뇌성마비 아동에서 손 기능분류체계의 신뢰도

• 영문명: Reliability of the Manual Ability Classification System for Children With Cerebral Palsy
• 발행기관: 한국전문물리치료학회
• 저자명: 박은영(Eun Young Park) 이영정(Young Jung Lee) 김원호(Won Ho Kim)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제17권 제1호, 62~68쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2010.02.28

영문 초록

The purposes of this study were to examine inter-rater reliability of the manual Ability Classification System (MACS) by children's age and to identify the correlation between the MACS and the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP). Twenty-six children with CP older than two years participated. Children with CP were classified according to the MACS and the GMFCS by two physical therapists. Inter-rater reliability was analyzed using the Intraclass Correlation Coefficients (ICCs). The results showed that the reliability of the MACS for children aged 2~3 years was .88 and for children aged above 4years was .98 (p<.05). Children with quadriplegia had a higher level of MACS than children with spastic hemiplegia and diplegia. A moderate relationship between the MACS and the GMFCS was found in all children (rater 1, r=.631; rater 2, r=.438). The MACS will be used for classification of children with CP according to manual abilities. thus, it offers a reliable method for communication between therapists about the manual ability of children with CP who are older than 2 years.

키워드

Cerebral palsy Manual ability classification system Reliability