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Autor/inn/en | Hidecker, Mary Jo Cooley; Ho, Nhan Thi; Dodge, Nancy; Hurvitz, Edward A.; Slaughter, Jaime; Workinger, Marilyn Seif; Kent, Ray D.; Rosenbaum, Peter; Lenski, Madeleine; Messaros, Bridget M.; Vanderbeek, Suzette B.; Deroos, Steven; Paneth, Nigel |
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Titel | Inter-Relationships of Functional Status in Cerebral Palsy: Analyzing Gross Motor Function, Manual Ability, and Communication Function Classification Systems in Children |
Quelle | In: Developmental Medicine & Child Neurology, 54 (2012) 8, S.737-742 (6 Seiten)
PDF als Volltext |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 0012-1622 |
DOI | 10.1111/j.1469-8749.2012.04312.x |
Schlagwörter | Cerebral Palsy; Neurology; Classification; Etiology; Correlation; Clinics; Investigations; Questionnaires; Children; Mothers; Pediatrics; Psychiatry; Exceptional Child Research; Child Development; Clinical Experience; United States |
Abstract | Aim: To investigate the relationships among the Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), and Communication Function Classification System (CFCS) in children with cerebral palsy (CP). Method: Using questionnaires describing each scale, mothers reported GMFCS, MACS, and CFCS levels in 222 children with CP aged from 2 to 17 years (94 females, 128 males; mean age 8y, SD 4). Children were referred from pediatric developmental/behavioral, psychiatry, and child neurology clinics, in the USA, for a case-control study of the etiology of CP. Pairwise relationships among the three systems were assessed using Spearman's correlation coefficients (r[subscript s]), stratifying by age and CP topographical classifications. Results: Correlations among the three functional assessments were strong or moderate. GMFCS levels were highly correlated with MACS levels (r[subscript s] = 0.69) and somewhat less so with CFCS levels (r[subscript s] = 0.47). MACS and CFCS were also moderately correlated (r[subscript s] = 0.54). However, many combinations of functionality were found. Of the 125 possible combinations of the three five-point systems, 62 were found in these data. Interpretation: Use of all three classification systems provides a more comprehensive picture of the child's function in daily life than use of any one alone. This resulting functional profile can inform both clinical and research purposes. (As Provided). |
Anmerkungen | Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/ |
Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2017/4/10 |