Manual Ability Classification System for Children With Cerebral Palsy in a School Setting and Its Relationship to Home Self-Care Activities
Manual Ability Classification System for Children With Cerebral Palsy in a School Setting and Its Relationship to Home Self-Care Activities
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DOI：
10.5014/ajot.2010.08087
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发表时间：
2010-07-01
影响因子：
2.9
通讯作者：
Gorter, J. W.
中科院分区：
文献类型：
--
作者：
Kuijper, M. A.;van der Wilden, G. J.;Gorter, J. W.
目的探讨学校康复环境下脑性瘫痪(CP)儿童手工能力分级系统(MACS)与儿童家庭生活自理能力(PEDI)之间的关系。此外，我们还评估了MACSMETHOD量表的观察者间信度。结果MACS与幼儿照顾者辅助量表中的自理领域具有较高的Spearman相关系数(r=72)，观察者间信度较好(加权kappa=86)。结论MACS是一种在学校环境中可靠的工具，与家庭日常生活自理活动的表现有关
OBJECTIVE Our aim in this study was to investigate the relationship between (a) the manual abilities of children with cerebral palsy (CP), assessed with the Manual Ability Classification System (MACS) in a school rehabilitation setting, and (b) the children's performance of self-care activities at home, assessed with the Pediatric Evaluation of Disability Inventory (PEDI) In addition, we assessed the interobserver reliability of the MACSMETHOD Sixty-one children with CP were included (mean age = 103 yr, range = 5-14) The MACS was classified by 2 independent raters The PEDI was scored in a structured interviewRESULTS The Spearman correlation coefficient between the MACS and the self-care domain of the PEDI Caregiver Assistance Scale was high and statistically significant (r = 72) The interobserver reliability of the MACS was good (weighted kappa = 86)CONCLUSION The MACS is a reliable instrument in a school environment and is related to the performance of daily life self-care activities at home