Instrumentos de medidas para crianças e adolescentes com síndrome de Down: uma revisão sistemática

Abstract

This systematic review aimed to identify available instruments for the assessment of children and adolescents with Down syndrome during the physical therapy rehabilitation. It also aimed to analyze the state of evidence for the psychometric proprieties of these instruments. Two independent examiners searched for methodological studies, which investigated the administration of different instruments in individuals with Down syndrome on the databases Medline, Lilacs and Scielo. Seven studies were selected for this review. The methodological quality of the selected studies was assessed using the COSMIN criteria. The selected studies investigated six instruments in children and adolescents with Down syndrome; four assessed gross motor skills (Basic Motor Skills, Gross Motor Function Measure, Timed Up and Go, and Timed Up and Down Stairs) and two assessed balance (Four Square Step Test and Timed Standing Balance Test). The quality of psychometrics proprieties and the level of evidence of the instruments were assessed by two independent examiners. The level of evidence varied from unknown to excellent, depending of instrument’s psychometric proprieties. The choice and administration of these instruments in children and adolescents with Down syndrome must be made with caution.