Identification of a core set of exercise tests for children and adolescents with cerebral palsy: a Delphi survey of researchers and clinicians

O. Verschuren, M. Ketelaar, D. Keefer, V. Wright, J. Butler, L. Ada, C. Maher, Siobhan Reid, M. Wright, B. Dalziel, L. Wiart, E. Fowler, V. Unnithan, D.B. Maltais, R. Van Den Berg-Emons, T. Takken

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

AIM Evidence-based recommendations regarding which exercise tests to use in children and adolescents with cerebral palsy (CP) are lacking. This makes it very difficult for therapists and researchers to choose the appropriate exercise-related outcome measures for this group. This study aimed to identify a core set of exercise tests for children and adolescents with CP.METHOD Fifteen experts (10 physical therapists/researchers and five exercise physiologists; three from the Netherlands, two from the USA, one from the UK, five from Canada, and four from Australia) participated in a Delphi survey which took four stages to achieve a consensus. Based on the information that was collected during the survey, a core set of measures was identified for levels I to IV of the Gross Motor Function Classification System(GMFCS).RESULTS For children with CP classified at GMFCS levels I and II, tests were identified for two motor skills (walking and cycling). For the subgroup of children with CP classified at GMFCS level III, the tests that were identified related to walking, cycling, and arm cranking. For children with CP classified at GMFCS level IV, the tests included in the core set were related to cycling and arm cranking.INTERPRETATION The core set will help physical therapists, exercise physiologists, and other health professionals who work with children and adolescents with CP to decide which test(s) to use in clinical practice or research. This will facilitate comparability of results across studies and clinical programmes.
Original languageEnglish
Pages (from-to)449-456
JournalDevelopmental Medicine and Child Neurology
Volume53
DOIs
Publication statusPublished - 2011

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Cerebral Palsy
Exercise Test
Research Personnel
Physical Therapists
Exercise
Walking
Motor Skills
Netherlands
Canada
Surveys and Questionnaires
Consensus
Outcome Assessment (Health Care)
Health
Research

Cite this

Verschuren, O. ; Ketelaar, M. ; Keefer, D. ; Wright, V. ; Butler, J. ; Ada, L. ; Maher, C. ; Reid, Siobhan ; Wright, M. ; Dalziel, B. ; Wiart, L. ; Fowler, E. ; Unnithan, V. ; Maltais, D.B. ; Van Den Berg-Emons, R. ; Takken, T. / Identification of a core set of exercise tests for children and adolescents with cerebral palsy: a Delphi survey of researchers and clinicians. In: Developmental Medicine and Child Neurology. 2011 ; Vol. 53. pp. 449-456.
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abstract = "AIM Evidence-based recommendations regarding which exercise tests to use in children and adolescents with cerebral palsy (CP) are lacking. This makes it very difficult for therapists and researchers to choose the appropriate exercise-related outcome measures for this group. This study aimed to identify a core set of exercise tests for children and adolescents with CP.METHOD Fifteen experts (10 physical therapists/researchers and five exercise physiologists; three from the Netherlands, two from the USA, one from the UK, five from Canada, and four from Australia) participated in a Delphi survey which took four stages to achieve a consensus. Based on the information that was collected during the survey, a core set of measures was identified for levels I to IV of the Gross Motor Function Classification System(GMFCS).RESULTS For children with CP classified at GMFCS levels I and II, tests were identified for two motor skills (walking and cycling). For the subgroup of children with CP classified at GMFCS level III, the tests that were identified related to walking, cycling, and arm cranking. For children with CP classified at GMFCS level IV, the tests included in the core set were related to cycling and arm cranking.INTERPRETATION The core set will help physical therapists, exercise physiologists, and other health professionals who work with children and adolescents with CP to decide which test(s) to use in clinical practice or research. This will facilitate comparability of results across studies and clinical programmes.",
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Verschuren, O, Ketelaar, M, Keefer, D, Wright, V, Butler, J, Ada, L, Maher, C, Reid, S, Wright, M, Dalziel, B, Wiart, L, Fowler, E, Unnithan, V, Maltais, DB, Van Den Berg-Emons, R & Takken, T 2011, 'Identification of a core set of exercise tests for children and adolescents with cerebral palsy: a Delphi survey of researchers and clinicians' Developmental Medicine and Child Neurology, vol. 53, pp. 449-456. https://doi.org/10.1111/j.1469-8749.2010.03899.x

Identification of a core set of exercise tests for children and adolescents with cerebral palsy: a Delphi survey of researchers and clinicians. / Verschuren, O.; Ketelaar, M.; Keefer, D.; Wright, V.; Butler, J.; Ada, L.; Maher, C.; Reid, Siobhan; Wright, M.; Dalziel, B.; Wiart, L.; Fowler, E.; Unnithan, V.; Maltais, D.B.; Van Den Berg-Emons, R.; Takken, T.

In: Developmental Medicine and Child Neurology, Vol. 53, 2011, p. 449-456.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Identification of a core set of exercise tests for children and adolescents with cerebral palsy: a Delphi survey of researchers and clinicians

AU - Verschuren, O.

AU - Ketelaar, M.

AU - Keefer, D.

AU - Wright, V.

AU - Butler, J.

AU - Ada, L.

AU - Maher, C.

AU - Reid, Siobhan

AU - Wright, M.

AU - Dalziel, B.

AU - Wiart, L.

AU - Fowler, E.

AU - Unnithan, V.

AU - Maltais, D.B.

AU - Van Den Berg-Emons, R.

AU - Takken, T.

PY - 2011

Y1 - 2011

N2 - AIM Evidence-based recommendations regarding which exercise tests to use in children and adolescents with cerebral palsy (CP) are lacking. This makes it very difficult for therapists and researchers to choose the appropriate exercise-related outcome measures for this group. This study aimed to identify a core set of exercise tests for children and adolescents with CP.METHOD Fifteen experts (10 physical therapists/researchers and five exercise physiologists; three from the Netherlands, two from the USA, one from the UK, five from Canada, and four from Australia) participated in a Delphi survey which took four stages to achieve a consensus. Based on the information that was collected during the survey, a core set of measures was identified for levels I to IV of the Gross Motor Function Classification System(GMFCS).RESULTS For children with CP classified at GMFCS levels I and II, tests were identified for two motor skills (walking and cycling). For the subgroup of children with CP classified at GMFCS level III, the tests that were identified related to walking, cycling, and arm cranking. For children with CP classified at GMFCS level IV, the tests included in the core set were related to cycling and arm cranking.INTERPRETATION The core set will help physical therapists, exercise physiologists, and other health professionals who work with children and adolescents with CP to decide which test(s) to use in clinical practice or research. This will facilitate comparability of results across studies and clinical programmes.

AB - AIM Evidence-based recommendations regarding which exercise tests to use in children and adolescents with cerebral palsy (CP) are lacking. This makes it very difficult for therapists and researchers to choose the appropriate exercise-related outcome measures for this group. This study aimed to identify a core set of exercise tests for children and adolescents with CP.METHOD Fifteen experts (10 physical therapists/researchers and five exercise physiologists; three from the Netherlands, two from the USA, one from the UK, five from Canada, and four from Australia) participated in a Delphi survey which took four stages to achieve a consensus. Based on the information that was collected during the survey, a core set of measures was identified for levels I to IV of the Gross Motor Function Classification System(GMFCS).RESULTS For children with CP classified at GMFCS levels I and II, tests were identified for two motor skills (walking and cycling). For the subgroup of children with CP classified at GMFCS level III, the tests that were identified related to walking, cycling, and arm cranking. For children with CP classified at GMFCS level IV, the tests included in the core set were related to cycling and arm cranking.INTERPRETATION The core set will help physical therapists, exercise physiologists, and other health professionals who work with children and adolescents with CP to decide which test(s) to use in clinical practice or research. This will facilitate comparability of results across studies and clinical programmes.

U2 - 10.1111/j.1469-8749.2010.03899.x

DO - 10.1111/j.1469-8749.2010.03899.x

M3 - Article

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SP - 449

EP - 456

JO - Developmental Medicine & Child Neurology

JF - Developmental Medicine & Child Neurology

SN - 0012-1622

ER -