Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy
Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy
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DOI：
10.1007/s00431-008-0775-1
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发表时间：
2009-04-01
影响因子：
3.6
通讯作者：
Livanelioglu, Ayse
中科院分区：
文献类型：
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作者：
Gunel, Mintaze Kerem;Mutlu, Akmer;Livanelioglu, Ayse
本研究旨在探讨痉挛型脑性瘫痪（CP）患儿的功能分类系统、手能分类系统（MACS）、粗大运动功能分类系统（GMFCS）和功能状态（Weewealth）之间的关系。185例痉挛性CP儿童（101例男性，84例女性），65例（35.1%）轻瘫儿童，60例（32.4%）四肢瘫痪儿童和60例（32.4%）轻偏瘫儿童，年龄范围为4至15岁，中位年龄为7岁。根据GMFCS对儿童的运动功能进行分类，根据MACS对儿童在日常活动中处理物体时的手功能进行分类。采用儿童功能独立性量表（Weewestern）评定功能状态和表现。所有儿童的GMFCS与MACS之间均存在良好的相关性（r = 0.735，p < 0.01）。根据亚型，GMFCS和WeeFIM分量表之间也存在相关性，所有参数的相关性均为p < 0.01，与MACS相同。4-7岁、8-11岁、12-15岁年龄组MACS评分差异无统计学意义（p > 0.05）。GMFCS和MACS在实践和研究领域的使用将为CP儿童的功能状态提供一个简单，实用和简单的分类。这两个量表和Weewealth和使用这些量表的适应，并一起提供了机会，痉挛性CP的儿童的功能水平进行详细的分析，并反映临床类型的CP之间的差异。
The aim of this study was to investigate the relationship among functional classification systems, the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy (CP). One hundred and eighty-five children with spastic CP (101 males, 84 females), 65 (35.1%) diparetic, 60 (32.4%) quadriparetic, and 60 (32.4%) hemiparetic children, ranging from 4 to 15 years of age with a median age of 7 years, were included in the study. The children were classified according to the GMFCS for their motor function and according to the MACS for the functioning of their hands when handling objects in daily activities. The functional status and performance were assessed by using the Functional Independence Measure of Children (WeeFIM). A good correlation between the GMFCS and MACS was found in all children (r = 0.735, p < 0.01). There was also a correlation between the GMFCS and WeeFIM subscales according to subtypes and all parameters were correlated at the level of p < 0.01, the same as the MACS. There was no difference in the MACS scores among the age groups of 4-7, 8-11, and 12-15 years (p > 0.05). The use of both the GMFCS and MACS in practice and in research areas will provide an easy, practical, and simple classification of the functional status of children with CP. The adaptation of both of these scales and WeeFIM and using these scales together give the opportunity for a detailed analysis of the functional level of children with spastic CP and reflect the differences between clinical types of CP.