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

Public ISBD Titre : Responsiveness of the ACTIVLIM-CP questionnaire measuring global activity performance in children with cerebral palsy Type de document : document électronique Auteurs : Julie Paradis ; Carlyne Arnould ; Jean-Louis Thonnard ; Laetitia Houx ; Christelle Pons-Becmeur ; Anne Renders ; Sylvain Brochard ; Yannick Bleyenheuft Année de publication : 2018 Note générale : Cet article est paru dans la revue Developmental Medecine & Child Neurology sous le DOI: 10.1111/dmcn.13927 Langues : Anglais (eng) Résumé : AIM To investigate the responsiveness of the ACTIVLIM-CP questionnaire after two evidence-based interventions for children with cerebral palsy (CP). METHOD Seventy-five children with CP either participated in an intensive motor-skill learning intervention (hand–arm bimanual intensive therapy including lower extremities [HABIT-ILE], n=47) or received botulinum neurotoxin-A (BoNT-A) injection(s) into lower extremities combined with conventional physical therapy (n=28). All children were assessed three times: at baseline (T0; before HABIT-ILE/the day of BoNT-A injection), at T1 (last day of HABIT-ILE/6wks after BoNT-A injection), and at follow-up (T2; 3 –4mo after the beginning of intervention). Parents completed ACTIVLIM-CP and three other activity questionnaires. Responsiveness was analysed using group (based on intervention), subgroup (based on gross motor function level), and individual approaches. RESULTS For the HABIT-ILE group, significant improvements in ACTIVLIM-CP were observed for the T0–T1 period (p<0.001) but not for the T1–T2 period. No significant changes were found in the BoNT-A group during assessments (p=0.84). In the subgroup analysis for the HABIT-ILE group (T0–T1), greater changes were demonstrated for children in Gross Motor Function Classification System levels III and IV (p<0.001, effect size=1.36). The individual approach was congruent with the group approach. INTERPRETATION ACTIVLIM-CP demonstrated high responsiveness after HABIT-ILE, showing that this scale may be used to investigate global activity performance in clinical trials focusing on improving daily life activities. En ligne : https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13927 Permalink : ./index.php?lvl=notice_display&id=98145 Responsiveness of the ACTIVLIM-CP questionnaire measuring global activity performance in children with cerebral palsy [document électronique] / Julie Paradis ; Carlyne Arnould ; Jean-Louis Thonnard ; Laetitia Houx ; Christelle Pons-Becmeur ; Anne Renders ; Sylvain Brochard ; Yannick Bleyenheuft . - 2018. Cet article est paru dans la revue Developmental Medecine & Child Neurology sous le DOI: 10.1111/dmcn.13927 Langues : Anglais (eng) Résumé : AIM To investigate the responsiveness of the ACTIVLIM-CP questionnaire after two evidence-based interventions for children with cerebral palsy (CP). METHOD Seventy-five children with CP either participated in an intensive motor-skill learning intervention (hand–arm bimanual intensive therapy including lower extremities [HABIT-ILE], n=47) or received botulinum neurotoxin-A (BoNT-A) injection(s) into lower extremities combined with conventional physical therapy (n=28). All children were assessed three times: at baseline (T0; before HABIT-ILE/the day of BoNT-A injection), at T1 (last day of HABIT-ILE/6wks after BoNT-A injection), and at follow-up (T2; 3 –4mo after the beginning of intervention). Parents completed ACTIVLIM-CP and three other activity questionnaires. Responsiveness was analysed using group (based on intervention), subgroup (based on gross motor function level), and individual approaches. RESULTS For the HABIT-ILE group, significant improvements in ACTIVLIM-CP were observed for the T0–T1 period (p<0.001) but not for the T1–T2 period. No significant changes were found in the BoNT-A group during assessments (p=0.84). In the subgroup analysis for the HABIT-ILE group (T0–T1), greater changes were demonstrated for children in Gross Motor Function Classification System levels III and IV (p<0.001, effect size=1.36). The individual approach was congruent with the group approach. INTERPRETATION ACTIVLIM-CP demonstrated high responsiveness after HABIT-ILE, showing that this scale may be used to investigate global activity performance in clinical trials focusing on improving daily life activities. En ligne : https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13927 Permalink : ./index.php?lvl=notice_display&id=98145

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