Abstract

Aim

To identify available judgment-based measures of ambulation with assistive devices for the purpose of examining item content and responses to aid in the expansion of the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) Mobility Domain.

Methods

PubMed and CINAHL databases were used to identify measures meeting the following criteria: 1) applicable for children/youth; 2) self-report, proxy-report, or interview administration; and 3) assistive device (walker, cane, crutches, gait trainer) use specified or considered with responses. Population, administration, respondent(s), items, and responses were compiled. Item content was categorized and response scales grouped by type.

Results

Fifteen measures met inclusion criteria. Measures included child and proxy-report. Item categories included Surfaces, Steps/Stairs, Dual Tasks, Negotiation of Environment, Distance, and Time. Only two measures distinguished between device type within items. One measure specified gait trainers. “Difficulty” and “Assistance” were the most frequently used response scales.

Conclusions

Available measures have content examining device use; however, none of the measures are comprehensive, devices are not consistently specified, and responses are imprecise. Items with well-defined responses for measuring a child’s ambulation with an assistive device are needed for clinical practice, research, and program evaluation.

中文翻译：

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儿童和青少年辅助器具行走的基于判断的措施的范围审查

摘要

目标

使用辅助设备确定可用的基于判断的步行测量，以检查项目内容和响应，以帮助扩展残疾清单计算机自适应测试 (PEDI-CAT) 移动领域的儿科评估。

方法

使用 PubMed 和 CINAHL 数据库来确定满足以下标准的措施：1) 适用于儿童/青年；2) 自我报告、代理报告或面谈管理；和 3) 辅助装置（助行器、手杖、拐杖、步态训练器）的使用指定或考虑响应。编制了人口、行政、受访者、项目和回应。项目内容被分类，响应量表按类型分组。

结果

十五项措施符合纳入标准。措施包括儿童和代理报告。项目类别包括表面、台阶/楼梯、双重任务、环境协商、距离和时间。只有两个度量可以区分项目内的设备类型。一项措施指定了步态训练器。“困难”和“协助”是最常用的反应量表。

结论

可用措施有内容检查器使用；然而，没有一项措施是全面的，设备没有一致指定，响应也不准确。临床实践、研究和项目评估需要具有明确反应的项目，用于使用辅助设备测量儿童的行走能力。