Development and reliability of a system to classify gross motor function in children with cerebral palsy

被引:4778
作者
Palisano, R
Rosenbaum, P
Walter, S
Russell, D
Wood, E
Galuppi, B
机构
[1] ALLEGHENY UNIV HLTH SCI,DEPT PHYS THERAPY,PHILADELPHIA,PA 19102
[2] MCMASTER UNIV,DEPT PEDIAT,HAMILTON,ON,CANADA
[3] MCMASTER UNIV,DEPT CLIN EPIDEMIOL & BIOSTAT,HAMILTON,ON,CANADA
关键词
D O I
10.1111/j.1469-8749.1997.tb07414.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To address the need for a standardized system to classify the gross motor function of children with cerebral palsy, the authors developed a five-level classification system analogous to the staging and grading systems used in medicine. Nominal group process and Delphi survey consensus methods were used to examine content validity and revise the classification system until consensus among 48 experts (physical therapists, occupational therapists, and developmental pediatricians with expertise in cerebral palsy) was achieved, Interrater reliability (kappa) was 0.55 for children less than 2 years of age and 0.75 for children 2 to la years of age. The classification system has application for clinical practice, research, teaching, and administration.
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收藏
页码:214 / 223
页数:10
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