Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Pediatric Functional Evaluation Measure(PFEM): Development and Standardisation


Affiliations
1 Meenakshi College of Physiotherapy, India
2 Meenakshi College of Physiotherapy, Chennai, India
3 Meenakshi College of Physiotherapy, Chennai, India
4 Meenakshi University, India
     

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The Pediatric Functional Evaluation Measure (PFEM) is a comprehensive tool to measure the functional capabilities and performance in children from the ages of 6 months to 6 years.

Background

Assessment of the functional limitations is important to determine the severity of disability in developmental delays and to evaluate the benefit of rehabilitation program. In India, one of the many challenges in assessing the effectiveness of therapies has been the paucity of validated measures of function.

Methods

The Pediatric Functional Evaluation Measure evaluates the functional abilities of children under three domains: Physical Function Domain, Mental Function Domain, and Social & Emotional Function Domain. Pooling of questions was done and content validity of the PFEM was examined using a panel of 35 experts. A pilot study was conducted on 110 normal children and 49 children with cerebral palsy.

Results

The content validity for the physical domain, mental domain and socio-emotional domain are 100%, 100%&98.7% respectively. The mean score for inter-rater reliability is .869. The mean values of the normal children in all the three domains are 69.42 which are far higher than the mean value of the children with cerebral palsy (14.054).

Conclusion

These results indicate that the Pediatric Functional Evaluation Measure has a high degree of reliability and validity and also support the notion that the PFEM can be used to assess the functional abilities in children with cerebral palsy.


Keywords

Functional Assessment, Evaluative Measure, Cerebral Palsy, Content Validity, Inter-rater Reliability
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  • Anne Anastasi. Susana Urbina. Psychological Testing. Dorling Kindersley (India) Pvt.Ltd., 2007

  • Parminder Raina, PhD., Maureen O’Donnell, MD., Peter Rosenbaum, MD., Jamie Brehaut, PhD., Stephen D. Walter, PhD., Dianne Russell, MSc., Marilyn Swinton, BSc., Bin Zhu, MSc., and Ellen Wood, MD. The Health and Well-Being of Caregivers of Children With Cerebral Palsy. PEDIATRICS Vol. 115 No. 6 June 2005, pp. e626-e636.

  • Erkin G, aybay C, Kurt M, Keles I, Cakci A, Ozel S. The assessment of functional status in Turkish children with cerebral palsy ( a preliminary study). Child Care Health Dev.2005 Nov; 31(6): 719-25

  • Karen W. Krigger. Cerebral Palsy: an Overview. American Family Physician 2006; Jan 1;73(1):91- 100No.1.

  • Pietrzak S, Jozwiak M., Subjective and objective scales to assess the development of children with cerebral palsy. Ortop Traumatol Rehabil. 2001 Dec 30:3(4):487-9

  • Diane J Russel, Peter L. Rosenbaum, Lisa M Avery. Gross Motor Function Measure User Manual. Cambridge University Press. 2002

  • Wong V, Wong S, Chan K, Wong W. Functional Independence Measure (WeeFIM) for Chinese children: Hong Kong Cohort. Pediatrics. 2002 Feb;109(2):E36

  • Berg M, Jahnsen R, Froslie KF, Hussain A. Reliability of the Pediatric Evaluation Of Disability Inventory (PEDI). Phys Occup Ther Pediatr. 2004;24(3):61-77.

  • Stephen M. Haley Ph.D., Wendy J. Coster, Ph.D., Larry H. Ludlow, Ph.D., Jane T. haltiwanger, Ph.D., Peter J. Andrellos, Ph.D. Pediatric Evaluation of Disability Inventory (PEDI). Development, Standardisation and Administration Manual. Boston 1992.


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  • Pediatric Functional Evaluation Measure(PFEM): Development and Standardisation

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Authors

N. Padmapriya
Meenakshi College of Physiotherapy, India
J. Madhanagopal
Meenakshi College of Physiotherapy, India
M. Dhinesh Kumar
Meenakshi College of Physiotherapy, Chennai, India
C. Elanchezhian
Meenakshi College of Physiotherapy, Chennai, India
T. S. Kanaka
Meenakshi University, India

Abstract


The Pediatric Functional Evaluation Measure (PFEM) is a comprehensive tool to measure the functional capabilities and performance in children from the ages of 6 months to 6 years.

Background

Assessment of the functional limitations is important to determine the severity of disability in developmental delays and to evaluate the benefit of rehabilitation program. In India, one of the many challenges in assessing the effectiveness of therapies has been the paucity of validated measures of function.

Methods

The Pediatric Functional Evaluation Measure evaluates the functional abilities of children under three domains: Physical Function Domain, Mental Function Domain, and Social & Emotional Function Domain. Pooling of questions was done and content validity of the PFEM was examined using a panel of 35 experts. A pilot study was conducted on 110 normal children and 49 children with cerebral palsy.

Results

The content validity for the physical domain, mental domain and socio-emotional domain are 100%, 100%&98.7% respectively. The mean score for inter-rater reliability is .869. The mean values of the normal children in all the three domains are 69.42 which are far higher than the mean value of the children with cerebral palsy (14.054).

Conclusion

These results indicate that the Pediatric Functional Evaluation Measure has a high degree of reliability and validity and also support the notion that the PFEM can be used to assess the functional abilities in children with cerebral palsy.


Keywords


Functional Assessment, Evaluative Measure, Cerebral Palsy, Content Validity, Inter-rater Reliability

References