Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial / Geoffroy Saussez in Journal of NeuroEngineering and Rehabilitation, 20 (Juillet 2023)  

Public ISBD [article]  inJournal of NeuroEngineering and Rehabilitation > 20 (Juillet 2023) Titre : Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial Type de document : texte imprimé Auteurs : Geoffroy Saussez ; R. Bailly ; Rodrigo Araneda ; Julie Paradis ; Daniela Ebner-Karestinos ; Anne Klöcker ; Emmanuel Segnon Sogbossi ; Inmaculada Riquelme ; S. Brochard ; Yannick Bleyenheuft Année de publication : 2023 Langues : Anglais (eng) Résumé : Background The implementation of virtual devices can facilitate the role of therapists (e.g., patient motivation, intensity of practice) to improve the effectiveness of treatment for children with cerebral palsy. Among existing therapeutic devices, none has been specifically designed to promote the application of principles underlying evidence-based motor skill learning interventions. Consequently, evidence is lacking regarding the effectiveness of virtual-based sessions in motor function rehabilitation with respect to promoting the transfer of motor improvements into daily life activities. We tested the effectiveness of implementing a recently developed virtual device (REAtouch®), specifically designed to enable the application of therapeutic motor skill learning principles, during a Hand Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention. Methods Forty children with unilateral cerebral palsy (5–18 years; MACS I-III; GMFCS I-II) were randomly assigned to a control group or a “REAtouch®” experimental group for a 90-h HABIT-ILE day-camp intervention (two weeks). Children in the REAtouch® group spent nearly half of their one-on-one therapeutic time using the REAtouch®. Participants underwent three testing sessions: the week before (T1), after intervention (T2), and at three months follow-up (T3). The primary outcome was the Assisting Hand Assessment (T3–T1; blinded). Secondary outcomes measured uni-bimanual hand function, stereognosis, gait endurance, daily life abilities, and functional goals. Accelerometers and a manual report of daily activities served to document therapeutic dosage and treatment characteristics. We used one-way RMANOVA to compare the efficacies of the two interventions, and non-inferiority analyses to contrast changes in the “REAtouch®” group versus the “HABIT-ILE” control group. Results We found significant improvements in both groups for most of the outcome measures (p < 0.05). There was significant non-inferiority of changes in the REAtouch® group for upper extremities motor function, functional goals attainment, and abilities in daily life activities (p < 0.05). Conclusions Use of the REAtouch® device during HABIT-ILE showed non-inferior efficacy compared to the conventional evidence-based HABIT-ILE intervention in children with unilateral cerebral palsy. This study demonstrates the feasibility of using this virtual device in a high dosage camp model, and establishes the possibility of applying the therapeutic principles of motor skill learning during specifically designed virtual-based sessions. Trial registration: Trial registration number: NCT03930836-Registration date on the International Clinical Trials Registry Platform (ICTRP): June 21th, 2018; Registration date on NIH Clinical Trials Registry: April 29th, 2019. First patient enrollment: July 3rd, 2018. En ligne : https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01218-4 Permalink : ./index.php?lvl=notice_display&id=112807 [article] Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial [texte imprimé] / Geoffroy Saussez ; R. Bailly ; Rodrigo Araneda ; Julie Paradis ; Daniela Ebner-Karestinos ; Anne Klöcker ; Emmanuel Segnon Sogbossi ; Inmaculada Riquelme ; S. Brochard ; Yannick Bleyenheuft . - 2023. Langues : Anglais (eng) in Journal of NeuroEngineering and Rehabilitation > 20 (Juillet 2023) Résumé : Background The implementation of virtual devices can facilitate the role of therapists (e.g., patient motivation, intensity of practice) to improve the effectiveness of treatment for children with cerebral palsy. Among existing therapeutic devices, none has been specifically designed to promote the application of principles underlying evidence-based motor skill learning interventions. Consequently, evidence is lacking regarding the effectiveness of virtual-based sessions in motor function rehabilitation with respect to promoting the transfer of motor improvements into daily life activities. We tested the effectiveness of implementing a recently developed virtual device (REAtouch®), specifically designed to enable the application of therapeutic motor skill learning principles, during a Hand Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention. Methods Forty children with unilateral cerebral palsy (5–18 years; MACS I-III; GMFCS I-II) were randomly assigned to a control group or a “REAtouch®” experimental group for a 90-h HABIT-ILE day-camp intervention (two weeks). Children in the REAtouch® group spent nearly half of their one-on-one therapeutic time using the REAtouch®. Participants underwent three testing sessions: the week before (T1), after intervention (T2), and at three months follow-up (T3). The primary outcome was the Assisting Hand Assessment (T3–T1; blinded). Secondary outcomes measured uni-bimanual hand function, stereognosis, gait endurance, daily life abilities, and functional goals. Accelerometers and a manual report of daily activities served to document therapeutic dosage and treatment characteristics. We used one-way RMANOVA to compare the efficacies of the two interventions, and non-inferiority analyses to contrast changes in the “REAtouch®” group versus the “HABIT-ILE” control group. Results We found significant improvements in both groups for most of the outcome measures (p < 0.05). There was significant non-inferiority of changes in the REAtouch® group for upper extremities motor function, functional goals attainment, and abilities in daily life activities (p < 0.05). Conclusions Use of the REAtouch® device during HABIT-ILE showed non-inferior efficacy compared to the conventional evidence-based HABIT-ILE intervention in children with unilateral cerebral palsy. This study demonstrates the feasibility of using this virtual device in a high dosage camp model, and establishes the possibility of applying the therapeutic principles of motor skill learning during specifically designed virtual-based sessions. Trial registration: Trial registration number: NCT03930836-Registration date on the International Clinical Trials Registry Platform (ICTRP): June 21th, 2018; Registration date on NIH Clinical Trials Registry: April 29th, 2019. First patient enrollment: July 3rd, 2018. En ligne : https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01218-4 Permalink : ./index.php?lvl=notice_display&id=112807

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Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE), cadre de pratique et effets de la thérapie : une revue de la portée / Julie Paradis in Ergothérapies, 85 (avril 2022)

Public ISBD [article]  inErgothérapies > 85 (avril 2022) . - p. 7-22 Titre : Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE), cadre de pratique et effets de la thérapie : une revue de la portée Type de document : texte imprimé Auteurs : Julie Paradis ; Daniela Ebner-Karestinos ; Rodrigo Araneda ; Geoffroy Saussez ; Yannick Bleyenheuft Année de publication : 2022 Article en page(s) : p. 7-22 Note générale : Cet article fait partie du dossier "Les occupations des enfants et de leurs aidants". Langues : Français (fre) Mots-clés : Apprentissage moteur structuré  Ergothérapie  Neuroréhabilitation  Occupational Therapy  Paralysie cérébrale  Revue de littérature  Revue de portée Résumé : Background. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) is one of the recommended interventions to improve motor function of children with unilateral (UCP) and bilateral (BCP) cerebral palsy. As this is a recent intervention, its effects and practice setting have not yet been reviewed. This is the objective of this work. Method. Three electronic databases (CINAHL, Embase, and Medline) were examined. The methodological framework for scoping reviews was followed (Arksey & O’Malley, 2005 ; Levac et al., 2010), as well as the Preferred Reporting Items for Systematic Review and Meta-analysis recommendations for reviews (Page et al., 2021). Results. Of the 63 studies identified, 15 studies were included. The population consisted of children with UCP and BCP aged 1 to 18 years with mild to severe activity limitations. The HABIT-ILE methodology was adapted in terms of number of hours of practice and type of activity according to the age and topography of the impairment. Improvements in manual ability, gross motor skills and performance in daily life were observed after HABIT-ILE. Preliminary results show improvements in cognitive function and other body structures and functions after HABIT-ILE. Conclusion. Improvements in motor function following HABIT-ILE were observed in a large panel of children with cerebral palsy. These results could pave the way for a better understanding of the potential clinical application of this type of approach despite organizational barriers. Permalink : ./index.php?lvl=notice_display&id=103762 [article] Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE), cadre de pratique et effets de la thérapie : une revue de la portée [texte imprimé] / Julie Paradis ; Daniela Ebner-Karestinos ; Rodrigo Araneda ; Geoffroy Saussez ; Yannick Bleyenheuft . - 2022 . - p. 7-22. Cet article fait partie du dossier "Les occupations des enfants et de leurs aidants". Langues : Français (fre) in Ergothérapies > 85 (avril 2022) . - p. 7-22 Mots-clés : Apprentissage moteur structuré  Ergothérapie  Neuroréhabilitation  Occupational Therapy  Paralysie cérébrale  Revue de littérature  Revue de portée Résumé : Background. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) is one of the recommended interventions to improve motor function of children with unilateral (UCP) and bilateral (BCP) cerebral palsy. As this is a recent intervention, its effects and practice setting have not yet been reviewed. This is the objective of this work. Method. Three electronic databases (CINAHL, Embase, and Medline) were examined. The methodological framework for scoping reviews was followed (Arksey & O’Malley, 2005 ; Levac et al., 2010), as well as the Preferred Reporting Items for Systematic Review and Meta-analysis recommendations for reviews (Page et al., 2021). Results. Of the 63 studies identified, 15 studies were included. The population consisted of children with UCP and BCP aged 1 to 18 years with mild to severe activity limitations. The HABIT-ILE methodology was adapted in terms of number of hours of practice and type of activity according to the age and topography of the impairment. Improvements in manual ability, gross motor skills and performance in daily life were observed after HABIT-ILE. Preliminary results show improvements in cognitive function and other body structures and functions after HABIT-ILE. Conclusion. Improvements in motor function following HABIT-ILE were observed in a large panel of children with cerebral palsy. These results could pave the way for a better understanding of the potential clinical application of this type of approach despite organizational barriers. Permalink : ./index.php?lvl=notice_display&id=103762

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Interrater Reliability of Activity Questionnaires After an Intensive Motor-Skill Learning Intervention for Children With Cerebral Palsy / Julie Paradis  

Public ISBD Titre : Interrater Reliability of Activity Questionnaires After an Intensive Motor-Skill Learning Intervention for Children With Cerebral Palsy Type de document : document électronique Auteurs : Julie Paradis ; Delphine Dispa ; Agnès de Montpellier ; Daniela Ebner-Karestinos ; Rodrigo Araneda ; Geoffroy Saussez ; Anne Renders ; Carlyne Arnould ; Yannick Bleyenheuft Année de publication : 2019 Note générale : Cet article est paru dans le revue Archives of Physical Medicine and Rehabilitation sous le https://doi.org/10.1016/j.apmr.2018.12.039 Langues : Anglais (eng) Mots-clés : Activities of daily living  Cerebral palsy  Neurological rehabilitation  Psychometrics  Questionnaire  Rehabilitation Résumé : Objective To investigate the reliability of parents-reported activity questionnaires after a motor-skill learning intervention for children with cerebral palsy (CP). We hypothesize that the intervention process might influence parental judgment. Design Double-blind randomized trial. Setting Conventional therapy was delivered in the usual context while intensive intervention was provided at the Catholic University of Louvain. Participants Children with CP (N=41; age range 5-18y, Gross Motor Function Classification System I-IV) were randomized to a control group (CG) (n=21, 2 dropouts) receiving conventional therapy or an intervention group (IG) (n=20) receiving hand-arm bimanual intensive therapy—including lower extremities (HABIT-ILE). Interventions Conventional therapy (mostly neurodevelopmental) was delivered as ongoing treatment (1-5 times/wk). HABIT-ILE, based on motor-skill learning, was delivered over 2 weeks. All children were assessed at T1 (baseline), T2 (3wk after baseline) and T3 (4mo after baseline). Main Outcomes Measures ABILHAND-Kids and ACTIVLIM-CP questionnaires rated by parents (perception) and 2 examiners (videotapes). Results Agreement (level/range) between examiners was systematically almost perfect (P≤.001). At baseline, moderate to almost perfect agreement (level/range) was observed between parents and examiners (P≤.001). At T2 and T3, a similar agreement (level/range) was observed for the CG. For the IG, a similar level of agreement was observed, but the range of agreement varied from poor to almost perfect (P≤.001), with parents estimating higher performance measures compared to examiners after intervention. Higher performance was associated with higher satisfaction scores of the child’s functional goals at T3. Conclusion Parents and examiners have a similar perception of the child’s performance at baseline and during conventional therapy. Their perceptions are less congruent after a motor-skill learning intervention, probably due to the goal-oriented process of the intervention. Therefore, our results favor the use of blind observations of home-videotaped items after intensive motor-skill learning interventions. En ligne : https://dial.uclouvain.be/pr/boreal/object/boreal:219712 Permalink : ./index.php?lvl=notice_display&id=98144 Interrater Reliability of Activity Questionnaires After an Intensive Motor-Skill Learning Intervention for Children With Cerebral Palsy [document électronique] / Julie Paradis ; Delphine Dispa ; Agnès de Montpellier ; Daniela Ebner-Karestinos ; Rodrigo Araneda ; Geoffroy Saussez ; Anne Renders ; Carlyne Arnould ; Yannick Bleyenheuft . - 2019. Cet article est paru dans le revue Archives of Physical Medicine and Rehabilitation sous le https://doi.org/10.1016/j.apmr.2018.12.039 Langues : Anglais (eng) Mots-clés : Activities of daily living  Cerebral palsy  Neurological rehabilitation  Psychometrics  Questionnaire  Rehabilitation Résumé : Objective To investigate the reliability of parents-reported activity questionnaires after a motor-skill learning intervention for children with cerebral palsy (CP). We hypothesize that the intervention process might influence parental judgment. Design Double-blind randomized trial. Setting Conventional therapy was delivered in the usual context while intensive intervention was provided at the Catholic University of Louvain. Participants Children with CP (N=41; age range 5-18y, Gross Motor Function Classification System I-IV) were randomized to a control group (CG) (n=21, 2 dropouts) receiving conventional therapy or an intervention group (IG) (n=20) receiving hand-arm bimanual intensive therapy—including lower extremities (HABIT-ILE). Interventions Conventional therapy (mostly neurodevelopmental) was delivered as ongoing treatment (1-5 times/wk). HABIT-ILE, based on motor-skill learning, was delivered over 2 weeks. All children were assessed at T1 (baseline), T2 (3wk after baseline) and T3 (4mo after baseline). Main Outcomes Measures ABILHAND-Kids and ACTIVLIM-CP questionnaires rated by parents (perception) and 2 examiners (videotapes). Results Agreement (level/range) between examiners was systematically almost perfect (P≤.001). At baseline, moderate to almost perfect agreement (level/range) was observed between parents and examiners (P≤.001). At T2 and T3, a similar agreement (level/range) was observed for the CG. For the IG, a similar level of agreement was observed, but the range of agreement varied from poor to almost perfect (P≤.001), with parents estimating higher performance measures compared to examiners after intervention. Higher performance was associated with higher satisfaction scores of the child’s functional goals at T3. Conclusion Parents and examiners have a similar perception of the child’s performance at baseline and during conventional therapy. Their perceptions are less congruent after a motor-skill learning intervention, probably due to the goal-oriented process of the intervention. Therefore, our results favor the use of blind observations of home-videotaped items after intensive motor-skill learning interventions. En ligne : https://dial.uclouvain.be/pr/boreal/object/boreal:219712 Permalink : ./index.php?lvl=notice_display&id=98144

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Mirror movements after bimanual intensive therapy in children with unilateral cerebral palsy : A randomized controlled trial / Rodrigo Araneda in Developmental Medecine & Child Neurology, Volume 64 n°11 (Avril 2022)  

Public ISBD [article]  inDevelopmental Medecine & Child Neurology > Volume 64 n°11 (Avril 2022) Titre : Mirror movements after bimanual intensive therapy in children with unilateral cerebral palsy : A randomized controlled trial Type de document : document électronique Auteurs : Rodrigo Araneda ; Enimie Herman ; Louis Delcour ; Anne Klöcker ; Geoffroy Saussez ; Julie Paradis ; Daniela Ebner-Karestinos ; Yannick Bleyenheuft Année de publication : 2022 Langues : Anglais (eng) Résumé : Aim To investigate potential changes in mirror movements after Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) training in children with unilateral cerebral palsy (CP). Method Thirty-one children with unilateral CP (mean age 9 years 4 months, SD 4 years 3 months; range 5 years 4 months–17 years 3 months; 14 females, 17 males) were randomized to either a control or treatment group. After allocation, children were assessed three times: before (T1, baseline) and after (T2) a 2-week interval and again at 3 months after T1 (T3) as follow-up. Between T1 and T2, the treatment group received 90 hours of HABIT-ILE training, while the control group continued their customary treatment. Mirror movements were assessed in all children using the Woods and Teuber Scale, as well as the Assisting Hand Assessment, Pediatric Evaluation of Disability Inventory, and Canadian Occupational Performance Measure. Results Repeated measures analysis of variance indicated a significant decrease in mirror movements in the more-affected (mean difference = 0.97; 95% confidence interval [CI] = 0.51–1.42; p < 0.001) and less-affected (mean difference = 0.71; 95% CI = 0.37–1.0; p < 0.001) hands of children after HABIT-ILE; these improvements were maintained at the 3-month follow-up. Moreover, the mirror movement changes observed at the second assessment (T2) were inversely correlated with changes in the assessment of activities of daily living, especially in the less-affected hand. Interpretation HABIT-ILE decreased the intensity of mirror movements in a group of children with CP. Furthermore, mirror movement changes were associated with bimanual performance and activities of daily living in these children. En ligne : https://onlinelibrary.wiley.com/doi/abs/10.1111/dmcn.15257 Permalink : ./index.php?lvl=notice_display&id=112810 [article] Mirror movements after bimanual intensive therapy in children with unilateral cerebral palsy : A randomized controlled trial [document électronique] / Rodrigo Araneda ; Enimie Herman ; Louis Delcour ; Anne Klöcker ; Geoffroy Saussez ; Julie Paradis ; Daniela Ebner-Karestinos ; Yannick Bleyenheuft . - 2022. Langues : Anglais (eng) in Developmental Medecine & Child Neurology > Volume 64 n°11 (Avril 2022) Résumé : Aim To investigate potential changes in mirror movements after Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) training in children with unilateral cerebral palsy (CP). Method Thirty-one children with unilateral CP (mean age 9 years 4 months, SD 4 years 3 months; range 5 years 4 months–17 years 3 months; 14 females, 17 males) were randomized to either a control or treatment group. After allocation, children were assessed three times: before (T1, baseline) and after (T2) a 2-week interval and again at 3 months after T1 (T3) as follow-up. Between T1 and T2, the treatment group received 90 hours of HABIT-ILE training, while the control group continued their customary treatment. Mirror movements were assessed in all children using the Woods and Teuber Scale, as well as the Assisting Hand Assessment, Pediatric Evaluation of Disability Inventory, and Canadian Occupational Performance Measure. Results Repeated measures analysis of variance indicated a significant decrease in mirror movements in the more-affected (mean difference = 0.97; 95% confidence interval [CI] = 0.51–1.42; p < 0.001) and less-affected (mean difference = 0.71; 95% CI = 0.37–1.0; p < 0.001) hands of children after HABIT-ILE; these improvements were maintained at the 3-month follow-up. Moreover, the mirror movement changes observed at the second assessment (T2) were inversely correlated with changes in the assessment of activities of daily living, especially in the less-affected hand. Interpretation HABIT-ILE decreased the intensity of mirror movements in a group of children with CP. Furthermore, mirror movement changes were associated with bimanual performance and activities of daily living in these children. En ligne : https://onlinelibrary.wiley.com/doi/abs/10.1111/dmcn.15257 Permalink : ./index.php?lvl=notice_display&id=112810

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Normative values and discriminative ability acrossfunctional levels of ACTIVLIM-CP, a measure of global activity performance for children withcerebral palsy / Julie Paradis

Public ISBD Titre : Normative values and discriminative ability acrossfunctional levels of ACTIVLIM-CP, a measure of global activity performance for children withcerebral palsy Type de document : document électronique Auteurs : Julie Paradis ; Carlyne Arnould ; Yannick Bleyenheuft Année de publication : 2019 Note générale : Cet article est paru dans le revue Disability and Rehabilitation sous le https://doi.org/10.1080/09638288.2019.1573270 Langues : Anglais (eng) Mots-clés : Cerebral palsy  questionnaire  normativevalues  discriminative ability Résumé : Purpose:This study aims to provide normative values of a global activity performance questionnaire(ACTIVLIM-CP) and investigate its ability to discriminate children with cerebral palsy of various func-tional levels.Methods:Parents of 503 typically developing children aged 2–18 years old (mean age ± standard devi-ation (SD): 9.56 ± 4.62 years) and 285 children with cerebral palsy aged 2–18 years old (mean age ±SD:10.08± 4.09 years) answered ACTIVLIM-CP. To provide normative values, influence of typically developingchildren’s characteristics on ACTIVLIM-CP measures was investigated with a multiple linear regression. AKruskal–Wallis test and Dunn’spost-hoctests were performed to investigate age differences in ACTIVLIM-CP measures. Discriminative ability of ACTIVLIM-CP was investigated using a one-way analysis of varianceandpost-hoctests between children with cerebral palsy who differed in manual and gross motor func-tional levels.Results:In typically developing children, age was the strongest predictor, explaining 74% of the varianceof ACTIVLIM-CP measures (b¼0.86,t¼38.21,p<0.001). ACTIVLIM-CP measure increased with age until17–18 years old where all children reached the maximal value, although 50% of the children at 12 yearsold already reached the maximal measure. Normative values were developed for each age bracket. Inaddition, ACTIVLIM-CP was able to discriminate children with CP’s performance measures across mostmanual ability and gross motor functional levels.Conclusions:Normative values developed in this study with a representative sample of typically develop-ing children allow clinicians to appraise the functional delay of children with cerebral palsy from the nor-mal development of global activity performance. The good discriminative ability of ACTIVLIM-CP supportits precision, construct validity, and clinical relevance to describe global activity limitations in childrenwith cerebral palsy with manual ability levels and gross motor function levels II–V. Permalink : ./index.php?lvl=notice_display&id=98146 Normative values and discriminative ability acrossfunctional levels of ACTIVLIM-CP, a measure of global activity performance for children withcerebral palsy [document électronique] / Julie Paradis ; Carlyne Arnould ; Yannick Bleyenheuft . - 2019. Cet article est paru dans le revue Disability and Rehabilitation sous le https://doi.org/10.1080/09638288.2019.1573270 Langues : Anglais (eng) Mots-clés : Cerebral palsy  questionnaire  normativevalues  discriminative ability Résumé : Purpose:This study aims to provide normative values of a global activity performance questionnaire(ACTIVLIM-CP) and investigate its ability to discriminate children with cerebral palsy of various func-tional levels.Methods:Parents of 503 typically developing children aged 2–18 years old (mean age ± standard devi-ation (SD): 9.56 ± 4.62 years) and 285 children with cerebral palsy aged 2–18 years old (mean age ±SD:10.08± 4.09 years) answered ACTIVLIM-CP. To provide normative values, influence of typically developingchildren’s characteristics on ACTIVLIM-CP measures was investigated with a multiple linear regression. AKruskal–Wallis test and Dunn’spost-hoctests were performed to investigate age differences in ACTIVLIM-CP measures. Discriminative ability of ACTIVLIM-CP was investigated using a one-way analysis of varianceandpost-hoctests between children with cerebral palsy who differed in manual and gross motor func-tional levels.Results:In typically developing children, age was the strongest predictor, explaining 74% of the varianceof ACTIVLIM-CP measures (b¼0.86,t¼38.21,p<0.001). ACTIVLIM-CP measure increased with age until17–18 years old where all children reached the maximal value, although 50% of the children at 12 yearsold already reached the maximal measure. Normative values were developed for each age bracket. Inaddition, ACTIVLIM-CP was able to discriminate children with CP’s performance measures across mostmanual ability and gross motor functional levels.Conclusions:Normative values developed in this study with a representative sample of typically develop-ing children allow clinicians to appraise the functional delay of children with cerebral palsy from the nor-mal development of global activity performance. The good discriminative ability of ACTIVLIM-CP supportits precision, construct validity, and clinical relevance to describe global activity limitations in childrenwith cerebral palsy with manual ability levels and gross motor function levels II–V. Permalink : ./index.php?lvl=notice_display&id=98146

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Responsiveness of the ACTIVLIM-CP questionnaire measuring global activity performance in children with cerebral palsy / Julie Paradis  

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