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한국전문물리치료학회지 = Physical Therapy Korea v.17 no.1, 2010년, pp.62 - 68   피인용횟수: 3

뇌성마비 아동에서 손 기능분류체계의 신뢰도
Reliability of the Manual Ability Classification System for Children With Cerebral Palsy

박은영    (전주대학교 사범대학 중등특수교육과   ); 이영정    (분당제생병원 물리치료실   ); 김원호    (울산과학대학 물리치료과  );
  • 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 4 years was .98 (p


  • 주제어

    Cerebral palsy .   Manual ability classification system .   Reliability.  

  • 참고문헌 (16)

    1. 박은영. 경직형 뇌성마비 아동의 손 기능 분류체계와 기능적 수행도 평가 간의 상관. 한국콘텐츠학회논문지. 2009;9(7):248-256.     
    2. Aneja S. Evaluation of a child with cerebral palsy. Indian J Pediatr. 2004;71(7):627-634. 
    3. Beckung E, Hagberg G. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Nerurol. 2002;44(5):309-316. 
    4. Carnahan KD, Arner M, Hagglund G. Association between gross motor function (GMFCS) and manual ability (MACS) in children with cerebral palsy: A population-based study of 359 children. BMC Musculoskelet Disord. 2007;8:50. 
    5. Eliasson AC, Krumlinder-Sundholm L, Rosblad B, et al. The Manual Ability Classification System (MACS) for chidren with cerebral palsy. Scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-554. 
    6. Eliasson AC, Shaw K, Ponten E, et al. Feasibility of a day-camp model of modified constraint-induced movement therapy with and without botulinum toxin A injection for children with hemiplegia. Phys Occup Ther Pediatr. 2009;29(3):311-333. 
    7. Gunel MK, Mutlu A, Tarsuslu T, 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. Eur J Pediatr. 2009;168(4):477-485. 
    8. Kwolek A. Majka M, Pabis M. The rehabilitation of children with cerebral palsy: Problems and current trends. Ortop Traumatol Rehabil. 2001;3(4):499-507. 
    9. Lowing K, Bexelius A, Brogren Carlberg E. Activity focused and goal directed therapy for children with cerebral palsy-Do goals make a difference? Disabil Rehabil. 2009;31(22):1808-1816. 
    10. Morris C, Bartlett D. Gross Motor Function Classification System: Impact and utility. Dev Med Child Neurol. 2004;46(1):60-65. 
    11. Morris C, Kurinczuk JJ, Fitzpatrick R, et al. Reliability if the manual ability classification system for children with cerebral palsy. Dev Med Child Neurol. 2006;48(12):950-953. 
    12. Oeffinger DJ, Tylkowski CM, Rayens MK, et al. Gross Motor Function Classification System and outcome tools for assessing ambulatory cerebral palsy: A multicenter study. Dev Med Child Neurol. 2004;46(5):311-319. 
    13. Palisano R, Rosenbaum P, Walter S, et al. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-223. 
    14. Plasschaert VF, Ketelaar M, Nijnuis MG, et al. Classification of manual abilities in children with cerebral palsy under 5 years of age: How reliable is the manual ability classification system? Clin Rehabil. 2009;23(2):164-170. 
    15. World Health Organization. International Classification of Function, Disability and Health. Geneva, World Health Organization, 2001. 
    16. Wood E, Rosenbaum P. The gross motor function classification system for cerebral palsy: A study of reliability and stability over time. Dev Med Child Neurol. 2000;42(5):292-296. 
  • 이 논문을 인용한 문헌 (3)

    1. Park, Eun-Young 2011. "Utility of Function Classification System in Children with Cerebral Palsy" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 12(12): 5709~5714     
    2. Jeong, Dong-Hoon 2012. "Effect of Biomechanical Intervention based on Custom Seating System on Activities of Mouse Click for Children with Cerebral Palsy" 대한물리치료학회지 = The journal of Korean Society of Physical Therapy, 24(2): 57~65     
    3. Jeong, Dong-Hoon 2015. "Comparative Study of Text Entry Speed and Accuracy Using the Three Different Keyboard Type in Students with Cerebral Palsy: Case Study" 대한물리의학회지 = Journal of the korean society of physical medicine, 10(1): 23~35     

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