Stability of the Gross Motor Function Classification System
Stability of the Gross Motor Function Classification System
复制标题
DOI：
10.1017/s0012162206000934
复制
发表时间：
2006-06-01
影响因子：
3.8
通讯作者：
Russell, D
中科院分区：
文献类型：
--
作者：
Palisano, RJ;Cameron, D;Russell, D
本研究的目的是评估粗大运动功能分类系统（GMFCS）的稳定性，通过检查脑瘫（CP）儿童是否保持在同一水平随着时间的推移。参与者为610名CP儿童（342名男性，268名女性;平均年龄6岁9个月[SD 2岁10个月]），范围16个月-13岁）。儿童每隔6个月（<6岁）或12个月（≥ 6岁）评估2至7次（平均4.3次）。在所有评级中，73%的儿童保持在同一水平。第一次和最后一次评级之间的加权Kappa系数为0.84，小于6岁的儿童和0.89，至少6岁的儿童，表明极好的机会校正一致性。最初被归类为一级和五级的儿童最不可能被重新归类。有一种趋势是，6岁以下的儿童被重新分类到较低的能力水平。实验结果为GMFCS的稳定性提供了证据。
The aim of this study was to assess the stability of the Gross Motor Function Classification System (GMFCS) by examining whether children with cerebral palsy (CP) remain in the same level over time. Participants were 610 children with CP (342 males, 268 females; mean age 6y 9mo [SD 2y 10mo]), range 16mo-13y). Children were assessed 2 to 7 times (mean 4.3) at 6-month (children < 6y old) or 12-month (children >= 6y old) intervals. Seventy-three per cent of children remained in the same level for all ratings. The weighted kappa coefficient between the first and last ratings was 0.84 for children less than 6 years old and 0.89 for children at least 6 years old, indicating excellent chance-corrected agreement. Children initially classified in Levels I and V were least likely to be reclassified. There was a tendency for children younger than 6 years who were reclassified to be done so to a lower level of ability. The results provide evidence of stability of the GMFCS.