COSMIN database

A systematic review of activities of daily living measures for children and adolescents with cerebral palsy

James, S., Ziviani, J., and Boyd, R.
AIM: This study aimed to systematically review the psychometric properties and clinical utility of measures of activities of daily living (ADL) for children with cerebral palsy (CP) aged 5 to 18 years.

METHOD: Five electronic databases were searched to identify available ADL measures with published psychometric data for school-aged children with CP. Measures were included if at least 60% of the items addressed ADL in the full assessment or in an independent domain. A modified CanChild Outcome Rating Form was used to report the validity, reliability, responsiveness, and clinical utility of the measures.

RESULTS: Twenty-six measures were identified and eight met inclusion criteria. The Pediatric Evaluation of Disability Inventory (PEDI) had the strongest psychometric properties but was limited by its age range. The Assessment of Motor and Process Skills (AMPS) was the most comprehensive evaluation of underlying motor and cognitive abilities yet further psychometric testing is required for children with CP.

INTERPRETATION: The PEDI should be used to measure ADL capability in elementary school aged children. The AMPS is the best measure to evaluate ADL performance or capacity and is suitable for all ages. Future research should examine the reliability of the AMPS to determine its stability in children and adolescents with CP.
Dev Med Child Neurol
1469-8749 (Electronic)
Publication year:
Functional status:
Physical functioning
Children (0-18)
Certain conditions originating in the perinatal period and related symptoms
Congenital malformations, deformations and chromosomal abnormalities and related symptoms
Diseases of and symptoms related to the nervous system
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
AMPS - Assessment of Motor and Process Skills   
CHEQ - Children’s Hand-use Experience Questionnaire
Klein-Bell ADL Scale
PEDI - Pediatric Evaluation of Disability Inventory   
SFA - School Function Assessment
VABS-Classroom - Vineland Adaptive Behavior Scales- Classroom Edition
VABS - Vineland Adaptive Behavior Scales
WeeFIM - Functional Independence Measure for Children [alias: PFIM - Pediatric Functional Independence Measure]