Functional classification systems in Brazilian children with cerebral palsy: Reliability and associations between functional levels

Children with Cerebral palsy (CP) present movement and posture disorders. The Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS), Eating and Drinking Ability Classification System (EDACS), and Visual Fu...

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Bibliographic Details
Published in:Developmental neurorehabilitation 2024-10, Vol.27 (7), p.243-250
Main Authors: Ayupe, Kennea Martins Almeida, Lima, Amanda Larissa Oliveira, de Alcântara Gomes, Gabrielly Cristine, de Sousa, Deysiane Sobrinho, Camargos, Ana Cristina Resende, de Carvalho Chagas, Paula Silva, Leite, Hércules Ribeiro, Longo, Egmar, de Toledo, Aline Martins
Format: Article
Language:English
Subjects:
Adolescent
Brazil
Cerebral Palsy - classification
Cerebral Palsy - physiopathology
Child
Child, Preschool
Disability Evaluation
Female
Humans
Male
Reproducibility of Results
Severity of Illness Index
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Summary:Children with Cerebral palsy (CP) present movement and posture disorders. The Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS), Eating and Drinking Ability Classification System (EDACS), and Visual Function Classification System (VFCS) enhance the understanding of their performance. We verified inter-rater reliability and associations between the classification levels. Physical therapists classified 100 Brazilian children with CP (3-17 years) according to GMFCS, MACS, CFCS, EDACS, and VFCS. To evaluate inter-rater reliability (Intraclass Correlation Coefficient-ICC) two independent examiners concurrently assessed a subset of 60 participants. According to Spearman's correlation coefficients, there were associations between GMFCS/MACS (  = 0.81), GMFCS/CFCS (  = 0.70), MACS/CFCS (  = 0.73), GMFCS/VFCS (  = 0.61), MACS/VFCS (  = 0.61), CFCS/EDACS (  = 0.58), CFCS/VFCS (  = 0.50), and EDACS/VFCS (  = 0.45) (  
ISSN:1751-8423
1751-8431
1751-8431
DOI:10.1080/17518423.2024.2398158