Premium
Body structure, function, activity and participation in preschool aged children born preterm. A systematic review and meta‐analysis using the international classification of functioning, disability and health framework
Author(s) -
A KWONG,
J CHEONG,
L DOYLE
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13_13512
Subject(s) - international classification of functioning, disability and health , meta analysis , medicine , psychology , developmental psychology , gerontology , pediatrics , physical therapy , rehabilitation
in total GOAL, from mean (SD) 61.7 (18.1) to 63.8 (16.1) this corresponded to a decrease (improvement) in GPS from mean (SD) 12.8 (4.2)° to 10.7 (3.2)° which is 1.3 times the minimally clinically important difference (MCID) of the GPS. In the non-surgical group there was a small decrease in the total GOAL from mean (SD) 65.5 (15.6) to 64.6 (16.4) which corresponded to an increase in GPS, mean (SD) 10.6 (2.8) degrees to 11.5 (3.8)° indicating a slight decline in gait function. Correlation between change in total GOAL and GPS for all children was 0.42. The strongest correlation was 0.47 between the gait appearance domain and GPS. Conclusions/Significance: This study provides preliminary evidence that the GOAL is responsive to objectively measured changes in gait function of children with CP. The GOAL demonstrated both an improvement and decline in score corresponding to changes seen in gait function (GPS). The GOAL has already provided clinicians with an improved understanding of the child and family’s aims and expectations related to their gait function and it, may provide a means to evaluate changes in these aims and expectations over time, which will complement the objective assessment from 3DGA. Further studies with larger numbers and longer-term follow up are required to study the responsiveness of the GOAL to changes in gait function after intervention and to determine the GOAL MCID.