Minimum Clinically Important Difference of Gross Motor Function and Gait Endurance in Children with Motor Impairment: A Comparison of Distribution-Based Approaches.
Fabio Alexander StormMaurizio PetrarcaElena BerettaSandra StrazzerLuigi PiccininiCristina MaghiniDaniele PanzeriClaudio CorbettaRoberta MorgantiGianluigi ReniEnrico CastelliFlaminia FrascarelliAlessandra ColazzaGiampietro CordoneEmilia BiffiPublished in: BioMed research international (2020)
This study identified for the first time MCID ranges for 6minWT and GMFM-88 in pediatric patients with neurological impairments, offering useful insights for clinicians to evaluate the impact of treatments. Distribution-based methods should be used with caution: methods based on pre-post correlation may underestimate MCID when applied to patients with small improvements over the treatment period. Our results should be complemented with estimates obtained using consensus- and anchor-based approaches.