The Relationship Between Manual Ability and Ambulation in Adolescents with Cerebral Palsy

作     者：Majnemer, Annette Shikako-Thomas, Keiko Shevell, Michael Poulin, Chantal Lach, Lucyna Law, Mary Schmitz, Norbert 

作者机构：McGill Univ Sch Phys & Occupat Hlth Montreal PQ Canada McGill Univ Dept Pediat Montreal PQ H3A 2T5 Canada McGill Univ Dept Neurol & Neurosurg Montreal PQ Canada McGill Univ Dept Pediat Montreal Childrens Hosp Montreal PQ H3A 2T5 Canada McGill Univ Sch Social Work Montreal PQ Canada McMaster Univ Sch Rehabil Sci Hamilton ON Canada McGill Univ Dept Psychiat Inst Douglas Montreal PQ Canada 

出 版 物：《PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS》 (Phys. Occup. Ther. Pediatr.)

年 卷 期：2013年第33卷第2期

页      面：243-252页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：Canadian Institutes of Health Research [MOP 84261] FRSQ Canadian Child Health Clinician Scientist Program NeuroDevNet Montreal Children's Hospital Research Institute/Foundation of Stars 

主　　题：Adolescents cerebral palsy gross motor function classification system manual ability classification system 

摘      要：This study examined the relationship between gross motor function and manual ability in 120 adolescents with cerebral palsy (CP) (15.2, SD 2.1 years, 59.8% male). Adolescents were evaluated using the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS). A neurologist classified CP subtype. Most adolescents were ambulatory with or without utilization of aids (GMFCS level I: 35.0%, II: 30.0%, III: 5.8%, IV: 10.8%, and V: 18.3%). MACS levels were I: 34.2%, II: 25.8%, III: 16.7%, IV: 7.5%, and V: 15.8%. Correlations between GMFCS and MACS were strong in youth with quadriplegia (r = .89, p .001), moderate in individuals with diplegia (r = .58, p = .01), but weakly associated for adolescents with hemiplegia (r = .24, p = .23). The findings provide evidence for maintaining a clinical distinction between spastic quadriplegia and spastic diplegia. Manual ability may not be congruent with mobility in adolescents with CP and should be specifically evaluated given its importance to daily life functioning.