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Disability Evaluation in Children With Hemidecorticectomy: Use of the Activity Scales for Kids and the Pediatric Evaluation Disability Inventory

Department of Rehabilitation Services, the University of Toronto, Toronto, ON, Canada, chantal.graveline{at}mailhub.sickkids.on.ca, Department of Physical Therapy the University of Toronto, Toronto, ON, Canada

Nancy Young, BScPT, MSc, PhD

Department of Pediatrics, the University of Toronto, Toronto, ON, Canada, Department of Physical Therapy the University of Toronto, Toronto, ON, Canada

Paul Hwang, MD, MSc

Department of Pediatrics, the University of Toronto, Toronto, ON, Canada, Department of Medicine/Neurology The Hospital for Sick Children, the University of Toronto, Toronto, ON, Canada

The purpose of this study is to investigate the level of disability of children who are either candidates for or have undergone a hemidecorticectomy. The Activity Scales for Kids and the Pediatric Evaluation Disability Inventory were demonstrated to be useful measurement tools yielding comparative results between subgroups. Overall, children with congenital disease seemed less autonomous postoperatively than were preoperative patients or children with acquired disease. Age at surgery and the interval between seizure onset and surgery are potentially important predictors of disability. This could reflect the importance of timing of surgery, development, environment, and possibly brain plasticity processes in this population. (J Child Neurol 2000;15:7-14).

Journal of Child Neurology, Vol. 15, No. 1, 7-14 (2000)
DOI: 10.1177/088307380001500102


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