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  • Are paediatric lower limb neurological tests clinimetrically sound? A systematic review

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    Clark449833-Accepted.pdf (18.84Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Clark, Ramona
    Locke, Melissa
    Hill, Bridget
    Bialocerkowski, Andrea
    Griffith University Author(s)
    Clark, Ramona L.
    Bialocerkowski, Andrea E.
    Year published
    2015
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    Abstract
    Questions: Do clinimetrically-sound lower limb neurological examinations exist for paediatric individuals aged under 18 years with a neurological condition? Design: Systematic review with clinimetric properties from studies critically appraised and synthesised. Participants: Primary studies focussed on the clinimetric evaluation of lower limb neurological tests for muscle strength, sensation, or reflexes for children and young people with a neurological condition. Outcome Measures: The methodological quality of each primary study was rated from poor to excellent using a critical appraisal tool. Clinimetric properties for ...
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    Questions: Do clinimetrically-sound lower limb neurological examinations exist for paediatric individuals aged under 18 years with a neurological condition? Design: Systematic review with clinimetric properties from studies critically appraised and synthesised. Participants: Primary studies focussed on the clinimetric evaluation of lower limb neurological tests for muscle strength, sensation, or reflexes for children and young people with a neurological condition. Outcome Measures: The methodological quality of each primary study was rated from poor to excellent using a critical appraisal tool. Clinimetric properties for each neurological test were then synthesised. Results: Eight clinimetric studies were identified. All evaluated the reliability of lower limb muscle strength. Strength, however, was evaluated using a variety of different tests. The quality of these studies was rated as fair to good and variable reliability was found. Hand-held dynamometer had the greatest volume of evidence in children and young people with cerebral palsy. However, the evidence appeared too variable to support its use. Conclusion: The limited clinimetric properties found for lower limb muscle strength tests in children with a neurological condition demonstrates that additional high quality research is required for neurological examinations of the lower limb in paediatric individuals with a neurological condition.
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    Conference Title
    CONNECT Physiotherapy Conference 2015 (CONNECT 2015)
    Publisher URI
    https://australian.physio/
    Copyright Statement
    © 2015 Australian Physiotherapy Society. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the conference's website for access to the definitive, published version.
    Subject
    Neurology and neuromuscular diseases
    Publication URI
    http://hdl.handle.net/10072/399389
    Collection
    • Conference outputs

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