Beckung E, Hagberg G
Department of Pediatrics, Göteborg University, Queen Silvia's University Hospital, Sweden.
Dev Med Child Neurol. 2000 Oct;42(10):669-73. doi: 10.1017/s0012162200001237.
The aim of this study was to apply the International Classification of Impairments, Disabilities and Handicap (ICIDH; WHO 1980) parallel to the Gross Motor Function Classification System (GMFCS; Palisano et al. 1997) in a population-based series of children with cerebral palsy (CP). Of the 116 children studied, birth characteristics, data on gross motor function, and level of handicap at 5 to 6 years of age, were retrospectively collected from medical records and documentation made by rehabilitation team members. Low handicap scores and mild levels of gross motor disability were present in children with hemiplegic CP, moderate scores in children with diplegic CP, simple ataxia, and athetotic CP, and high scores in children with dystonic CP and tetraplegic CP. A significant correlation was found between high handicap scores as well as high levels on the GMFCS and the presence of learning disability, epilepsy, and obvious aetiology of CP. A strong correlation was found between the handicap code and the GMFCS, the strongest concerning the dimension of mobility (r = 0.95,p<0.0001). A striking similarity in the grading of disability was present between the ICIDH handicap code and the GMFCS. The GMFCS is considerably less time-consuming and can be evaluated retrospectively. The handicap code requires more detailed information and is more useful for a comprehensive profile of the child.
本研究的目的是将国际损伤、残疾和残障分类（ICIDH；世界卫生组织，1980年）与粗大运动功能分类系统（GMFCS；Palisano等人，1997年）并行应用于一组以人群为基础的脑瘫（CP）儿童。在116名研究儿童中，回顾性收集了出生特征、粗大运动功能数据以及5至6岁时的残障水平，这些数据来自医疗记录和康复团队成员所做的文档记录。偏瘫型脑瘫儿童的残障得分较低，粗大运动残疾程度较轻；双瘫型脑瘫、单纯共济失调型脑瘫和手足徐动型脑瘫儿童的得分中等；张力障碍型脑瘫和四肢瘫型脑瘫儿童的得分较高。残障得分高以及GMFCS分级高与学习障碍、癫痫和明显的脑瘫病因之间存在显著相关性。在残障代码和GMFCS之间发现了很强的相关性，在活动能力维度方面相关性最强（r = 0.95，p<0.0001）。ICIDH残障代码和GMFCS在残疾分级方面存在显著相似性。GMFCS耗时少得多，并且可以进行回顾性评估。残障代码需要更详细的信息，对于全面了解儿童情况更有用。
