Selecting the appropriate outcome in paediatric physical therapy: how individual treatment goals of children with cerebral palsy are reflected in GMFM-88 and PEDI

J Rehabil Med. 2007 Apr;39(3):225-31. doi: 10.2340/16501977-0040.

Abstract

Objective: To assess to what extent individual physical therapy treatment goals for children with cerebral palsy are reflected in 2 standardized measures: the GMFM-88 and the PEDI.

Subjects: A total of 36 paediatric physical therapists working in primary healthcare with children with cerebral palsy in their caseload.

Methods: The International Classification of Functioning, Disability and Health was used as a measure to link individual treatment goals to the GMFM-88 and the PEDI.

Results: Sixty percent of the treatment goals were covered by the 2 measures. Twenty-seven percent and 21% of the goals were reflected in the GMFM-88 and the PEDI, respectively; 12% of the goals were reflected in both instruments. Another 26% of the treatment goals appeared to be partly covered (21% in PEDI and 5% in GMFM-88). Fourteen percent of the goals were not covered by the 2 measures.

Conclusion: Individual goals set in a physical therapy practice for children with cerebral palsy can be linked, to a large extent, to items and activities of 2 standardized measures.

MeSH terms

  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / psychology
  • Cerebral Palsy / rehabilitation*
  • Child
  • Child, Preschool
  • Disability Evaluation
  • Goals
  • Humans
  • Motor Activity
  • Outcome Assessment, Health Care
  • Physical Therapy Modalities
  • Psychomotor Performance
  • Surveys and Questionnaires
  • Treatment Outcome