The Gross Motor Function Classification System for Cerebral Palsy: a study of reliability and stability over time
The Gross Motor Function Classification System for Cerebral Palsy: a study of reliability and stability over time
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DOI：
10.1017/s0012162200000529
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发表时间：
2000-05-01
影响因子：
3.8
通讯作者：
Rosenbaum, P
中科院分区：
文献类型：
--
作者：
Wood, E;Rosenbaum, P
脑瘫 (CP) 儿童的运动功能会随着年龄和发育而发生变化。在提供预后或评估干预后运动功能差异时考虑这种预期变化非常重要。 CP 粗大运动功能分类系统 (GMFCS) 就是为此目的而开发的。这项研究基于对 85 名 CP 儿童的回顾性图表审查，随访年龄从小于或等于 2 岁到大于或等于 12 岁。在整个研究过程中，两位盲法评估者将 GMFCS 应用于临床记录四次。评估者间的可靠性很高（G=0.93）。重测信度较高（G=0.79）。 1 至 2 岁时的 GMFGS 预测 12 岁时行走的阳性预测值为 0.74。阴性预测值为0.90，GMFCS可以有效预测CP患儿的运动功能。讨论了结果对临床实践和未来研究的影响。
Children with cerebral palsy (CP) experience a change in motor function with age and development. It is important to consider this expected change in offering a prognosis, or in assessing differences in motor function after an intervention. The Gross Motor Function Classification System for CP (GMFCS) has been developed for these purposes. This study was based on a retrospective chart review of 85 children with CP followed from less than or equal to 2 to greater than or equal to 12 years of age. The GMFCS was applied to clinical notes by two blinded raters four times throughout the study. Interrater reliability was high (G=0.93). Test-retest reliability was high (G=0.79). The positive predictive value of the GMFGS at 1 to 2 years of age to predict walking by age 12 years was 0.74. The negative predictive value was 0.90, The GMFCS can validly predict motor function for children with CP. The results are discussed in terms of their implications for clinical practice and future research.