Outcome measures listed on the slide include many of those discussed before. In addition, the following measures can also be used to provide a baseline and to measure treatment outcome: •

• Canadian Occupational Performance Measure (COPM): is an individualized criterion referenced measure where patient/family set goals based on problems in three general areas of self care, productivity and leisure. Developed and validated on children and adults with a variety of diagnoses.
• Goal Attainment Scaling (GAS): individualized criterion referenced measure where specific goals are developed, prioritized and weighted with the interviewer. Criteria for change are also negotiated.
• Selective Motor Control (SMC): developed to measure isolated muscle control of the dorsiflexors after BTX. Muscle control graded 0 to 3+ in this simple test.
• Observational Gait Scale (OGS): components of the gait cycle are ranked. Designed to measure change over time. A clinical alternative to instrumented gait analysis.
• Energy Cost Index (ECI): simple clinical replacement for oxygen consumption test. Calculates energy cost from heart rate, walking speed and distance walked. 

Law M, King G, MacKinnon E, et al. All about outcomes: An educational program to help you understand, evaluate, and choose pediatric outcome measures [computer program]. Thorofare, NJ: Slack Incorporated; 1999.

• Next Section: Oral Medications for the Treatment of Spasticity

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