A systematic review of scales to measure dystonia and choreoathetosis in children with dyskinetic cerebral palsy

Stewart, Kirsty, Harvey, Adrienne and Johnston, Leanne M. (2017) A systematic review of scales to measure dystonia and choreoathetosis in children with dyskinetic cerebral palsy. Developmental Medicine and Child Neurology, 59 8: 786-795. doi:10.1111/dmcn.13452


Author Stewart, Kirsty
Harvey, Adrienne
Johnston, Leanne M.
Title A systematic review of scales to measure dystonia and choreoathetosis in children with dyskinetic cerebral palsy
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2017-08-01
Year available 2017
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/dmcn.13452
Open Access Status Not yet assessed
Volume 59
Issue 8
Start page 786
End page 795
Total pages 10
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract To identify and systematically review the psychometric properties and clinical utility of dystonia and choreoathetosis scales reported for children with cerebral palsy (CP).

Six electronic databases were searched for dystonia and choreoathetosis scales with original psychometric data for children with CP aged 0 to 18 years.

Thirty-four papers met the inclusion criteria, which contained six scales purported to measure dystonia and/or choreoathetosis in children with CP: the Burke-Fahn-Marsden Dystonia Rating Scale; Barry-Albright Dystonia Scale; Unified Dystonia Rating Scale; Movement Disorder-Childhood Rating Scale; Movement Disorder-Childhood Rating Scale 0-3 Years; and the Dyskinesia Impairment Scale.

Each scale provides useful information about dyskinesia, with most focusing on dystonia. The Barry-Albright Dystonia Scale, which was designed for CP, is the most commonly reported scale and least complex to use clinically. The Dyskinesia Impairment Scale is the only tool to consider both dystonia and choreoathetosis in CP. All tools are designed to classify movement disorders at the level of body functions and structures, rather than activity limitations or participation restrictions, although many provide some insight into the impact of dystonia on activities. Further studies are required to fully examine the validity, reliability, responsiveness, and clinical utility of each scale specifically for children with CP.
Formatted abstract
Aim

To identify and systematically review the psychometric properties and clinical utility of dystonia and choreoathetosis scales reported for children with cerebral palsy (CP).

Method

Six electronic databases were searched for dystonia and choreoathetosis scales with original psychometric data for children with CP aged 0 to 18 years.

Results

Thirty-four papers met the inclusion criteria, which contained six scales purported to measure dystonia and/or choreoathetosis in children with CP: the Burke–Fahn–Marsden Dystonia Rating Scale; Barry–Albright Dystonia Scale; Unified Dystonia Rating Scale; Movement Disorder-Childhood Rating Scale; Movement Disorder-Childhood Rating Scale 0–3 Years; and the Dyskinesia Impairment Scale.

Interpretation

Each scale provides useful information about dyskinesia, with most focusing on dystonia. The Barry–Albright Dystonia Scale, which was designed for CP, is the most commonly reported scale and least complex to use clinically. The Dyskinesia Impairment Scale is the only tool to consider both dystonia and choreoathetosis in CP. All tools are designed to classify movement disorders at the level of body functions and structures, rather than activity limitations or participation restrictions, although many provide some insight into the impact of dystonia on activities. Further studies are required to fully examine the validity, reliability, responsiveness, and clinical utility of each scale specifically for children with CP.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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