Measurements of functional outcomes in children with cerebral palsy

Msall, Michael E.; Rogers, Bonnie; Ripstein, Heather; Lyon, Nancy; Wilczenski, Felicia L.

doi:10.1002/(sici)1098-2779(1997)3:2<194::aid-mrdd11>3.0.co;2-q

Cited by 44 publications

(21 citation statements)

References 54 publications

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“…Scoring procedures were consistent with the procedure outlined by the WeeFIM training manual (WeeFIM SystemSM 1998). This tool was chosen because methods of administration include interviews (face-to-face or telephone) or direct observation 18,19) . The CHQ-PF28 is designed to measure the physical and psychosocial well-being of children above 5 years of age, regardless of the presence or type of disability 20) .…”

Section: Methodsmentioning

confidence: 99%

Relationship between Function and Health-Related Quality of Life of School-Aged Children with Cerebral Palsy

Lee

Kim

2011

J Phys Ther Sci

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Abstract. [Purpose] To determine the correlation between function, measured by the functional independence measure for children (WeeFIM) and health-related quality of life (HRQOL), measured by the child health questionnaire (CHQ-PF28) for children with cerebral palsy (CP), and to find out which child and parent factors related with each of these measures.[Subjects] One hundred fifty-five school-aged children with CP (89 boys, 66 girls) and their mothers.[Methods] Two physical therapists evaluated function and HRQOL using the WeeFIM and the CHQ-PF28 individually through interviews with the mothers of the subjects.[Results] Severer GMFCS levels were associated with lower functional ability, physical and psychosocial quality of life. The correlation between total WeeFIM score and Physical Summary Score (PHS) was r=0.48. Social cognition correlated fairly well with Psychosocial Summary Score (PSS) (r=0.26). Epilepsy was significantly related with lower PHS, PSS, WeeFIM total score and all the subscale scores. GMFCS was related with all the scales except the PSS.[Conclusion] The WeeFIM and CHQ-PF28 appear to assess related but different constructs, so there is a need to incorporate complementary measures when evaluating function and HRQOL of children with CP. Child factors such as epilepsy and GMFCS were more associated with functional status and well-being of school-aged children with CP than parental factors in Korea.

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Section: Methodsmentioning

confidence: 99%

Relationship between Function and Health-Related Quality of Life of School-Aged Children with Cerebral Palsy

Lee

Kim

2011

J Phys Ther Sci

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“…The WeeFIM is a validated and reliable tool [11,[17][18][19][20] adapted from the adult Functional Independence Measure (FIM), and designed as an evaluative measure that operationally defines tasks pertinent to a child's independence across different settings [1,11,17,20]. It measures usual performance to criterion standards and includes 18 items across 3 subscales (self-care, mobility, and cognition) for children with developmental disabilities ages 6 months-12 years [19].…”

Section: Methodsmentioning

confidence: 99%

“…The quotients are normalized data -the raw data are transformed based on the average score for a given age. This tool was chosen because methods of administration include interviews (face-to-face or telephone) or direct observation [17,18]. There is excellent equivalence reliability of observation and interview administration methods (ICC=0.93 for total WeeFIM score) [18].…”

Section: Methodsmentioning

confidence: 99%

Associations between a functional independence measure (WeeFIM) and the pediatric quality of life inventory (PedsQL4.0) in young children with physical disabilities

et al. 2006

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“…The evaluation and implementation of an early and continuous rehabilitation of a child with CP requires a multidisciplinary approach with a team of professionals comprising of a pediatrician, a pediatric neurologist, an orthopedic surgeon, a physician, an occupational therapist, Outcome tools are used for patients with CP to measure functional performance as a baseline descriptive assessment, to select treatment goals, and to evaluate outcomes [19]. It is a growing interest in research areas to develop and use reliable, valid, and standardized tools as outcome measures and their relationship with each other for an evidence-based research [20].…”

Section: Introductionmentioning

confidence: 99%

Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy

et al. 2008

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The aim of this study was to investigate the relationship among functional classification systems, the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy (CP). One hundred and eighty-five children with spastic CP (101 males, 84 females), 65 (35.1%) diparetic, 60 (32.4%) quadriparetic, and 60 (32.4%) hemiparetic children, ranging from 4 to 15 years of age with a median age of 7 years, were included in the study. The children were classified according to the GMFCS for their motor function and according to the MACS for the functioning of their hands when handling objects in daily activities. The functional status and performance were assessed by using the Functional Independence Measure of Children (WeeFIM). A good correlation between the GMFCS and MACS was found in all children (r = 0.735, p < 0.01). There was also a correlation between the GMFCS and WeeFIM subscales according to subtypes and all parameters were correlated at the level of p < 0.01, the same as the MACS. There was no difference in the MACS scores among the age groups of 4-7, 8-11, and 12-15 years (p > 0.05). The use of both the GMFCS and MACS in practice and in research areas will provide an easy, practical, and simple classification of the functional status of children with CP. The adaptation of both of these scales and WeeFIM and using these scales together give the opportunity for a detailed analysis of the functional level of children with spastic CP and reflect the differences between clinical types of CP.

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Measurements of functional outcomes in children with cerebral palsy

Cited by 44 publications

References 54 publications

Relationship between Function and Health-Related Quality of Life of School-Aged Children with Cerebral Palsy

Relationship between Function and Health-Related Quality of Life of School-Aged Children with Cerebral Palsy

Associations between a functional independence measure (WeeFIM) and the pediatric quality of life inventory (PedsQL4.0) in young children with physical disabilities

Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy

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