Inter-relationships of functional status in cerebral palsy: analyzing gross motor function, manual ability, and communication function classification systems in children.

Inter-relationships of functional status in cerebral palsy: analyzing gross motor function, manual ability, and communication function classification systems in children.
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DOI:
10.1111/j.1469-8749.2012.04312.x
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发表时间:
2012-08
影响因子:
3.8
通讯作者:
Paneth N
Paneth N
中科院分区:
医学2区
文献类型:
--
作者:
Hidecker MJ;Ho NT;Dodge N;Hurvitz EA;Slaughter J;Workinger MS;Kent RD;Rosenbaum P;Lenski M;Messaros BM;Vanderbeek SB;Deroos S;Paneth N

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探讨脑瘫患儿粗大运动功能分类系统(GMFCS)、手动能力分类系统(MACS)和交流功能分类系统(CFCS)之间的关系。使用描述每个量表的问卷,母亲报告GMFCS,MACS和CFCS水平在222名儿童CP年龄从2至17岁(94名女性,128名男性)。来自美国儿科发育/行为、物理学和儿童神经学诊所的儿童被转诊,用于CP病因的病例对照研究。使用斯皮尔曼的相关系数(RS),分层的年龄和CP地形分类的三个系统之间的成对关系进行了评估。三种功能评估之间的相关性为强或中度。GMFCS水平与MACS水平高度相关(rs=0.69),与CFCS水平的相关性略低(rs=0.47)。MACS和CFCS也中度相关(rs=0.54)。然而,我们发现了许多功能组合,在三个五点系统的125种可能组合中,有62种在这些数据中找到。使用所有三个分类系统提供了一个更全面的图片儿童的日常生活中的功能比单独使用任何一个。由此产生的功能概况可以为临床和研究目的提供信息。
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). Using questionnaires describing each scale, mothers reported GMFCS, MACS, and CFCS levels in 222 children with CP aged from 2 to17 years (94 females, 128 males). Children were referred from pediatric developmental/behavioral, physiatry, 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 (rs), stratifying by age and CP topographical classifications. Correlations among the three functional assessments were strong or moderate. GMFCS levels were highly correlated with MACS levels (rs=0.69) and somewhat less so with CFCS levels (rs=0.47). MACS and CFCS were also moderately correlated (rs=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. 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.
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