| Popis: |
Background: Although there are many valid and reliable functional motor and communication functions classification tools to describe disabled children’s functional status in clinical or research environments; however, the actual difference among their levels based on actual performance remains to be determined.Aim: This study aimed to explore whether the three functional status representatives differentiate according to actual performance in everyday life in children with congenital hemiplegic cerebral palsy (CP).Method: High to moderate functional motor and communication performance levels as described by Manual Ability Classification System (MACS), Gross Motor Function Classification System, and Communication Function Classification System (CFCS) were investigated in the context of the scaled scores of upper limb functions and participation in different life situations on ABILHAND-Kids and Child and Adolescent Scale of Participation (CASP) questionnaires. The data were collected from 98 children with congenital hemiplegic CP from different rehabilitation centers (mean age 9,3 years [SD 3.0 years], [%95 CI:8.7-9.9]; 42 females, 56 males); 28,6% classified to level I, 29,6 % to level II, and 41,8 % to level III in MACS. Results: The study findings demonstrated that scaled scores of the upper limb functions and participation in different life situations clearly increased with the greater MACS, GMFCS, and CFCS level, except for CFCS levels closest to each other.Conclusion: MACS and GMFCS was strongest predictor of a child’s actual performance in daily life. |
