Arm--Paralysis; Children with disabilities--Care--United States; Children with disabilities--Rehabilitation
The purpose of this systematic review was to determine the most appropriate outcome measures for two groups of children ages 4-7, 8-12 (younger and older) with upper extremity hemiparesis resulting from various diagnoses participating in a three week modified constraint-induced movement therapy (mCIMT) camp. A literature review was conducted to identify outcome measures used to assess mCIMT. Outcome measures were included in the review if they were standardized and appeared in at least two studies. A total of 15 outcome measures were included in the review and categorized into three groups, Areas of Occupation, Performance Skills, and Body Function, based on the second edition of the American Occupational Therapy Association (AOTA) Practice Framework. Psychometric properties and characteristics, such as age range and diagnosis, were used to assign points to each outcome measure. Based on the protocol of this study, the outcome measures suggested to assess a mCIMT camp were the ABILHAND-Kids to measure Areas of Occupation, the Melbourne Assessment of Unilateral Upper Limb Function (MUUL) and the Quality of Upper Extremity Skills Test (QUEST) depending on age for Performance Skills, and grip strength with a dynamometer to measure Body Function. Variation in mCIMT protocols and outcome measures made it difficult to compare measures. A more consistent use of outcome measures and protocols in future studies could increase the ability to compare effectiveness of outcome measures.
George S. Tomlin
Date of Completion
Master of Science in Occupational Therapy (MSOT)
Date of Award
University of Puget Sound