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

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Mutlu A., Piştav Akmeşe P. , Yardımcı B. N. , Öğretmen T.

The Journal of Physical Therapy Science, cilt.28, ss.3493-3498, 2016 (Diğer Kurumların Hakemli Dergileri)

  • Cilt numarası: 28
  • Basım Tarihi: 2016
  • Dergi Adı: The Journal of Physical Therapy Science
  • Sayfa Sayıları: ss.3493-3498


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 (rs=0.78). Manual ability level was

strongly correlated with communication function levels (rs=0.73), particularly in quadriplegic children (rs=0.78).

Gross motor function levels were moderately correlated with communication function levels (rs=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.

Key words: Cerebral palsy, Classification systems, Function