Goal Attainment Scaling in paediatric rehabilitation: a report on the clinical training of an interdisciplinary team

Steenbeek, Duco; Ketelaar, Marjolijn; Galama, Krys; Gorter, Jan Willem

doi:10.1111/j.1365-2214.2008.00841.x

Cited by 63 publications

(66 citation statements)

References 15 publications

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“…Can be time consuming and difficult to score. Training is strongly recommended prior to use in effect studies with children [74]. Reliability, validity and responsiveness for children functioning at GMFCS IV and V need further development.…”

Section: Adequate Gas [44] (A and P)mentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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Gait trainers are walking devices that provide additional trunk and pelvic support. The primary population of children using gait trainers includes children with cerebral palsy (CP) functioning at Gross Motor Function Classification System (GMFCS) levels IV and V. A recent systematic review found that evidence supporting the effectiveness of gait trainer interventions for children was primarily descriptive and insufficient to draw firm conclusions. A major limitation identified was the lack of valid, sensitive and reliable tools for measuring change in body structure and function, activity and participation outcomes. Twelve different clinical tools were identified in the systematic review and in this paper we review and discuss the evidence supporting their reliability, validity and clinical utility for use with children using gait trainers. We also describe seven additional clinical measurement tools that may be useful with this intervention and population. The Pediatric Evaluation of Disability Inventory (PEDI) rated highest across all areas at this time. Individualized outcome measures, such as the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling and measuring user satisfaction with tools, such as the Quebec User Evaluation of Satisfaction with assistive Technology, show potential for gait trainer outcomes research. Spatiotemporal measures appear to be less useful than functional measures with this intervention and population. All tools would benefit from further development for use with children with CP functioning at GMFCS levels IV and V.

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Section: Adequate Gas [44] (A and P)mentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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“…With the GAS, the most important functional goal for the affected arm and hand was broken down into attainable subgoals during the preintervention assessment with the parents. 30,33 In this study, the perceived outcome was scaled from −3 to +2. A score of −3 indicated a level lower than the initial performance level, −2 indicated an unchanged level of performance, −1 indicated a level lower than the desired outcome, 0 indicated the desired outcome level had been achieved, +1 indicated somewhat more improvement than expected, and +2 indicated much more improvement than expected (a total of 6 levels of performance).…”

Section: Outcome Assessmentsmentioning

confidence: 99%

Effectiveness of Modified Constraint-Induced Movement Therapy in Children With Unilateral Spastic Cerebral Palsy: A Randomized Controlled Trial

Aarts

Jongerius

Geerdink

et al. 2010

Neurorehabil Neural Repair

157

190

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Background. In children with unilateral spastic cerebral palsy (CP), there is only limited evidence for the effectiveness of modified constraint-induced movement therapy (mCIMT). Objective. To investigate whether 6 weeks of mCIMT followed by 2 weeks of bimanual task-specific training (mCIMT-BiT) in children with unilateral spastic CP improves the spontaneous use of the affected limb in both qualitative and quantitative terms more than usual care (UC) of the same duration. Methods. Children with unilateral spastic CP with Manual Ability Classification System (MACS) scores I, II, or III and aged 2.5 to 8 years were recruited and randomly allocated to either the mCIMT-BiT group (three 3-hour sessions per week: 6 weeks of mCIMT, followed by 2 weeks of task-specific training in goal-directed bimanual play and self-care activities) or to 1.5 hours of more general physical or occupational weekly plus encouragement to use the affected hand for the UC group. Primary outcome measures were the Assisting Hand Assessment and the ABILHAND-Kids. Secondary outcomes were the Melbourne Assessment of Unilateral Upper Limb Function, the Canadian Occupational Performance Measure, and the Goal Attainment Scale. Results. Twenty-eight children were allocated to mCIMT-BiT and 24 to UC. Except for the Melbourne, all primary and secondary outcome measures demonstrated significant improvements in the mCIMT-BiT group. Conclusion. mCIMT followed by task-specific training of goal-directed bimanual play and self-care activities is an effective intervention to improve the spontaneous use of the more affected upper limb in children with relatively good baseline upper extremity function.

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“…The scores before and after the intervention were then compared. A Goal Attainment Scale (GAS) was used with negotiated practical goals providing an individualized, criterion-referenced measure of change (19,20). The scale is ranked as follows: -2 (baseline), -1 (outcome less than expected), 0 (expected outcome), +1 (outtcome greater than expected), +2 (outcome much greater than expected).…”

Section: Discussionmentioning

confidence: 99%

Children with myelomeningocele and independence in the toilet activity: A pilot study

Donlau¹,

Mattsson

Glad-Mattsson

2012

Scandinavian Journal of Occupational Therapy

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Goal Attainment Scaling in paediatric rehabilitation: a report on the clinical training of an interdisciplinary team

Abstract: The experiences reported in this paper support the further development of training procedures for GAS before it can be used as an outcome measure in effect studies. The findings may be helpful in introducing GAS in the field of childhood disability.

Cited by 63 publications

References 15 publications

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Effectiveness of Modified Constraint-Induced Movement Therapy in Children With Unilateral Spastic Cerebral Palsy: A Randomized Controlled Trial

Children with myelomeningocele and independence in the toilet activity: A pilot study

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