Article

PURPOSE: To determine the reliability and cross-cultural validation of the
Turkish (Turquie) translation of the Manual Ability Classification System (MACS) for
children with cerebral palsy (CP) and to investigate the relation to gross motor
function and other comorbidities. METHODS: After the forward and backward
translation procedures, inter-rater and test-retest reliability was assessed
between parents, physiotherapists and physicians using the intra-class
correlation coefficient (ICC). Children (N = 118, 4 to 18 years, mean age 9 years
4 months; 68 boys, 50 girls) with various types of CP were classified. Additional
data on the Gross Motor Function Classification System (GMFCS), intellectual
delay, visual acuity, and epilepsy were collected. RESULTS: The inter-rater
reliability was high; the ICC ranged from 0.89 to 0.96 among different
professionals and parents. Between two persons of the same profession it ranged
from 0.97 to 0.98. For the test-retest reliability it ranged from 0.91 to 0.98.
Total agreement between the GMFCS and the MACS occurred in only 45% of the
children. The level of the MACS was found to correlate with the accompanying
comorbidities, namely intellectual delay and epilepsy. CONCLUSION: The Turkish
version of the MACS is found to be valid and reliable, and is suggested to be
appropriate for the assessment of manual ability within the Turkish population.

Langue : ANGLAIS