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Aber RN, Grossman LA, Berger AJ, Price AE, Alfonso I, Grossman JA. Long-Term Hand and Shoulder Function in Children following Early Surgical Intervention for a Birth-Related Upper Brachial Plexus Injury. J Brachial Plex Peripher Nerve Inj 2024; 19:e27-e30. [PMID: 38910845 PMCID: PMC11192585 DOI: 10.1055/s-0044-1787151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 04/29/2024] [Indexed: 06/25/2024] Open
Abstract
Purpose To better understand the long-term hand and shoulder outcomes of upper brachial plexus birth injuries. Methods We evaluated shoulder and hand function in 32 patients (13 males; 19 females) with a C5/C6 birth injury history). All patients had undergone primary nerve surgery as infants, and 12 underwent a simultaneous shoulder procedure as they presented with a fixed internal rotation contracture of the shoulder. On average, all patients were evaluated and examined 15 years postoperatively. The shoulder function was evaluated using the Miami Shoulder Scale. Hand function was measured by the 9-hole peg test (9-HPT) and statistical analysis included comparison of 9-HPT time against normative data using the Student's t -test. Results The cohort includes 22 right-hand-dominant and 10 left-hand-dominant patients. Mean age at surgery was 10 months; mean age at follow-up was 15 years ± 2 years 2 months. Cumulative shoulder function was "good" or "excellent" (Miami score) in 23 patients. For 9-HPT, 23 out of 32 patients seen had an involved hand with a significant alteration in function. Conclusion Early nerve surgery in cases of upper brachial plexus birth injuries result in the desired outcome. To ensure timely and targeted therapy for any residual deficits, it is imperative that limitations in hand function among children with an Erb's palsy.
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Affiliation(s)
- Rachel N. Aber
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Leslie A. Grossman
- Brachial Plexus Program, Nicklaus Children's Hospital, Miami, Florida, United States
| | | | - Andrew E. Price
- Nicklaus Children's Hospital, Miami, Florida, United States
- Orthopedic Surgery, NYU Langone Medical Center, New York, New York, United States
| | - Israel Alfonso
- Nicklaus Children's Hospital, Miami, Florida, United States
| | - John A.I. Grossman
- Brachial Plexus Program, Nicklaus Children's Hospital, Miami, Florida, United States
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Osorio M, Lewis S, Tse RW. Promoting Recovery Following Birth Brachial Plexus Palsy. Pediatr Clin North Am 2023; 70:517-529. [PMID: 37121640 DOI: 10.1016/j.pcl.2023.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Neonatal brachial plexus palsies (NBPP) occur in 1.74 per 1000 live births with 20% to 30% having persistent deficits. Dysfunction can range from mild to severe and is correlated with the number of nerves involved and the degree of injury. In addition, there are several comorbidities and musculoskeletal sequelae that directly impact the overall functional development. This review addresses the nonsurgical and surgical management options and provides guidance for pediatricians on monitoring and when to refer for specialty care.
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Affiliation(s)
- Marisa Osorio
- Department of Rehabilitation Medicine, University of Washington, Seattle Children's Hospital, Rehabilitation Medicine, 4800 Sand Point Way Northeast, OB 8.410, Seattle, WA 98105, USA.
| | - Sarah Lewis
- Rehabilitation Medicine, Seattle Children's Hospital, 4800 Sand Point Way Northeast, OB 8.410, Seattle, WA 98105, USA
| | - Raymond W Tse
- Division of Plastic Surgery, Department of Surgery, University of Washington, 4800 Sand Point Way Northeast, OB9.527, Seattle, WA 98105, USA; Division of Craniofacial and Plastic Surgery, Department of Surgery, Seattle Children's Hospital, 4800 Sand Point Way Northeast, OB9.527, Seattle, WA 98105, USA
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Hou X, Qiu H, Liu L, Li Y, He L, Li J, Tang H, Xu K. Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:997221. [DOI: 10.3389/fresc.2022.997221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 10/26/2022] [Indexed: 11/22/2022]
Abstract
BackgroundMini-Manual Ability Classification System (Mini-MACS) was developed for children with cerebral palsy aged 1–4 years, but its validity and reliability in different cultures are unavailable yet. This study was to determine the reliability and validity of Mini-MACS in East Asian children with cerebral palsy and investigate the correlation between Mini-MACS and Gross Motor Function Classification System.MethodsOne hundred and four East Asian children with cerebral palsy aged 12–48 months were classified by one of their parents, an occupational therapist, and a physical therapist with Mini-MACS. The results were analyzed for inter-rater reliability by using intraclass correlation coefficient (ICC). The Nine-hole Peg Test was used for the criterion-related validity analysis, and parents retested their children after 2 weeks to evaluate test–retest reliability. Gross Motor Function Classification System levels were also collected to investigate the correlation with Mini-MACS.ResultsGood inter-rater reliability among the occupational therapist, physical therapist, and parents was found [ICC = 0.984 (95% confidence interval, CI, 0.976–0.989), 0.973 (95% CI 0.960–0.982), and 0.966 (95% CI 0.950–0.977), respectively; p < 0.01]. The test–retest reliability in parents was almost perfect [ICC = 0.985 (95% CI 0.977–0.990), p < 0.01]. Mini-MACS had consistency with the Nine-hole Peg Test (r = 0.582, 0.581, and 0.566, respectively; p < 0.01). A correlation was found between Gross Motor Function Classification System and Mini-MACS (r = 0.626, 0.596, and 0.598, respectively; p < 0.01).ConclusionThe Mini-MACS demonstrates evidence that it is a valid and reliable tool to classify manual ability in East Asian children with cerebral palsy and is also positively related to the Gross Motor Function Classification System.
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Koshinski JL, Russo SA, Zlotolow DA. Brachial Plexus Birth Injury: A Review of Neurology Literature Assessing Variability and Current Recommendations. Pediatr Neurol 2022; 136:35-42. [PMID: 36084421 DOI: 10.1016/j.pediatrneurol.2022.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 07/10/2022] [Accepted: 07/12/2022] [Indexed: 10/31/2022]
Abstract
BACKGROUND Publications regarding the epidemiology and management of brachial plexus birth injury (BPBI) were evaluated to investigate treatment guidelines for children with BPBI. METHODS A search of neurology literature from 1990 to 2019 was performed using PubMed, Scopus, and Medline. Data including incidence, risk factors, spontaneous recovery rates, imaging studies, treatment recommendations, and indications and timing for surgery were collected. RESULTS A total of 46 total studies were reviewed. Reported incidence rates for BPBI ranged from 0.3 to 3 per 1000 births. Spontaneous recovery rates had an average reported range from 66% to 75%. Physical and occupational therapy were recommended in 37% of articles. Computed tomographic myelogram and magnetic resonance imaging of the brachial plexus were the most commonly recommended imaging studies for BPBI. Timelines for surgical interventions ranged from age three to nine months. Early referral was recommended in 28% of the articles included in the review. CONCLUSIONS Given the inconsistencies in spontaneous recovery rates, imaging recommendations, and timing of referral, establishing consistent clinical guidelines for patients with BPBI is crucial for management. Early referral to specialists for evaluation and treatment may improve outcomes in children with BPBI.
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Affiliation(s)
| | - Stephanie A Russo
- Department of Orthopaedic Surgery, Akron Children's Hospital, Akron, Ohio.
| | - Dan A Zlotolow
- Department of Orthopaedic Surgery, Shriners Hospital for Children, Philadelphia, Pennsylvania; The Hospital for Special Surgery, New York, New York
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Delioğlu K, Uzumcugil A, Gunel M. Activity-based hand-function profile in preschool children with obstetric brachial plexus palsy. HAND SURGERY & REHABILITATION 2022; 41:487-493. [DOI: 10.1016/j.hansur.2022.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 04/03/2022] [Accepted: 05/16/2022] [Indexed: 11/28/2022]
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Thébault G, Martin S, Brouillet D, Brunel L, Dinomais M, Presles É, Fluss J, Chabrier S, Dégano C, Delion M, Deron J, Dray G, Drutel L, Groeschel S, Hertz‐Pannier L, Husson B, Kossorotoff M, Lazaro L, Lefranc J, The Tich SN, Peyric É, Ravel M, Renaud C, Vuillerot C. Manual dexterity, but not cerebral palsy, predicts cognitive functioning after neonatal stroke. Dev Med Child Neurol 2018; 60:1045-1051. [PMID: 29624666 DOI: 10.1111/dmcn.13752] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/06/2018] [Indexed: 12/20/2022]
Abstract
AIM To disentangle the respective impacts of manual dexterity and cerebral palsy (CP) in cognitive functioning after neonatal arterial ischaemic stroke. METHOD The population included 60 children (21 females, 39 males) with neonatal arterial ischaemic stroke but not epilepsy. The presence of CP was assessed clinically at the age of 7 years and 2 months (range 6y 11mo-7y 8mo) using the definition of the Surveillance of CP in Europe network. Standardized tests (Nine-Hole Peg Test and Box and Blocks Test) were used to quantify manual (finger and hand respectively) dexterity. General cognitive functioning was evaluated with the Wechsler Intelligence Scale for Children, Fourth Edition. Simple and multiple linear regression models were performed while controlling for socio-economic status, lesion side, and sex. RESULTS Fifteen children were diagnosed with CP. In simple regression models, both manual dexterity and CP were associated with cognitive functioning (β=0.41 [p=0.002] and β=0.31 [p=0.019] respectively). However, in multiple regression models, manual dexterity was the only associated variable of cognitive functioning, whether or not a child had CP (β=0.35; p=0.007). This result was reproduced in models with other covariables (β=0.31; p=0.017). INTERPRETATION As observed in typically developing children, manual dexterity is related to cognitive functioning in children having suffered a focal brain insult during the neonatal period. WHAT THIS PAPER ADDS Manual dexterity predicts cognitive functioning after neonatal arterial ischaemic stroke. Correlations between manual dexterity and cognitive functioning occur irrespective of sex, lesion side, presence of cerebral palsy, and socio-economic status. Residual motor ability may support cognitive functioning.
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Affiliation(s)
- Guillaume Thébault
- INSERM, UMR1059 Sainbiose, University of Saint-Étienne, University of Lyon, Saint-Étienne.,University Paul Valéry Montpellier 3, University Montpellier, Montpellier
| | - Sophie Martin
- University Paul Valéry Montpellier 3, University Montpellier, Montpellier
| | - Denis Brouillet
- University Paul Valéry Montpellier 3, University Montpellier, Montpellier
| | - Lionel Brunel
- University Paul Valéry Montpellier 3, University Montpellier, Montpellier
| | - Mickaël Dinomais
- Laboratoire d'Ingénierie des Systèmes Automatisés (LISA), University of Angers, Angers.,Physical and Rehabilitation Medicine Department, LUNAM, CHU Angers, Angers, France
| | - Émilie Presles
- INSERM, UMR1059 Sainbiose, University of Saint-Étienne, University of Lyon, Saint-Étienne
| | - Joel Fluss
- Paediatric Neurology Unit, Geneva University Hospitals, Geneva, Switzerland
| | - Stéphane Chabrier
- INSERM, UMR1059 Sainbiose, University of Saint-Étienne, University of Lyon, Saint-Étienne.,Paediatric Physical and Rehabilitation Medicine Department, French Centre for Paediatric Stroke, INSERM CIC1408, CHU Saint-Étienne, Saint-Étienne, France
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Abstract
Brachial plexus birth palsy (BPBP) is an upper extremity paralysis that occurs due to traction injury of the brachial plexus during childbirth. Approximately 20 % of children with brachial plexus birth palsy will have residual neurologic deficits. These permanent and significant impacts on upper limb function continue to spur interest in optimizing the management of a problem with a highly variable natural history. BPBP is generally diagnosed on clinical examination and does not typically require cross-sectional imaging. Physical examination is also the best modality to determine candidates for microsurgical reconstruction of the brachial plexus. The key finding on physical examination that determines need for microsurgery is recovery of antigravity elbow flexion by 3-6 months of age. When indicated, both microsurgery and secondary shoulder and elbow procedures are effective and can substantially improve functional outcomes. These procedures include nerve transfers and nerve grafting in infants and secondary procedures in children, such as botulinum toxin injection, shoulder tendon transfers, and humeral derotational osteotomy.
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Affiliation(s)
- Kristin L Buterbaugh
- Division of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Wood Building Room 2307, Philadelphia, PA, 19104-4318, USA
| | - Apurva S Shah
- Division of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Wood Building Room 2307, Philadelphia, PA, 19104-4318, USA.
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Connolly AM, Florence JM, Zaidman CM, Golumbek PT, Mendell JR, Flanigan KM, Karachunski PI, Day JW, McDonald CM, Darras BT, Kang PB, Siener CA, Gadeken RK, Anand P, Schierbecker JR, Malkus EC, Lowes LP, Alfano LN, Johnson L, Nicorici A, Kelecic JM, Quigley J, Pasternak AE, Miller JP. Clinical trial readiness in non-ambulatory boys and men with duchenne muscular dystrophy: MDA-DMD network follow-up. Muscle Nerve 2016; 54:681-9. [DOI: 10.1002/mus.25089] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 02/16/2016] [Accepted: 02/23/2016] [Indexed: 01/14/2023]
Affiliation(s)
- Anne M. Connolly
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
- Department of Pediatrics; Washington University School of Medicine; Saint Louis Missouri USA
| | - Julaine M. Florence
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
| | - Craig M. Zaidman
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
- Department of Pediatrics; Washington University School of Medicine; Saint Louis Missouri USA
| | - Paul T. Golumbek
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
- Department of Pediatrics; Washington University School of Medicine; Saint Louis Missouri USA
| | - Jerry R. Mendell
- Department of Pediatrics; Ohio State University, and the Center for Gene Therapy, Nationwide Children's Hospital; Columbus Ohio USA
| | - Kevin M. Flanigan
- Department of Pediatrics; Ohio State University, and the Center for Gene Therapy, Nationwide Children's Hospital; Columbus Ohio USA
| | | | - John W. Day
- Department of Neurology; Stanford University; Stanford California USA
| | - Craig M. McDonald
- Department Physical Medicine and Rehabilitation; University of California, Davis Medical Center; Sacramento California USA
| | - Basil T. Darras
- Department of Neurology; Harvard University, Boston Children's Hospital; Boston Massachusetts USA
| | - Peter B. Kang
- Division of Pediatric Neurology; University of Florida College of Medicine; Gainesville Florida USA
| | - Catherine A. Siener
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
| | - Rebecca K. Gadeken
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
| | - Pallavi Anand
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
| | | | - Elizabeth C. Malkus
- Department of Neurology; Washington University School of Medicine; Saint Louis Missouri USA
| | - Linda P. Lowes
- Department of Pediatrics; Ohio State University, and the Center for Gene Therapy, Nationwide Children's Hospital; Columbus Ohio USA
| | - Lindsay N. Alfano
- Department of Pediatrics; Ohio State University, and the Center for Gene Therapy, Nationwide Children's Hospital; Columbus Ohio USA
| | - Linda Johnson
- Department Physical Medicine and Rehabilitation; University of California, Davis Medical Center; Sacramento California USA
| | - Alina Nicorici
- Department Physical Medicine and Rehabilitation; University of California, Davis Medical Center; Sacramento California USA
| | - Jason M. Kelecic
- Department of Neurology; University of Minnesota; Minneapolis Minnesota USA
| | - Janet Quigley
- Department of Neurology; Harvard University, Boston Children's Hospital; Boston Massachusetts USA
| | - Amy E. Pasternak
- Department of Neurology; Harvard University, Boston Children's Hospital; Boston Massachusetts USA
| | - J. Philip Miller
- Division of Biostatistics; Washington University School of Medicine; Saint Louis Missouri USA
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Connolly AM, Malkus EC, Mendell JR, Flanigan KM, Miller JP, Schierbecker JR, Siener CA, Golumbek PT, Zaidman CM, Mcdonald CM, Johnson L, Nicorici A, Karachunski PI, Day JW, Kelecic JM, Lowes LP, Alfano LN, Darras BT, Kang PB, Quigley J, Pasternak AE, Florence JM. Outcome reliability in non-ambulatory boys/men with Duchenne muscular dystrophy. Muscle Nerve 2015; 51:522-32. [PMID: 25056178 DOI: 10.1002/mus.24346] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2014] [Indexed: 01/27/2023]
Abstract
INTRODUCTION Therapeutic trials in Duchenne muscular dystrophy (DMD) often exclude non-ambulatory individuals. Here we establish optimal and reliable assessments in a multicenter trial. METHODS Non-ambulatory boys/men with DMD (N = 91; 16.7 ± 4.5 years of age) were assessed by trained clinical evaluators. Feasibility (percentage completing task) and reliability [intraclass correlation coefficients (ICCs) between morning and afternoon tests] were measured. RESULTS Forced vital capacity (FVC), assessed in all subjects, showed a mean of 47.8 ± 22% predicted (ICC 0.98). Brooke Upper Extremity Functional Rating (Brooke) and Egen Klassifikation (EK) scales in 100% of subjects showed ICCs ranging from 0.93 to 0.99. Manual muscle testing, range of motion, 9-hole peg test, and Jebsen-Taylor Hand Function Test (JHFT) demonstrated varied feasibility (99% to 70%), with ICCs ranging from 0.99 to 0.64. We found beneficial effects of different forms of corticosteroids for the Brooke scale, percent predicted FVC, and hand and finger strength. CONCLUSIONS Reliable assessment of non-ambulatory boys/men with DMD is possible. Clinical trials will have to consider corticosteroid use.
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Affiliation(s)
- Anne M Connolly
- Department of Neurology, Washington University School of Medicine in Saint Louis, St. Louis, Missouri, 63110, USA; Department of Pediatrics, Washington University School of Medicine in Saint Louis, St. Louis, Missouri, USA
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Nelson MR, Armenta AH. Birth Brachial Plexus Palsy Update. CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS 2014. [DOI: 10.1007/s40141-014-0048-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Chang KWC, Justice D, Chung KC, Yang LJS. A systematic review of evaluation methods for neonatal brachial plexus palsy: a review. J Neurosurg Pediatr 2013; 12:395-405. [PMID: 23930602 DOI: 10.3171/2013.6.peds12630] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECT Neonatal brachial plexus palsy (NBPP) affects 0.4-2.6 newborns per 1000 live births in the US. Many infants recover spontaneously, but for those without spontaneous recovery, nerve and/or secondary musculoskeletal reconstruction can restore function to the affected arm. This condition not only manifests in a paretic/paralyzed arm, but also affects the overall health and psychosocial condition of the children and their parents. Currently, measurement instruments for NBPP focus primarily on physical ability, with limited information regarding the effect of the disablement on activities of daily living and the child's psychosocial well-being. It is also difficult to assess and compare overall treatment efficacy among medical (conservative) or surgical management strategies without consistent use of evaluation instruments. The purpose of this study is to review the reported measurement evaluation methods for NBPP in an attempt to provide recommendations for future measurement usage and development. METHODS The authors systematically reviewed the literature published between January 1980 and February 2012 using multiple databases to search the keywords "brachial plexus" and "obstetric" or "pediatrics" or "neonatal" or "congenital." Original articles with primary patient outcomes were included in the data summary. Four types of evaluation methods (classification, diagnostics, physical assessment, and functional outcome) were distinguished among treatment management groups. Descriptive statistics and 1-way ANOVA were applied to compare the data summaries among specific groups. RESULTS Of 2836 articles initially identified, 307 were included in the analysis, with 198 articles (9646 patients) reporting results after surgical treatment, 70 articles (4434 patients) reporting results after medical treatment, and 39 articles (4247 patients) reporting results after combined surgical and medical treatment. Among medical practitioners who treat NBPP, there was equivalence in usage of classification, diagnostic, and physical assessment tools (that focused on the Body Function and Structures measure of the International Classification of Functioning, Disability, and Health [ICF]). However, there was discordance in the functional outcome measures that focus on ICF levels of Activity and Participation. Of the 126 reported evaluation methods, only a few (the Active Movement Scale, Toronto Scale Score, Mallet Scale, Assisting Hand Assessment, and Pediatric Outcomes Data Collection Instrument) are specifically validated for evaluating the NBPP population. CONCLUSIONS In this review, the authors demonstrate disparities in the use of NBPP evaluation instruments in the current literature. Additionally, valid and reliable evaluation instruments specifically for the NBPP population are significantly lacking, manifesting in difficulties with evaluating the overall impact and effectiveness of clinical treatments in a consistent and comparative manner, extending across the various subspecialties that are involved in the treatment of patients with NBPP. The authors suggest that all ICF domains should be considered, and future efforts should include consideration of spontaneous (not practitioner-elicited) use of the affected arm in activities of daily living with attention to the psychosocial impact of the disablement.
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Mulcahey MJ, Merenda L, Tian F, Kozin S, James M, Gogola G, Ni P. Computer Adaptive Test Approach to the Assessment of Children and Youth With Brachial Plexus Birth Palsy. Am J Occup Ther 2013; 67:524-33. [DOI: 10.5014/ajot.2013.008037] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
This study examined the psychometric properties of item pools relevant to upper-extremity function and activity performance and evaluated simulated 5-, 10-, and 15-item computer adaptive tests (CATs). In a multicenter, cross-sectional study of 200 children and youth with brachial plexus birth palsy (BPBP), parents responded to upper-extremity (n = 52) and activity (n = 34) items using a 5-point response scale. We used confirmatory and exploratory factor analysis, ordinal logistic regression, item maps, and standard errors to evaluate the psychometric properties of the item banks. Validity was evaluated using analysis of variance and Pearson correlation coefficients. Results show that the two item pools have acceptable model fit, scaled well for children and youth with BPBP, and had good validity, content range, and precision. Simulated CATs performed comparably to the full item banks, suggesting that a reduced number of items provide similar information to the entire set of items.
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Affiliation(s)
- M. J. Mulcahey
- M. J. Mulcahey, PhD, OTR/L, is Professor of Occupational Therapy, Thomas Jefferson University, School of Health Professions, 901 Walnut Street, 6th Floor, Philadelphia, PA 19107, and Scientific Staff, Shriners Hospitals for Children, Philadelphia;
| | - Lisa Merenda
- Lisa Merenda, MSN, is Research Nurse, Shriners Hospitals for Children, Philadelphia
| | - Feng Tian
- Feng Tian, PhD, is Associate Professor, Health and Disability Research Institute, School of Public Health, Boston University, Boston
| | - Scott Kozin
- Scott Kozin, MD, is Chief of Staff, Shriners Hospitals for Children, Philadelphia
| | - Michelle James
- Michelle James, MD, is Chief of Orthopedics, Shriners Hospitals for Children Northern California, Sacramento
| | - Gloria Gogola
- Gloria Gogola, MD, is Medical Staff, Shriners Hospitals for Children, Houston
| | - Pengsheng Ni
- Pengsheng Ni, MD, PhD, is Associate Professor, Health and Disability Research Institute, School of Public Health, Boston University, Boston
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Bibliography Current World Literature. CURRENT ORTHOPAEDIC PRACTICE 2012. [DOI: 10.1097/bco.0b013e31826b35c1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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