Instrumentos de avaliação da funcionalidade e incapacidade de crianças acometidas por acidente vascular encefálico: uma revisão sistemática da literatura Instruments for assessing the functionality and disability of children with stroke: a systematic review of the literature

Objective: Since there is an increasing incidence associated with disabilities arising from cerebrovascular accident (CVA) in childhood, this systematic review aimed to analyze the functionality assessment instruments developed specifically to children with stroke, including examination of its psychometric properties and its interaction with the ICF. Method: Out of a search in five major databases, papers were selected whose aim was to validate tools for the population of children with stroke, published in Portuguese, English, French or Spanish through March, 2014. Results: Three studies classified as having good methodological quality according to the COSMIN were included. These three instruments were used and 475 children were evaluated. All studies used the Pediatric Stroke Outcome Measure (PSOM), which proved to be a valid instrument with good inter-examiner reliability. Conclusion: There is an urgent need for the development, translation and validation of tools aimed at evaluating the functionality of post AVE children.