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Physical Therapy Outcome Measures for Assessment of Lower Extremity Chronic Pain-Related Function in Pediatrics

Mirek, Elizabeth, PT, DPT, PCS; Logan, Deirdre, PhD; Boullard, Kimberly, MS, OTR/L; Hall, Amber M., MPH; Staffa, Steven J., MS; Sethna, Navil, MD, FAAP

doi: 10.1097/PEP.0000000000000587
RESEARCH REPORTS
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Purpose: To assess the clinical utility of 5 physical therapy (PT) outcome measures in quantifying functional changes in pediatric lower extremity chronic pain treated at a hospital-based interdisciplinary rehabilitation center.

Design: This was a cross-sectional study with retrospective review of 173 individuals, 8 to 18 years old, treated from June 2008 to 2013.

Methods: The measures used were the Timed Up and Go, Timed Up and Down Stairs, Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, 6-minute walk test, and Lower Extremity Functional Scale. Participant performance was correlated with demographic characteristics, the Functional Disability Index, Multidimensional Anxiety Scale for Children, Child Depression Inventory, and Canadian Occupational Performance Measure.

Results: Scores from all 5 PT measures showed significant improvement following treatment. Functional Disability Index correlated to every PT measure except the 6-minute walk test.

Conclusions: This study supports the clinical use of these PT measures to track functional progress after rehabilitative treatment of lower extremity chronic pain-related disability.

Assesses the clinical utility of 5 PT outcome measures in quantifying functional changes in pediatric lower extremity chronic pain treated at a hospital-based interdisciplinary rehabilitation center.

Department of Physical Therapy and Occupational Therapy Services (Dr Mirek and Ms Boullard), Mayo Family Pediatric Pain Rehabilitation Center (Drs Logan and Sethna), and Department of Anesthesiology, Perioperative and Pain Medicine (Drs Logan and Sethna, Ms Hall, and Mr Staffa), Boston Children's Hospital, Boston, Massachusetts.

Correspondence: Elizabeth Mirek, PT, DPT, PCS, Department of Physical Therapy and Occupational Therapy Services, Boston Children's Hospital, 300 Longwood Ave, Farley Bldg, 6th Floor, Boston, MA 02115 (Elizabeth.mirek@childrens.harvard.edu).

Presentation Acknowledgement: This data was previously presented as a poster presentation at ISPP in 2015.

Grant Support: Richard and Sara Paige Mayo Endowment for Pediatric Pain Research supported this study.

At the time the data were collected for this article, Elizabeth Mirek was a Pediatric Physical Therapy Resident at Boston Children's Hospital, Department of Physical Therapy and Occupational Therapy Services, Boston, Massachusetts.

The authors declare no conflicts of interest.

Copyright © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association