Functional classifications for cerebral palsy: Correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS)

Compagnone, Eliana; Maniglio, Jlenia; Camposeo, Serena; Vespino, Teresa; Losito, Luciana; Rinaldis, Marta De; Gennaro, Leonarda; Trabacca, Antonio

doi:10.1016/j.ridd.2014.07.005

Cited by 95 publications

(68 citation statements)

References 24 publications

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“…Although each classification system measures different functional aspects in children with CP, they all contribute to determining the function of children with CP in terms of ICF. Previous studies reported that none of the correlation coefficients of the classification systems indicated a very strong relationship, as observed in our study3, 19 ) . The use of a single system is inadequate for describing the functional level of children with CP.…”

Section: Discussionsupporting

confidence: 72%

What do the relationships between functional classification systems of children with cerebral palsy tell us?

et al. 2017

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Abstract. [Purpose] To examine the distribution of and relationship between the Gross Motor Function, Manual Ability, and Communication Function Classification Systems in different limbs of children with spastic cerebral palsy. We also investigated whether the four predicting variables of gender, age, manual ability, and gross motor classifications could significantly predict effective and non-effective communicator groups in communication function. [Subjects and Methods] This retrospective cross-sectional study included 327 children with a mean age of 10.13 ± 4.09 years. Classifications were performed by an experienced pediatric physiotherapist.[Results] Gross motor function levels showed a strong correlation with manual ability levels (r s =0.78). Manual ability level was strongly correlated with communication function levels (r s =0.73), particularly in quadriplegic children (r s = 0.78). Gross motor function levels were moderately correlated with communication function levels (r s =0.71). Effective communicators in communication function showed more functional levels of manual ability and were determined by Gross Motor Function classifications. The variables were better at predicting ineffective communicators (91% correct) compared with effective communicators (85% correct). [Conclusion] Further studies are needed to relate these functional performance systems to the activity and participation levels as well as the quality of life, desires, and participation of the subjects.

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Section: Discussionsupporting

confidence: 72%

What do the relationships between functional classification systems of children with cerebral palsy tell us?

et al. 2017

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“…And indeed, the associations among functional profiles of the children with CP have been investigated previously (Compagnone et al, ; Hidecker et al, ; Himmelmann, Beckung, Hagberg, & Uvebrant, ). Both strong associations between the CFCS and MACS and GMFCS have been demonstrated in some previous studies (Compagnone et al, ; Himmelmann et al, ), as well as only moderate to weak associations were demonstrated between them in another previous study of larger sample size (Hidecker et al, ). Although there were moderate to weak associations of the CFCS and the VSS with the GMFCS and the MACS in the present study, the small sample size of present study has limitation in assessing the associations between functional profiles.…”

Section: Discussionmentioning

confidence: 87%

Reliability and validity of the Korean‐language version of the Communication Function Classification System in children with cerebral palsy

Choi

Hwang

Rha

et al. 2017

Child

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Purpose: The Communication Function Classification System (CFCS) and Viking Speech Scale (VSS) are useful systems for describing the broad communication function and speech intelligibility, respectively, of children with cerebral palsy (CP). The aims of this study were to determine the reliability and validity of the Korean version of the CFCS and also to investigate the association between the CFCS and the VSS and other functional classifications for children with CP. In addition, we found very strong associations between the VSS and CFCS. Materials and methods: Conclusions:The Korean version of the CFCS is a valid and reliable tool to classify communication ability and is strongly associated with the VSS, a reliable tool to classify speech intelligibility.

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“…However, available studies indicate that -similar to our sample -most children and adolescents with PD have low levels of physical impairment (e.g., Reid et al 2011). Only individuals with the most severe PD level were underrepresented in our study, probably because of strong correlations between physical and cognitive impairments (r = 0.66, Compagnone et al 2014) and the fact that we excluded students who would have been cognitively unable to answer our questionnaire.…”

Section: Discussionmentioning

confidence: 80%

Perceived Attainment of Developmental Tasks in Adolescents with and without Physical Disabilities

Behle

Pinquart

2015

J Dev Phys Disabil

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The present study explored whether adolescents with (N = 183) and without (N = 320) physical disabilities (PD) differed in their perceived attainment of 12 agetypical developmental tasks. We were also interested in whether the success varied according to the extent of motoric restriction. The groups differed in the perceived attainment of three out of 12 tasks. Adolescents with physical impairments perceived lower levels of success than their peers without PD with regard to peer-group integration, but higher levels of success in gaining academic competence and autonomy from parents. Their higher perceived autonomy was explained by the fact that many students with disabilities did not live with their parents during the school term. Higher severity of disability was associated with lower perceived attainment in five developmental tasks (autonomy development, development of realistic self-perception, development of romantic relationships, gender-role awareness, sociopolitical awareness). The results indicate that many young people with a PD, and those with low physical restrictions in particular, demonstrate substantial resilience and are as successful as their peers without disabilities in accomplishing their developmental tasks. Interventions aimed at promoting the attainment of developmental tasks are recommended for adolescents with severe disabilities.A physical disability (PD) can be defined as a condition where a person experiences significant deviation or loss in their body function or structure that results in limitations in physical activity (World Health Organization 2001). According to official statistics, 0.3 % of German school students were classified as having a PD in 2012 with 74 % of J Dev Phys Disabil (2015) 27:773-787

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Functional classifications for cerebral palsy: Correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS)

Cited by 95 publications

References 24 publications

What do the relationships between functional classification systems of children with cerebral palsy tell us?

What do the relationships between functional classification systems of children with cerebral palsy tell us?

Reliability and validity of the Korean‐language version of the Communication Function Classification System in children with cerebral palsy

Perceived Attainment of Developmental Tasks in Adolescents with and without Physical Disabilities

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