Correlation among tools for the assessment of functional independence and physical activity levels in infants

Authors

  • Tatiana Beline de Freitas
  • Cristina dos Santos Cardoso de Sá Universidade Federal de São Paulo
  • Emerson Fachin Martins Universidade de Brasília

DOI:

https://doi.org/10.11606/issn.2317-0190.v17i1a103303

Keywords:

Instrumentation, Pediatrics, Physical Therapy, Aptitude, Outcome and Process Assessment

Abstract

Assessment tools to quantify functional independence and physical activity levels are particularly useful for making decisions and monitoring rehabilitation programs. There are many tools available to assess independence in children. However, such tools can be more or less responsive to independence conditions. The aim of this study was to verify the correlation between functional independence parameters and physical activity levels quantified by different assessment tools in 4 and 5 year-old children. For this, 20 children whose motor development was appropriate for their age were assessed by the following tools: (1) Pediatric Evaluation Disability Inventory (PEDI), (2) Evaluation Questionnaire of Independence Level for Daily Life Activities in 4 to 8 year-old children (Questionnaire), and (3) Physical Activity Questionnaire for Children (PAQ-C). Delineation of a Cross-sectional study was utilized, with the measurements taken at just one moment describing the variables and their distribution and association patterns. For that age group, only for the self-care functional skills assessed by PEDI, significant correlation was observed with the age indicating higher independence values for the older children. For all other PEDI categories and for the other tools utilized in this study, that independence-age correlation was not significant. Despite the independence-age correlation having not been found in infants assessed by the Questionnaire, other significant correlations were observed between the Questionnaire values obtained and some PEDI values. No significant correlations were observed between the PAQ-C values obtained and the other tools. In conclusion, some categories quantified by PEDI are not correlated with functional independence changes detected by other categories by the same tool. Still, the correlation between Questionnaire values and PEDI values was observed in just some categories assessed by PEDI. Finally, PAQ-C did not correlate with the other two tools, suggesting the need for a better investigation into the responsiveness of the measurements from psychometric studies.

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References

Collange L, Franco R, Esteves R, Zanon-Collange N. Desempenho funcional de crianças com mielomeningocele. Fisioter e Pesq. 2008;15(1):58-63.

Crocker P, Bailey D, Faulkner R, Kowalski K, Mcgrath R. Measuring general levels of physical activity: preliminary evidence for the Physical Activity Questionnaire for Older Children. Med Sci Sports Exerc. 1997;29(10):1344-9.

Crocker PR, Eklund RC, Kowalski KC. Children's physical activity and physical self-perceptions. J Sports Sci. 2000;18(6):383-94

Haley SM, Fragala-Pinkham M, Ni P. Sensitivity of a computer adaptive assessment for measuring functional mobility changes in children enrolled in a community fitness programme. Clin Rehabil. 2006;20(7):616-22.

Haley S, Coster W, Ludlow L, Haltiwanger J, Andrellos P. Pediatric Evaluation of Disability Inventory (PEDI). Boston: New England Medical Center Hospitals; 1992.

Long CE, Blackman JA, Farrell WJ, Smolkin ME, Conaway MR. A comparison of developmental versus functional assessment in the rehabilitation of young children. Pediatr Rehabil. 2005;8(2):156-61.

Matsukura T, Marturano E. Catálogo de avaliação do nível de independência de crianças de 4 e 8 anos nas atividades de vida diária. São Carlos: EdUFSCar; 2001.

Moore JB, Hanes JC Jr, Barbeau P, Gutin B, Treviño RP, Yin Z. Validation of the Physical Activity Questionnaire for Older Children in children of different races. Pediatr Exerc Sci. 2007;19(1):6-19.

Mancini M, Megale L, Brandão M, Melo A, Sampaio R. Efeito moderador do risco social na relação entre risco biológico e desempenho funcional infantil. Rev Bras Saúde Matern Infant. 2004;4(1):25-34.

Mancini M, Silva P, Gonçalves S, Martins S. Comparação do desempenho funcional de crianças portadoras de síndrome de down e crianças com desenvolvimento normal aos 2 e 5 anos de idade. Arq Neuropsiquiatr. 2003;61(2-B):409-15.

Chagas PSC, Defilipo EC, Lemos RA, Mancini MC, Frônio JS, Carvalho RM. Classificação da função motora e do desempenho funcional de crianças com paralisia cerebral. Rev Bras Fisioter. 2008;12(5):409-16.

Haley S, Coster W, Ludlow L, Haltiwanger J, Andrellos P. Inventário de avaliação pediátrica de incapacidade (PEDI): manual da versão brasileira adaptada. Belo Horizonte: Editora UFMG; 2005.

Kowalski K, Crocker P, Faulkner R. Validation of the physical activity questionnaire for older children. Pediatr Exerc Sci. 1997;9:174-86.

Grilli L, Feldman DE, Majnemer A, Couture M, Azoulay L, Swaine B. Associations between a functional independence measure (WeeFIM) and the pediatric quality of life inventory (PedsQL4.0) in young children with physical disabilities. Qual Life Res. 2006;15(6):1023-31.

Haley SM, Fragala-Pinkham MA, Ni PS, Skrinar AM, Kaye EM. Pediatric physical functioning reference curves. Pediatr Neurol. 2004;31(5):333-41.

Jessen EC, Colver AF, Mackie PC, Jarvis SN. Development and validation of a tool to measure the impact of childhood disabilities on the lives of children and their families. Child Care Health Dev. 2003;29(1):21-34.

Pinto EB, Vilanova LCP, Vieira RM. O desenvolvimento do comportamento da criança no primeiro ano de vida: padronização de uma escala para a avaliação e o acompanhamento. São Paulo: Casa do Psicólogo; 1997.

Carmichael L. Manual of child psychology. New York: Wiley; 1946.

Gardner DB. Development in early childhood: the preschool years. New York: Harper & Row; 1964.

Tessier S, Vuillemin A, Briancon S. Review of physical activity questionnaires validated for children and adolescents. Sci Sports. 2008;23(3-4):118-25.

Carvalho B, Sá C. Influência da prática lúdica no equilíbrio e na coordenação motora de crianças. Rev Bras Ciências da Saúde. 2008;18:3-12.

Santos C, Deliberato P, Sá C. Proposta de protocolo de exercícios baseado na relação do equilíbrio e da coordenação motora com os hábitos de vida diária de crianças de sete anos. Rev Bras Ciências da Saúde. 2007;11:8-15.

CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde. São Paulo: Edusp, 2003.

Published

2010-03-09

Issue

Section

Original Article

How to Cite

1.
Freitas TB de, Sá C dos SC de, Martins EF. Correlation among tools for the assessment of functional independence and physical activity levels in infants. Acta Fisiátr. [Internet]. 2010 Mar. 9 [cited 2024 Jun. 29];17(1):8-12. Available from: https://journals.usp.br/actafisiatrica/article/view/103303