Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Utility of Function Classification System in Children with Cerebral Palsy

뇌성마비 아동의 기능적 수준 분류 체계의 유용성

  • Park, Eun-Young (Dept. of Secondary Special Education, College of Education, Jeonju University)
  • 박은영 (전주대학교 사범대학 중등특수교육과)
  • Received : 2011.10.07
  • Accepted : 2011.12.13
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the utility of function classification system in children with cerebral palsy (CP). For this, relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with cerebral palsy form September 2008 to August 2010. The participants was 217 children with CP in this study. The 217 children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). The GMFCS have a significant correlation with total score and domains of WeeFIM (p<.05) There were a significant correlation with total score and domains of WeeFIM (p<.05) except no significancy with communication domain in dyskinesia type. The highest number of participants were in level 1 (20.3) and level 5 (40.6%) for GMFCS. For MACS, the highest number of participants were level 2 (48.8%) and level 5 (16.6%). The function classification of GMFCS and MACS in practice will provide usefulness for assessment of function in children with CP.

이 연구는 뇌성마비 아동의 기능적 수준 분류 체계의 유용성을 알아보기 위해 실시되었다. 이를 위해 2008년 9월부터 2010년 8월까지의 기간 동안 뇌성마비 아동 217명을 대상으로 대동작 기능 분류체계(GMFCS), 손 기능 분류 체계(MACS), 일상생활 활동을 측정하고 도구 간의 관계를 알아보았다. 그 결과, 대동작 기능 분류체계와 일상 생활 활동은 모든 하위 영역 및 총점과 유의한 상관이 있는 것으로 나타났다(p<.05). 손 기능 분류체계와 일상생활 활동은 이상운동형 아동에서 일상생활 하위 영역 중 의사소통과 상관이 유의하지 않은 것을 제외하고 모든 하위 영역 및 총점과 유의한 상관이 있는 것으로 나타났다(p<.05). GMFCS와 MACS의 관계를 알아본 결과, 가장 많은 분포를 나타낸 것은 GMFCS의 경우 1수준(20.3%)과 5수준(40.6%)이었고, MACS의 경우는 2수준(48.8%)과 5수준(16.6%)이었다. 결론적으로, 뇌성마비 아동의 기능적 수준 분류 체계인 GMFCS와 MACS는 임상적으로 유용한 평가 체계로 사용될 수 있을 것으로 생각된다.

Keywords

References

  1. T. S. Ingram, "The Long Term Care of the Patient Suffering from Cerebral Palsy I", Journal of the Irish Medicine Association, Vol. 67, No. 8, pp. 205-213, 1974.
  2. D. J. Bartlett and R. J. Palisano, "A Multivariate Model of Determinants of Motor Change for Children With Cerebral Palsy", Physical Therapy, Vol. 80, No. 6, pp. 598-610, 2000.
  3. M. E. Gormley, "Treatment of Neuromuscular and Musculoskeletal Problems in Cerebral Palsy", Pediatric Rehabilitation, Vol. 4, pp. 5-16, 2001. https://doi.org/10.1080/13638490151068393
  4. M. L. McCarthy, C. E. Silberstein, E. A Atkins, et al., "Comparing Reliability and Validity of Pediatric Instruments for Measuring Health and Well-being of Children With Spastic Cerebral Palsy", Developmental Medicine & Child Neurology, Vol. 44, pp. 468-476, 2002.
  5. WHO, World Health Organization. International Classification of Functioning, Disability and Health, Geneva, 2001.
  6. S. Ostensjo, E. B. Carlberg, and N. K. Vollestad, "Everyday Functioning in Young Children With Cerebral Palsy: Functional Skills, Caregiver Assistance, and Modifications of the Environment", Developmental Medicine & Child Neurology, Vol. 45, No. 9, pp. 603-612, 2003.
  7. A. C. Eliasson, L. Krumlinde-Sundholm, B. Rosblad, et al, "The Manual Ability Classification System (MACS) for Children With Cerebral Palsy: Scale Development and Evidence of Validity and Reliability", Developmental Medicine & Child Neurology, Vol. 48, No. 7, pp. 549-554, 2006. https://doi.org/10.1017/S0012162206001162
  8. E. Beckung and G. Hagberg, "Neuroimpairments, Activity Limitations, and Participation Restrictions in Children With Cerebral Palsy", Developmental Medicine & Child Neurology, Vol. 44, No. 5, pp. 309-316, 2002.
  9. M. K. Gunel, A. Mutlu, T. Tarsuslu, et al., "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", European Journal of Pediatrics, Vol. 168, No. 4, pp. 477-485, 2009. https://doi.org/10.1007/s00431-008-0775-1
  10. A. C. Eliasson, L, Krumlinde-Sundholm, B. Rosblad, et al., "Using the MACS to Facilitate Communication about Manual Abilities of Children With Cerebral Palsy", Developmental Medicine & Child Neurology, Vol. 49, No .2, pp. 156-157, 2007.
  11. A, Mutlu, P. P. Akmese, M. K. Gunel, et al., "The Importance of Motor Functional Levels from the Activity Limitation Perspective of ICF in Children With Cerebral Palsy", International Journal of Rehabilitation Research, Vol. 33, No. 4, pp. 319-324, 2010. https://doi.org/10.1097/MRR.0b013e32833abe71
  12. E. Y. Park, "Structural Equation Modeling of Factors Contributing to Activities of Daily Living in Children With Cerebral Paly", Journal of Korean Contents, Vol. 9, No. 10, pp. 206-217, 2009. https://doi.org/10.5392/JKCA.2009.9.10.206
  13. J. G. Kim, H. R. Kim, and Y. I. Shin, "The Relationship Between Manual Ability and Functional Capability for Children With Cerebral Palsy" Journal of Korean Society of Occupational Therapy, Vol. 19, No. 1, pp. 83-91, 2011.
  14. C. Morris and D. Bartlett, "Gross Motor Function Classification System: Impact and Utility", Developmental Medicine & Child Neurology, Vol .46, No. 1, pp. 60-65, 2004.
  15. A. W. Bodkin, C. Robinson, and F. P. Perales, "Reliability and Validity of the Gross Motor Function Classification System for Cerebral Palsy", Pediatric Physical Therapy, Vol. 15, No. 4, pp. 247-252. 2003. https://doi.org/10.1097/01.PEP.0000096384.19136.02
  16. C. Morris, J. Kurinczuk, R. Fitzpatrick, and P. Rosenbaum, "Reliability of the Manual Ability Classification System for Children With Cerebral Palsy", Developmental Medicine & Child Neurology, Vol. 48, No. 12, pp. 950-953, 2006. https://doi.org/10.1017/S001216220600209X
  17. E. Y. Park, Y. J. Lee, W. H. Kim, "Reliability of Manual Ability Classification System for Children With Cerebral Palsy", Physical Therapy Korea, Vol. 17, No. 1, pp. 62-68, 2010.
  18. P. A. Sperle, K. J. Ottenbacher, S. L. Braun, S. J. Lane, and S. Nochajski, "Equivalence Reliability of the Functional Independence Measure for Children (WeeFIM) Administration Methods", American Journal of Occupational Therapy, Vol. 51, No. 1, pp. 35-41, 1997. https://doi.org/10.5014/ajot.51.1.35
  19. W. H. Kim and E. Y. Park, "Causal Relation Between Spasticity, Strength, Gross Motor Function, and Functional Outcome in Children With Cerebral Palsy: A Path Analysis", Developmental Medicine & Child Neurology, Vol. 53, No. 1, pp. 68-73, 2011. https://doi.org/10.1111/j.1469-8749.2010.03777.x

Cited by

  1. The Effects of Physical Function Level and Intensity of Treatment for Rehabilitation on Improvement of Physical Function in Children with Cerebral Palsy: Follow-up Study for 6 Months vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.27