1990 and 2011 was carried out to identify papers reporting the outcomes of lower limb orthopaedic surgery in ambulatory children with CP, aged 0 to 20 years.RESULTSA total of 229 published papers met the inclusion criteria. Thirty-two outcome measures with known psychometric properties were reported in the 229 papers. Twenty measures assess impairments in body structure and function and were used in 91% of studies. Ten measures assess restrictions in activity and participation and were used in 9% of papers. Two measures assessed quality of life. Since 1997, 29% of papers have used the Gross Motor Function Classification System to describe participants.INTERPRETATIONThe body of literature evaluating outcomes of lower limb orthopaedic surgery in CP is small but increasing. There is a need to develop a suite of outcome measures that better reflect outcomes across the International Classification of Functioning, Disability and Health, including activity and participation. Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome measures used in the published literature to assess surgical results, determine range and frequency of use, and map each measure to the International Classification of Functioning, Disability and Health. A mapped review of literature published between 1990 and 2011 was carried out to identify papers reporting the outcomes of lower limb orthopaedic surgery in ambulatory children with CP, aged 0 to 20 years. A total of 229 published papers met the inclusion criteria. Thirty-two outcome measures with known psychometric properties were reported in the 229 papers. Twenty measures assess impairments in body structure and function and were used in 91% of studies. Ten measures assess restrictions in activity and participation and were used in 9% of papers. Two measures assessed quality of life. Since 1997, 29% of papers have used the Gross Motor Function Classification System to describe participants. The body of literature evaluating outcomes of lower limb orthopaedic surgery in CP is small but increasing. There is a need to develop a suite of outcome measures that better reflect outcomes across the International Classification of Functioning, Disability and Health, including activity and participation. |
Author | Stott, Ngaire S Chong, Jimmy Mackey, Anna H Wilson, Nichola C |
Author_xml | – sequence: 1 givenname: Nichola C surname: Wilson fullname: Wilson, Nichola C organization: Auckland City Hospital – sequence: 2 givenname: Jimmy surname: Chong fullname: Chong, Jimmy organization: The University of Auckland – sequence: 3 givenname: Anna H surname: Mackey fullname: Mackey, Anna H organization: Auckland City Hospital – sequence: 4 givenname: Ngaire S surname: Stott fullname: Stott, Ngaire S organization: Auckland City Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24673603$$D View this record in MEDLINE/PubMed |
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Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome... Lower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome... Less than half of recently published studies use the GMFCS to classify participants. The activity and participation domain of the ICF is not well represented... AIMLower limb surgery is often performed in ambulatory children with cerebral palsy (CP) to improve walking ability. This mapping review reports on outcome... |
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SubjectTerms | Adolescent Cerebral Palsy - surgery Child Child, Preschool Humans Infant Lower Extremity - surgery Orthopedic Procedures Treatment Outcome Young Adult |
Title | Reported outcomes of lower limb orthopaedic surgery in children and adolescents with cerebral palsy: a mapping review |
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