An international consensus study for use of paediatric lower limb neurological impairment tests by physiotherapists

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Clark, Ramona
Wells, cherie
Bialocerkowski, Andrea
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2017
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Sydney, Australia

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Abstract

Aim: To gain consensus on factors perceived to influence paediatric lower limb neurological testing. Design: A modified electronic Delphi technique over two sequential survey rounds. Method: An expert panel of experienced paediatric neurological physiotherapy clinicians and academics (n = 34) were invited to participate. Questionnaire 1 was developed using existing literature and open-ended questions. Experts ranked statements via an electronic survey using a 1-6 Likert scale (strongly agree, agree, somewhat agree, somewhat disagree, disagree, strongly disagree). Questionnaire 2 was developed from thematic analysis of the openended questions and sought opinion on statements without consensus. Apriori criteria for consensus was pre-set at 65% agreement/disagreement and median and interquartile range score (25%, 75%) estimated perceived importance. Results: Twenty-six experts from nine countries completed Questionnaire 1, and 24 completed Questionnaire 2. Consensus was reached on 292/316 items (92%). Experts perceived with strong agreement (>85%) and moderate importance (median = agree and interquartile range = somewhat agreestrongly agree) that variations in therapist’s experience, expertise, equipment and time constraints may influence the process and outcomes of a paediatric neurological test. They also perceived with strong agreement and moderate importance that a child’s developmental age, behaviour (including compliance and motivation), cognitive and language abilities could influence neurological testing.

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Australian Physiotherapy Association (APA) MOMEMTUM 2017

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© 2017 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.

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Neurology and neuromuscular diseases

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Clark, R; Wells, C; Bialocerkowski, A, An international consensus study for use of paediatric lower limb neurological impairment tests by physiotherapists, Australian Physiotherapy Association (APA) MOMEMTUM 2017, 2017