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. 2024;17(2):147-165.
doi: 10.3233/PRM-230014.

Clinical outcomes measurement in pediatric lower limb prosthetics: A scoping review

Kevin D Koenig  1 , Michelle J Hall  1 , Caroline Gormley  2 , Mary Kaleta  3 , Meghan Munger  4 , Jennifer Laine  5   6   7 , Sara J Morgan  2   7   8
Affiliations

Clinical outcomes measurement in pediatric lower limb prosthetics: A scoping review

Kevin D Koenig et al. J Pediatr Rehabil Med. 2024.

Abstract

Objective: This study aimed to identify clinical measures that have been used to evaluate function, health related quality of life (HRQoL), and/or satisfaction in children who use lower limb prostheses (LLP). The data reported on psychometric properties for children who use LLP were collected for each measure.

Methods: First, PubMed, CINAHL, and Web of Science databases were searched using broad search terms to identify standardized outcome measures of function, HRQoL, and/or satisfaction with treatment used in pediatric LLP research published in 2001 or after. For each of the eligible measures found, a second search was performed to identify psychometric properties (e.g., validity, reliability) assessed with children who use LLP.

Results: Forty-four standardized outcome measures were identified from 41 pediatric LLP research articles. Five measures (i.e., Gait Outcomes Assessment for Lower Limb Differences, Functional Mobility Assessment, Child Amputee Prosthetics Project- Prosthesis Satisfaction Inventory, Child Amputee Prosthetics Project- Functional Scale Index, and Lower Limb Function Questionnaire) had data on psychometric properties for children who use LLP.

Conclusions: Few studies report psychometric data for assessing the overall HRQoL, function, and/or satisfaction for children who use LLP. Further research is needed to validate or create new outcome measures that assess the HRQoL, satisfaction, and/or function of children who use LLP.

Keywords: Outcome measures; amputation; artificial limbs; children; psychometric properties.

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Conflict of interest statement

The authors have no conflict of interest to report.

Figures

Fig. 1
Fig. 1
PRISMA 2020 Flow Diagram [98] for the primary search. The aim of the primary search was to identify outcome measures that were used in pediatric lower limb prosthetics research from 2001-present. The primary search resulted in the identification of 41 studies that described use of 44 unique outcome measures.
Fig. 2
Fig. 2
PRISMA 2020 Flow Diagram [98] for the secondary search. The aim of the secondary search was to identify articles that describe the psychometric assessment of outcome measures in children who use lower limb prostheses. The secondary search resulted in the identification of five eligible articles that described psychometric properties for five unique outcome measures.
See this image and copyright information in PMC

References

    1. Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422–9. doi: 10.1016/j.apmr.2007.11.005. - DOI - PubMed
    1. Condie E, Scott H, Treweek SP. Lower Limb Prosthetic Outcome Measures: A Review of the Literature 1995 to 2005. J Prosthet Orthot. 2006;18(6):P13–P45. doi: 10.1097/00008526-200601001-00004. - DOI
    1. Peters MDJ, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–26. doi: 10.11124/jbies-20-00167. - DOI - PubMed
    1. Peters MDJ, Marnie C, Colquhoun H, et al. Scoping reviews: reinforcing and advancing the methodology and application. Syst Rev. 2021;10(1):263. doi: 10.1186/s13643-021-01821-3. - DOI - PMC - PubMed
    1. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H Chapter 11: Scoping Reviews version) (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis. JBI; 2020.

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