title: Establishing expert consensus on the evaluation of pediatric upper extremity function.
abstract: METHODS
  Consensus statement.
  
  
  BACKGROUND
  There is a lack of consensus in the literature on the measures of pediatric upper extremity (UE) function for musculoskeletal conditions.
  
  
  OBJECTIVE
  To establish expert consensus on utility, satisfaction and importance of functional outcome measures in children with UE musculoskeletal conditions, across International Classification of Functioning, Disability and Health (ICF) domains.
  
  
  METHODS
  Using Delphi Consensus Methodology, expert panelists completed three rounds of questionnaires.
  
  
  RESULTS
  Agreement on Body Functions and Structure, Activity, and Participation outcome measures was determined (α, ICC range = 0.86-0.96). Mean satisfaction of measures in the respective domains was between 6.93 and 7.94. The Activity domain had lowest satisfaction, however there was consensus it was the most important.
  
  
  CONCLUSIONS
  Consensus on relative importance, but low satisfaction in the Activity domain suggests a need for better outcomes in this domain.
  
  
  CONCLUSIONS
  Findings report the status of outcome measure utility and use in pediatric UE function.
  
  
  METHODS
  5.
authors.affiliation: Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada; Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Hao
authors.affiliation: Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
authors.forename: Katie
authors.initials: K
authors.lastname: Bala
authors.affiliation: Division of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
authors.forename: Matthew
authors.initials: M
authors.lastname: McRae
authors.affiliation: Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
authors.forename: Heather
authors.initials: H
authors.lastname: Carnahan
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada; Division of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada; Program in Physiology and Experimental Medicine, The Hospital for Sick Children Research Institute, Toronto, ON, Canada; Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
authors.forename: Gregory H
authors.initials: GH
authors.lastname: Borschel
authors.affiliation: Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada; Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada. Electronic address: Emily.ho@sickkids.ca.
authors.forename: Emily S
authors.initials: ES
authors.lastname: Ho
mesh_terms: D000203:Activities of Daily Living; D002648:Child; D002675:Child, Preschool; D032921:Consensus; D004185:Disability Evaluation; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D009048:Motor Skills / Q000502:physiology; D009140:Musculoskeletal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D017063:Outcome Assessment, Health Care; D016059:Range of Motion, Articular / Q000502:physiology; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis; D034941:Upper Extremity / Q000502:physiology*
keywords: Delphi methodology; Outcome assessment; Pediatrics; Upper extremity