Wheelchair Related Outcome Measures: Difference between revisions

No edit summary
No edit summary
Line 5: Line 5:
</div>  
</div>  
== Introduction ==
== Introduction ==
==Introduction==
An '''outcome measure''' is any characteristic or quality measured to assess a patient’s status<ref name=":0">Fetters L, Tilson J. Evidence based physical therapy. FA Davis; 2012 May 5.</ref>. An outcome measure is the result of a test that is used to objectively determine the baseline function of a patient at the beginning of treatment. Once treatment has commenced, the same instrument can be used to determine progress and treatment efficacy. With the move towards [[Evidence Based Practice (EBP)]] in the Health Sciences, objective measures of outcome are important to provide credible and reliable justification for treatment. The instrument should also be convenient to use for the wheelchair service personnel and comfortable for the wheelchair user. An integral part of evaluating clinical practice is to objectively assess the intervention and measure it against a set of outcomes to determine its efficacy. <ref name="p1">Debuse D, Brace H. Outcome Measures of Activity for Children with Cerebral Palsy: A Systematic Review. Pediatr Phys Ther. 2011 Fall;23(3):221-31</ref>&nbsp;
An Outcome Measure is the result of a test that is used to objectively determine the baseline function of an individual at the beginning of treatment. Once treatment has commenced, the same instrument can be used to determine progress and treatment efficacy. With the move towards [[Evidence Based Practice (EBP)]] in the Health Sciences, objective measures of outcome are important to provide credible and reliable justification for treatment. The instrument should also be convenient to use for the wheelchair service personnel and comfortable for the wheelchair user. An integral part of evaluating clinical practice is to objectively assess the intervention and measure it against a set of outcomes to determine its efficacy. <ref name="p1">Debuse D, Brace H. Outcome Measures of Activity for Children with Cerebral Palsy: A Systematic Review. Pediatr Phys Ther. 2011 Fall;23(3):221-31</ref>&nbsp;


This means the therapist can ensure they are providing the most appropriate intervention that meets the treatment goals and expectations of the child, parent/caregiver and the clinical team. Change is inevitable in growing and developing children with Cerebral Palsy and the change that occurs is nonlinear and variable by subset of Cerebral Palsy.<ref name="p2">Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, et al. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. Jama. [Multicenter Study Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. 2002 Sep 18;288(11):1357-63</ref> The outcomes of interventions should be based on the expectations for children with Cerebral Palsy of the same age and gross motor function, rather than the established norms for children without developmental delays.<ref name="p3">Palisano RJ, Hanna SE, Rosenbaum PL, Russell DJ, Walter SD, Wood EP, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. Validation Studies]. 2000 Oct;80(10):974-85</ref>&nbsp;
This means the therapist can ensure they are providing the most appropriate intervention that meets the treatment goals and expectations of the child, parent/caregiver and the clinical team. Change is inevitable in growing and developing children with Cerebral Palsy and the change that occurs is nonlinear and variable by subset of Cerebral Palsy.<ref name="p2">Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, et al. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. Jama. [Multicenter Study Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. 2002 Sep 18;288(11):1357-63</ref> The outcomes of interventions should be based on the expectations for children with Cerebral Palsy of the same age and gross motor function, rather than the established norms for children without developmental delays.<ref name="p3">Palisano RJ, Hanna SE, Rosenbaum PL, Russell DJ, Walter SD, Wood EP, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. Validation Studies]. 2000 Oct;80(10):974-85</ref>&nbsp;

Revision as of 11:51, 28 July 2018

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Naomi O'Reilly and Amrita Patro  

Introduction[edit | edit source]

An outcome measure is any characteristic or quality measured to assess a patient’s status[1]. An outcome measure is the result of a test that is used to objectively determine the baseline function of a patient at the beginning of treatment. Once treatment has commenced, the same instrument can be used to determine progress and treatment efficacy. With the move towards Evidence Based Practice (EBP) in the Health Sciences, objective measures of outcome are important to provide credible and reliable justification for treatment. The instrument should also be convenient to use for the wheelchair service personnel and comfortable for the wheelchair user. An integral part of evaluating clinical practice is to objectively assess the intervention and measure it against a set of outcomes to determine its efficacy. [2] 

This means the therapist can ensure they are providing the most appropriate intervention that meets the treatment goals and expectations of the child, parent/caregiver and the clinical team. Change is inevitable in growing and developing children with Cerebral Palsy and the change that occurs is nonlinear and variable by subset of Cerebral Palsy.[3] The outcomes of interventions should be based on the expectations for children with Cerebral Palsy of the same age and gross motor function, rather than the established norms for children without developmental delays.[4] 

Reliability, Validity, Specificity and Responsiveness[edit | edit source]

Selecting the appropriate outcome measures can be used to establish more efficient and effective methods of intervention for children with varying presentations of Cerebral Palsy.[5] The elements that constitute effective outcome measures include:

1. Reliability: measures are constant over time and when used by different raters. [2] [6]

2. Validity: appropriate to assess what the clinician or researcher wants to assess in a manner that makes intrinsic sense. [2] [6]

3. Specificity: the ability to distinguish between the presence or absence of a certain condition in people. [2] [6]

4. Responsiveness: the ability to detect minimal, but clinically relevant changes. [2] [6]

The International Classification of Function, Disability and Health (ICF) is the World Health Organization's framework for measuring health and disability at both individual and population levels. The ICF has shifted the focus of the impairments in children with Cerebral Palsy from restriction in joint ROM or abnormal muscle tone to the evaluation of functions by assessing the quantitative and qualitative aspects of a child’s Activities of Daily Living (ADL). [7] It states that the focus of rehabilitation should be shifted from identifying a person’s disability to focusing on enhancing a person’s function, ability and performance quality for each individual in a contextual manner. The ICF identified domains that should be evaluated in children with Cerebral Palsy to include body function and structure, activity and participation. A consensus-based survey of clinicians, parents and youth with Cerebral Palsy supported these domains as relevant to the evaluation of all health care interventions in children with Cerebral Palsy. [8]

Sub Heading 2[edit | edit source]

Sub Heading 3[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. ↑ Fetters L, Tilson J. Evidence based physical therapy. FA Davis; 2012 May 5.
  2. ↑ 2.0 2.1 2.2 2.3 2.4 Debuse D, Brace H. Outcome Measures of Activity for Children with Cerebral Palsy: A Systematic Review. Pediatr Phys Ther. 2011 Fall;23(3):221-31
  3. ↑ Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, et al. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. Jama. [Multicenter Study Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.]. 2002 Sep 18;288(11):1357-63
  4. ↑ Palisano RJ, Hanna SE, Rosenbaum PL, Russell DJ, Walter SD, Wood EP, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. [Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. Validation Studies]. 2000 Oct;80(10):974-85
  5. ↑ Stanger M, Oresic S. Rehabilitation approaches for children with cerebral palsy: overview. J Child Neurol. [Review]. 2003 Sep;18 Suppl 1:S79-88
  6. ↑ 6.0 6.1 6.2 6.3 Jerosch-Herold C. An evidence-based approach to choosing outcome measures: a checklist for the critical appraisal of validity, reliability and responsiveness studies. British Journal of Occupational Therapy. 2005;68(8):347-53
  7. ↑ World Health Organisation. International Classifiaction of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization 2001
  8. ↑ Vargus-Adams JN, Martin LK. Measuring what matters in cerebral palsy: a breadth of important domains and outcome measures. Arch Phys Med Rehabil. [Research Support, N.I.H., Extramural]. 2009 Dec;90(12):2089-95
Retrieved from "https://www.physio-pedia.com/index.php?title=Wheelchair_Related_Outcome_Measures&oldid=194465"