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Agreement between parents and clinicians for the motor functional classification systems of children with cerebral palsy

MUTLU R; KARA OK; GUNEL MK; KARAHAN S; LIVANELIOGLU A
DISABIL REHABIL , 2011, vol. 33, n° 11, p. 927-932
Doc n°: 152552
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2010.514645
Descripteurs : AJ23 - PARALYSIE CEREBRALE

This study aimed to evaluate whether parental ratings of expanded and
revised Gross Motor Function Classification System
(GMFCS E&R) and Manual Ability
Classification System (MACS) had agreement with clinicians' ratings when
classifying children with CP to these two well-known classifications of motor
functioning and hereby to evaluate intertester reliability of the classification
systems between clinicians and parents. METHOD: The process of study was designed
to collect data from parents using the GMFCS E&R and MACS. The total participants
consisted of 100 children with CP and their parents. The overall agreement
between the parents and physiotherapist GMFCS and MACS scores was analysed using
intraclass correlation coefficient (ICC). The ICC value between parents
and physiotherapist was 0.96 (95% confidence interval [CI] 0.95-0.97) for GMFCS
and 0.96 (95% CI 0.94-0.97) for MACS and indicated excellent agreement.
CONCLUSIONS: The excellent agreement between parents and clinicians indicated
that parents and clinicians can talk in the same language for the motor
functional classification systems of children with CP if careful administrations are provided.

Langue : ANGLAIS

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