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首页> 外文期刊>Developmental Medicine and Child Neurology >Stability of the Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System
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Stability of the Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System

机译：总电机功能分类系统的稳定性，手动能力分类系统和通信功能分类系统

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Aim To determine the stability of the Gross Motor Function Classification System ( GMFCS ), Manual Ability Classification System ( MACS ), and Communication Function Classification System ( CFCS ) over 1‐year and 2‐year intervals using a process for consensus classification between parents and therapists. Method Participants were 664 children with cerebral palsy ( CP ), 18?months to 12?years of age, one of their parents, and 90 therapists. Consensus between parents and therapists on level of function was ≥92% for the GMFCS , MACS , and CFCS . A linearly weighted kappa coefficient of ≥0.75 was the criterion for stability. Results Kappa coefficients varied from 0.76 to 0.88 for the GMFCS , 0.59 to 0.73 for the MACS , and 0.57 to 0.77 for the CFCS . For children younger than 4 years of age, level of function did not change for 58.2% on the GMFCS , 30.3% on the MACS , and 39.3% on the CFCS . For children 4 years of age or older, level of function did not change for 72.3% on the GMFCS , 49.1% on the MACS , and 55% on the CFCS . Interpretation The findings support repeated classification of children over time. The kappa coefficients for the GMFCS are attributed to descriptions of levels for each age band. Consensus classification facilitates discussion between parents and professionals that has implications for shared decision‐making. What this paper adds The findings support repeated classification of children over time. Stability was higher for the Gross Motor Function Classification System than the Manual Ability Classification System and Communication Function Classification System. The function of younger children was more likely to be reclassified. Percentage agreement between parents and therapists using consensus classification varied from 92% to 97%. The intraclass correlation coefficient overestimated stability compared with the weighted kappa coefficient.
机译：旨在确定大型电机功能分类系统（GMFC）的稳定性，手动能力分类系统（MACS）和通信功能分类系统（CFCS）使用父母和父母之间的共识分类的进程和2年间隔超过1年和2年间隔治疗师。方法参与者是664名患有脑瘫（CP）的儿童，18个月为12岁，他们的父母之一和90个治疗师。 GMFCS，MAC和CFCS的父母和治疗师之间的父母和治疗师之间的共识≥92％。线性加权的Kappa系数≥0.75是稳定性的标准。结果Kappa系数为GMFC的0.76〜0.88，MACS为0.59至0.73，CFCS为0.57至0.77。对于4岁以下的儿童，在GMFC上的58.2％的功能水平没有改变58.2％，在MAC上的30.3％，综援就有39.3％。对于4岁或以上的儿童，在GMFC上的功能水平没有改变72.3％，MAC上的49.1％，CFC在55％上。解释调查结果支持随着时间的推移重复分类儿童。 GMFC的Kappa系数归因于每个年龄频带的级别的描述。共识分类有助于父母和专业人士对共享决策产生影响的讨论。本文增加了调查结果支持随着时间的推移对儿童的重复分类。总电机功能分类系统的稳定性高于手动能力分类系统和通信功能分类系统。更年轻的孩子的功能更可能被重新分类。使用共识分类的家长和治疗师之间的百分比协议从92％变化到97％。与加权kappa系数相比，脑内相关系数高出稳定性稳定性。

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