Content » Vol 45, Issue 1

Review article

Psychometric evidence of spasticity measurement tools in cerebral palsy children and adolescents: A systematic review

Véronique H. Flamand, Hugo Massé-Alarie, Cyril Schneider
Axe neurosciences du Centre de recherche du CHU de Québec, 2705 Boul. Laurier, Local RC-9800 Québec City, Canada. E-mail:
DOI: 10.2340/16501977-1082


Objective: To conduct a systematic review using validated critical appraisal scales to analyze both the quality and content of the psychometric evidence of spasticity measurement tools in cerebral palsy children and adolescents.
Data Sources: The literature search was performed in 3 databases (Pubmed, CINAHL, Embase) up to March 2012.
Study Selection: To be retained for detailed review, studies had to report on at least one psychometric property of one or many spasticity assessment tool(s) used to evaluate cerebral palsy children and adolescents.
Data Extraction: Two raters independently reviewed admissible articles using a critical appraisal scale and a structured data extraction form.
Data Synthesis: A total of 19 studies examining 17 spasticity assessment tools in cerebral palsy children and adolescents were reviewed. None of the reviewed tools demonstrated satisfactory results for all psychometric properties evaluated, and a major lack of evidence concerning responsiveness was emphasized. However, neurophysiological tools demonstrated the most promising results in terms of reliability and discriminating validity.
Conclusions: This systematic review revealed insufficient psychometric evidence for a single spasticity assessment tool to be recommended over the others in pediatric and adolescent populations.

Lay Abstract


Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.