Purpose
The CP-PRO is a parent-reported assessment of physical functioning that includes upper extremity skills, lower extremity skills, activity, and global physical health.
Area of Assessment
Activities & ParticipationBodily Functions
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The CP-PRO is a parent-reported assessment of physical functioning that includes upper extremity skills, lower extremity skills, activity, and global physical health.
Lower extremity: 85 item bank (includes core and assistive device items) (Gorton et al, 2010), 91 item bank (Tucket et al, 2009a)
Upper extremity: 55 item bank (Grampurohit et al, 2019) (15 item stopping rule), 53 item bank (Tucker et al, 2009b) (5, 10, or 15 item stopping rule), 46 item bank (Montpetit et al, 2011) (15 item stopping rule)
Activity: 36 item bank (Haley et al, 2009a) ) [5, 10 & 15 item stopping rule]
Global physical health: 37 item bank (Haley et al, 2009b) [5, 10 & 15 item stopping rule]
5 minutes
5 minutes for the LE CP-PRO (Mulcahey, 2015)
2 - 20
yearsThis instrument summary was authored by Namrata Grampurohit, PhD, OTR/L at Jefferson University and Majd Jarrar, MS, OTR/L at University of Washington in December, 2018.
Computer adaptive test can be limited to 5, 10, 15, or 20 items
Scoring is based on a T-metric where mean is 50 and standard deviation is 10 for the summary score. Other types of scores such as centiles can also be obtained.
Cerebral Palsy: (Gorton et al, 2010; n = 308 [quadriplegia = 89, diplegia = 145, hemiplegia = 73], mean age = 10.66 + 4 years)
Cerebral Palsy: (Gorton et al, 2010; n = 308 [quadriplegia = 89, diplegia = 145, hemiplegia = 73], mean age = 10.66 + 4 years)
Cerebral Palsy: (Mulcahey et al, 2015; n = 255, mean age = 11.6 + 3.8 years)
Cerebral Palsy: (Haley et al, 2010; n = 91 parents, children’s mean age = 9.9 + 4.12 years)
Cerebral Palsy: (Tucker et al, 2009b; n = 180 parents, children’s mean age = 10.5 + 4.08 years [children with quadriplegia = 28%, diplegia = 49%, hemiplegia = 22%])
Cerebral Palsy: (Tucker et al, 2009a; n = 190 parents, children’s mean age 10.58 + 4.08 years [children with quadriplegia = 30%, spastic diplegia = 48%, hemiplegia = 22%])
Cerebral Palsy: (Haley et al, 2009a; n = 308, mean age = 10.7 + 4.0 years)
Cerebral Palsy: (Gorton et al, 2010; n = 308 [quadriplegia = 89, diplegia = 145, hemiplegia = 73], mean age = 10.66 + 4 years)
Cerebral Palsy: (Tucker et al, 2009b; n = 180 parents, children’s mean age = 10.5 + 4.08 years, children with quadriplegia = 28%, diplegia = 49%, hemiplegia = 22%)
Cerebral Palsy: (Tucker et al, 2009a; n = 190 parents, children’s mean age 10.58 + 4.08 years [children with quadriplegia = 30%, spastic diplegia = 48%, hemiplegia = 22%])
Cerebral Palsy: (Haley et al, 2009a; n = 308, mean age = 10.7 + 4.0 years)
Cerebral Palsy: (Haley et al, 2009b; n = 306 (diplegia = 144, hemiplegia = 73, quadriplegia = 88), mean age = 10.8 + 4 years)
Cerebral Palsy: (Haley et al, 2010; n = 91 parents, children’s mean age = 9.9 + 4.12 years)
Cerebral Palsy: (Montpetit et al, 2011; n = 305 parents, children's mean age = 10.7+ 4 years)
Cerebral Palsy: (Tucker et al, 2009b; n = 180 parents, children’s mean age = 10.5 + 4.08 years, children with quadriplegia = 28%, diplegia = 49%, hemiplegia = 22%)
Cerebral Palsy: (Haley et al, 2009b; n = 306 [diplegia = 144, hemiplegia = 73, quadriplegia = 88], mean age = 10.8 + 4 years)
Cerebral Palsy: (Haley et al, 2009a; n = 308, mean age = 10.7 + 4.0 years)
Cerebral Palsy: (Tucker et al, 2009a; n = 190 parents, children’s mean age 10.58 + 4.08 years [children with quadriplegia = 30%, spastic diplegia = 48%, hemiplegia = 22%])
Cerebral Palsy: (Gorton et al, 2010; n = 308 [quadriplegia = 89, diplegia = 145, hemiplegia = 73], mean age = 10.66 + 4 years)
Fit to Rasch Measurement Theory (Item fit, Differential Item Functioning)
Cerebral Palsy: (Dumas et al, 2008; n = 27 parents of children with cerebral palsy, children’s mean age = 10.3 + 3.3 years, children’s type of cerebral palsy - hemiplegia (22%), diplegia (48%), and quadriplegia (30%))
Cerebral Palsy: (Tucker et al, 2008)
Cerebral Palsy: (Tucker et al, 2009a; n = 190 parents, children’s mean age 10.58 + 4.08 years [children with quadriplegia = 30%, spastic diplegia = 48%, hemiplegia = 22%])
Cerebral Palsy: (Tucker et al, 2009b; n = 180 parents, children’s mean age = 10.5 + 4.08 years, children with quadriplegia = 28%, diplegia = 49%, hemiplegia = 22%)
Cerebral Palsy: (Haley et al, 2009b; n = 306 (diplegia = 144, hemiplegia = 73, quadriplegia = 88), mean age = 10.8 + 4 years)
Cerebral Palsy: (Haley et al, 2009a; n = 308, mean age = 10.7 + 4.0 years)
Fit to Rasch Measurement Theory (Item fit, Differential Item Functioning)
Cerebral Palsy: (Haley et al, 2009a; n = 308, mean age = 10.7 + 4.0 years)
Cerebral Palsy: (Tucker et al, 2009a; n = 190 parents, children’s mean age 10.58 + 4.08 years [children with quadriplegia = 30%, spastic diplegia = 48%, hemiplegia = 22%])
Cerebral Palsy: (Grampurohit et al, 2019; n = 97, mean age = 11.37 + 4.06 years)
Cerebral Palsy: (Mulcahey et al, 2015; n = 255, mean age = 11.6 + 3.8 years)
Dumas, H., Watson, K., Fragala-Pinkham, M. A., Haley, S., Bilodeau, N., Montpetit, K., Gorton III, G. E., Mulcahey, MJ., Tucker, C., (2008). Using Cognitive Interviewing for Test Items to Assess Physical Function in Children with Cerebral Palsy. Pediatric Physical Therapy. 20(4):356-62. doi: 10.1097/PEP.0b013e31818ac500
Gorton, G. E., Watson, K., Tucker, C. A., Tian, F., Montpetit, K., Haley, S. M., & Mulcahey, M. J. (2010). Precision and content range of a parent‐reported item bank assessing lower extremity and mobility skills in children with cerebral palsy. Developmental Medicine & Child Neurology, 52(7), 660-665.
Grampurohit, N., Slavin, M., Ni, P., Jette, A., Kozin, S., Mulcahey, M. J.(2019) Responsiveness of the Cerebral Palsy Profile of Health and Function. Journal of Hand Surgery (In press)
Haley, S. M., Ni, P., Fragala-Pinkham, M. A., Skrinar, A. M., Corzo, D. (2005) A computer adaptive testing approach for assessing physical functioning in children and adolescents. Developmental Medicine and Child Neurology, 47, 113-120.
Haley, S. M., Chafetz, R. S., Tian, F., Montpetit, K., Watson, K., Gorton, G., & Mulcahey, M. J. (2010). Validity and reliability of physical functioning computer-adaptive tests for children with cerebral palsy. Journal of Pediatric Orthopedics, 30(1), 71-75.
Haley, S. M., Fragala-Pinkham, M. A., Dumas, H. M., Ni, P., Gorton, G. E., Watson, K., … Tucker, C. A. (2009a). Evaluation of an Item Bank for a Computerized Adaptive Test of Activity in Children With Cerebral Palsy. Physical Therapy, 89(6), 589–600. DOI: 10.2522/ptj.20090007
Haley, S. M., Ni, P., Dumas, H. M., Fragala-Pinkham, M. A., Hambleton, R. K., Montpetit, K., ... & Tucker, C. A. (2009b). Measuring global physical health in children with cerebral palsy: illustration of a multidimensional bi-factor model and computerized adaptive testing. Quality of Life Research, 18(3), 359-370.
Montpetit, K., Haley, S., Nathalie B., Ni, P., Tian, F., Gorton, G., Mulcahey, M. J. (2011) Content Range and Precision of a Computer Adaptive Test of Upper Extremity Function for Children With Cerebral Palsy. Physical & Occupational Therapy In Pediatrics, 31:1, 90-102, DOI: 10.3109/01942638.2010.523449
Mulcahey, M. J., Slavin., M. D., Ni, P., Vogel, L., Kozin, S., Haley, S., & Jette, A. Computer Adaptive Tests Detect Change Following Orthopaedic Surgery in Youth with Cerebral Palsy. J Bone Joint Surg Am. 2015;97:1482-94 http://dx.doi.org/10.2106/JBJS.O.00179
Tucker C., Haley, S., Dumas, H., Fragala-Pinkham, M. A., Watson, K., Gorton, G., Montpetit, K., Bilodeau, N. (2008) Physical Function for Children and Youth with Cerebral Palsy: Item Bank Development for Computer Adaptive Testing. Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach. 245-253.
Tucker, C. A., Gorton, G. E., Watson, K., Fragala-Pinkham, M. A., Dumas, H. M., Montpetit, K., Bilodeau, N., Ni, P., Hambleton, R. K., Haley, S. M. (2009a) Development of a Parent-report Computer-adaptive Test to Assess Physical Functioning in Children with Cerebral Palsy I: Lower-extremity and Mobility Skills. Dev Med Child Neurol. 51(9):717-24. doi: 10.1111/j.1469-8749.2009.03266.
Tucker, C., Montpetit, K., Bilodeau, N., Dumas, H., Fragala-Pinkham, M. A., Watson, K., Gorton, G., Pengsheng, N., Hambleton, R., Mulcahey, M. J., Haley, S. (2009b) Development of a Parent-report Computer-adaptive Test to Assess Physical Functioning in Children with Cerebral Palsy II: Upper-extremity Skills. Dev Med Child Neurol. 51(9):725-31. doi:10.1111/j.1469-8749.2009.03267
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.