Disclosures: Caroline Gormley, DO:

Objective: The purpose of this review was to (1) identify outcome measures in published literature that have been used to evaluate function and health-related quality of life (HRQoL) of children who use lower limb prostheses (LLP), and (2) review the psychometric evidence available for each measure to assess their suitability for use with children who use LLP.

Design: Scoping Review

Setting: A systematic search of PubMed, CINAHL, and Web of Science databases was performed to identify articles that used standardized outcome measures to examine function or HRQoL outcomes in children who use LLP.

Participants: A list of outcome measures was extracted from eligible articles. An additional search was performed in the same databases to obtain articles that describe measure development or psychometric testing of the identified measures with pediatric LLP users. For standardized outcome measures that had been developed for or evaluated with children who use LLP, psychometric findings were extracted.

Interventions: Not applicable.

Main Outcome Measures: A list of standardized outcome measures that assess physical function and HRQoL in children who use LLP, along with corresponding evidence from psychometric evaluation (when available).

Results: 36 outcome measures from 37 articles were identified that assessed function or HRQoL in children who use LLP. Of these measures, four had published evidence of psychometric properties to guide their clinical use with children who use LLP. Psychometric evidence was available in children who do not use LLP for 25 measures and psychometric evidence was available in adult LLP users for 16 measures.

Conclusions: There are few outcome measures that have been evaluated with children who use LLP. Clinicians should evaluate the psychometric evidence available when choosing outcome measures. When psychometric evidence is not available for the population of interest, utilizing available evidence in comparable populations can inform outcome measure selection for pediatric LLP users.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/clinical-outcomes-measurement-in-pediatric-lower-limb-prosthetics-a-scoping-review/