Department of Speech-Language Pathology, University of Central Arkansas, Conway, AR 72035-0001, USA.
Dev Med Child Neurol. 2012 Aug;54(8):737-42. doi: 10.1111/j.1469-8749.2012.04312.x. Epub 2012 Jun 20.
To investigate the relationships among the Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), and Communication Function Classification System (CFCS) in children with cerebral palsy (CP).
Using questionnaires describing each scale, mothers reported GMFCS, MACS, and CFCS levels in 222 children with CP aged from 2 to 17 years (94 females, 128 males; mean age 8 y, SD 4). Children were referred from pediatric developmental/behavioral, physiatry, and child neurology clinics, in the USA, for a case-control study of the etiology of CP. Pairwise relationships among the three systems were assessed using Spearman's correlation coefficients (r(s) ), stratifying by age and CP topographical classifications.
Correlations among the three functional assessments were strong or moderate. GMFCS levels were highly correlated with MACS levels (r(s) = 0.69) and somewhat less so with CFCS levels (r(s) = 0.47). MACS and CFCS were also moderately correlated (r(s) = 0.54). However, many combinations of functionality were found. Of the 125 possible combinations of the three five-point systems, 62 were found in these data.
Use of all three classification systems provides a more comprehensive picture of the child's function in daily life than use of any one alone. This resulting functional profile can inform both clinical and research purposes.
探讨脑性瘫痪（CP）患儿粗大运动功能分级系统（GMFCS）、手动能力分级系统（MACS）和沟通功能分级系统（CFCS）之间的关系。
使用描述各量表的问卷，报告了 222 名 2-17 岁 CP 儿童（94 名女性，128 名男性；平均年龄 8 岁，标准差 4）的 GMFCS、MACS 和 CFCS 水平。这些儿童是从美国儿科发育/行为、物理医学和儿童神经科诊所因 CP 的病因病例对照研究而转诊的。采用斯皮尔曼等级相关系数（r(s)），按年龄和 CP 解剖学分类对三种系统之间的关系进行分层，评估三种系统之间的关系。
三种功能评估之间的相关性较强或中度。GMFCS 水平与 MACS 水平高度相关（r(s) = 0.69），与 CFCS 水平相关性稍低（r(s) = 0.47）。MACS 和 CFCS 也呈中度相关（r(s) = 0.54）。然而，发现了许多功能组合。在这三个五分制系统的 125 种可能组合中，有 62 种在这些数据中被发现。
使用所有三种分类系统比单独使用任何一种系统提供了更全面的儿童日常生活功能描述。这种功能综合评估可用于临床和研究目的。
