PHYS THER
Vol. 71, No. 11, November 1991, pp. 820-828
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Research Reports

Development of a Quality-of-Movement Measure for Children with Cerebral Palsy

William F Boyce, Carolyn Gowland, Susan Hardy, Peter L Rosenbaum, Mary Lane, Nancy Plews, Charles Goldsmith and Dianne J Russell

WF Boyce, MSc, PT, is Lecturer, Department of Pediatrics, Queen's University, Kingston, Ontario, Canada K7L 3N6. At the time this study was conducted, he was Physiotherapy Research Coordinator, Child Development Centre, Hotel Dieu Hospital, Kingston.
C Gowland, MHSc, PT, is Assistant Professor, School of Occupational Therapy and Physiotherapy, Faculty of Health Sciences, McMaster University, and Research Manager, Physiotherapy Department, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada L8N 3Z5.
S Hardy, MSc, PT, is Senior Physiotherapist, Hugh MacMillan Rehabilitation Centre, 350 Rumsey Rd, Toronto, Ontario, Canada M4G 1R8.
PL Rosenbaum, MD, FRCP(C), is Professor, Department of Pediatrics, Faculty of Health Sciences, McMaster University, and Director of Pediatrics, Chedoke Child and Family Centre, Chedoke-McMaster Hospitals.
M Lane, DipPT-OT, PT, is Physiotherapist, Halton Parent-Infant Program, Oakville, Ontario, Canada L6J 6E1.
N Plews, BHSc, PT, is Research Physiotherapist, Chedoke-McMaster Hospitals.
C Goldsmith, PhD, is Professor, Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University.
DJ Russell, MSc, is Research Coordinator, Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University.

Development of a suitable measure of quality of movement, or gross motor performance, for children with cerebral palsy is a complex undertaking. A variety of conceptual, methodological, and practical issues inherent in such a project are discussed in this article. We report on the methodology used in the planning and construction of the Gross Motor Performance Measure. The measure has been developed by a multicenter, interdisciplinary group of therapists, methodologists, research staff, and international experts. Five attributes of gross motor performance have been defined, scaled, and operationalized. Results of content validity studies demonstrate that the measure has adequate completeness, clarity, and potential for evaluating change in quality of movement in children who have cerebral palsy. The measure is currently undergoing extensive testing to determine the reliability, validity, and responsiveness of the obtained scores.

Key Words: Cerebral palsy • Movement disorders • Psychomotor disorders • Tests and measurements, functional


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