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.
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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.
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