Test-retest reliability is highest in the BOT-2, MABC-2, PDMS-2 and TGMD-2. The majority of gross motor assessments for children have good-excellent validity. TGMD-2 has the highest inter-rater (ICC=0.88-0.93) and intrarater reliability (ICC=0.92-0.99). The Bayley-III, NSMDA and MABC-2 have evidence of predictive validity. Validity and internal consistency varied from fair to excellent (α=0.5-0.99). Methodological quality varied from poor to excellent. Seven assessment tools from 37 studies/manuals met the inclusion criteria: Bayley Scale of Infant and Toddler Development-III (Bayley-III), Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2), Movement Assessment Battery for Children-2 (MABC-2), McCarron Assessment of Neuromuscular Development (MAND), Neurological Sensory Motor Developmental Assessment (NSMDA), Peabody Developmental Motor Scales-2 (PDMS-2) and Test of Gross Motor Development-2 (TGMD-2). Methodological quality was assessed with the COnsensus-based Standards for the selection of health status Measurement INstruments checklist and an outcome measures rating form was used to evaluate reliability, validity and clinical utility of assessment tools. The objective of this review was to systematically evaluate the psychometric properties and clinical utility of gross motor assessment tools for children aged 2-12 years.Ī systematic search of MEDLINE, Embase, CINAHL and AMED was performed between May and July 2017. Gross motor assessment tools have a critical role in identifying, diagnosing and evaluating motor difficulties in childhood.
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