{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:57:17Z","timestamp":1788544637078,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T00:00:00Z","timestamp":1559779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the use of outcome measures for children with cerebral palsy (CP) by paediatric physiotherapists (PTs) who are based in the United Kingdom, as limited research exists regarding their use in this population, and to explore therapists' use of measures within different Gross Motor Function Classification System (GMFCS) levels and for different types of CP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A six\u2010item online survey was advertised through two paediatric therapy special interest groups inviting physiotherapists to participate. Descriptive statistics (range, frequencies, and percentages) were used to analyse survey data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and seven physiotherapists returned completed survey questionnaires. One hundred and seventy\u2010six (85%) therapists reported using a wide variety of outcome measures (57).<\/jats:p><jats:p>Eighty\u2010one per cent of therapists' responses for having \u201cmost difficulty\u201d in identifying responsive outcome measures were for children with impaired mobility at GMFCS Levels IV\u2013V and children with more significant body involvement (76%), for example, spastic quadriplegia or dyskinesia. Eighty\u2010six per cent of therapists' responses for having \u201cgreatest ease\u201d of identifying responsive outcome measures were for children within GMFCS Levels I\u2013III and for children with less significant body involvement (72%), for example, hemiplegia. The variety of outcome measures used by therapists with children within GMFCS IV\u2013V was less (16).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority (85%) of the PTs surveyed used outcome measures with children with CP, but 81% perceived a difficulty in identifying responsive measures for children with more severe impairments who are classified as GMFCS IV\u2013V. The reasons for this perceived difficulty warrant investigation and may suggest a need for training regarding relevant measures and\/or a need to develop new measures for this group of children.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1786","type":"journal-article","created":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T04:59:32Z","timestamp":1559883572000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Use of outcome measures in children with severe cerebral palsy: A survey of U.K. physiotherapists"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0022-0885","authenticated-orcid":false,"given":"Virginia","family":"Knox","sequence":"first","affiliation":[{"name":"Community Paediatric Physiotherapy Chelsea and Westminster Hospital NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pirjo","family":"Vuoskoski","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Karelia University of Applied Sciences  Karelia Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Mandy","sequence":"additional","affiliation":[{"name":"Centre for Health Research University of Brighton  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Association of Paediatric Chartered Physiotherapist(2016).Working with children: Guidance for good practice. 32. 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