Development and reliability of a system to classify gross motor function in children with cerebral palsy

Developmental Medicine and Child Neurology - Tập 39 Số 4 - Trang 214-223 - 1997
Robert J. Palisano1, Peter Rosenbaum2, Stephen D. Walter3, David Russell4,5, Ellen Wood6,4, Barbara Galuppi7
1Associate Professor, Department of Physical Therapy, Allegheny University of the Health Sciences, Philadelphia. PA, USA
2Department of Pediatrics, McMaster University, Hamilton, ON, Canada
3Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
4McMaster University, Hamilton, ON, Canada
5Research Coordinator, Neurodevelopmental Clinical Research Unit
6Assistant Professor, Department of Pediatrics.
7Neurodevelopmental Clinical Research Unit, McMaster University, Hamilton, ON, Canada

Tóm tắt

To address the need for a standardized system to classify the gross motor function of children with cerebral palsy, the authors developed a five‐level classification system analogous to the staging and grading systems used in medicine. Nominal group process and Delphi survey consensus methods were used to examine content validity and revise the classification system until consensus among 48 experts (physical therapists, occupational therapists, and developmental pediatricians with expertise in cerebral palsy) was achieved. Interrater reliability (k) was 0.55 for children less than 2 years of age and 0.75 for children 2 to 12 years of age. The classification system has application for clinical practice, research, teaching, and administration.

Từ khóa


Tài liệu tham khảo

Badell‐Ribera A., 1985, Cerebral palsy:postural‐locomotor prognosis in spastic diplegia, Archives of Physical Medicine, and Rehabilitation, 66, 614

10.1136/bmj.2.4932.163

10.1111/j.1469-8749.1964.tb10791.x

Boyee W., 1995, The Cross Motor Performance Measure: validity and responsiveness of a measure of quality of movement, Physical Therapy, 75, 603, 10.1093/ptj/75.7.603

10.1097/00004703-198512000-00002

Evans R., 1989, A standard form for recording clinical findings in children wit ha motor defect of central origin, Developmental Medicine and Child Neurology, 31, 119

10.1176/ajp.107.3.180

10.2105/AJPH.74.9.979

Fleiss JL, 1981, Statistical Methods for Rates and Proportions

Minear WL, 1950, A classification system for cerebral palsy, Pediatrics, 18, 841

Nagi S., 1965, Sociology and Rehabilitation, 100

National Institutes of Health., 1993, Research Plan for the. Center for Medical Rehabilitation Research

10.1001/jama.1952.02930180032007

10.1111/j.1469-8749.1989.tb04003.x

Scrutton D., 1997, Neurophysiology and Neuropsychology of Motor of Motor Development

World Health Organization, 1980, International classification of impairments disabilities and handicaps, 143

10.1111/j.1469-8749.1993.tb11568.x