Manual Ability Classification System for Children With Cerebral Palsy in a School Setting and Its Relationship to Home Self-Care Activities

Author:

Kuijper M. A.1,van der Wilden G. J.2,Ketelaar M.3,Gorter J. W.4

Affiliation:

1. M. A. Kuijper, MD, is Pediatric Rehabilitation Physician, Rehabilitation Center De Hoogstraat, Rembrandtkade 10, 3583TM Utrecht, The Netherlands, and Department of Rehabilitation, Nursing Science and Sports, University Medical Centre, Utrecht, The Netherlands; MAKuyper@dehoogstraat.nl

2. G. J. van der Wilden, MD, is Pediatric Rehabilitation Physician, Rehabilitation Centre het Roessingh, Enschede, The Netherlands

3. M. Ketelaar, PhD, MD, is Associate Professor, Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands; Department of Rehabilitation, Nursing Science and Sports, Rudolf Magnus Institute of Neuroscience, University Medical Centre, Utrecht, The Netherlands; and Partner of NetChild, Network for Childhood Disability Research in The Netherlands

4. J. W. Gorter, PhD, is Associate Professor, CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada, and Partner of NetChild

Abstract

Abstract OBJECTIVE. Our aim in this study was to investigate the relationship between (a) the manual abilities of children with cerebral palsy (CP), assessed with the Manual Ability Classification System (MACS) in a school rehabilitation setting, and (b) the children’s performance of self-care activities at home, assessed with the Pediatric Evaluation of Disability Inventory (PEDI). In addition, we assessed the interobserver reliability of the MACS. METHOD. Sixty-one children with CP were included (mean age = 10.3 yr, range = 5–14). The MACS was classified by 2 independent raters. The PEDI was scored in a structured interview. RESULTS. The Spearman correlation coefficient between the MACS and the self-care domain of the PEDI Caregiver Assistance Scale was high and statistically significant (r = .72). The interobserver reliability of the MACS was good (weighted κ = .86). CONCLUSION. The MACS is a reliable instrument in a school environment and is related to the performance of daily life self-care activities at home.

Publisher

AOTA Press

Subject

Occupational Therapy

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