Department of Secondary Special Education, College of Education, Jeonju University, 1200 3-ga, Hyoja-dong, Wansan-gu, Jeonju, 560-759, Republic of Korea.
BMC Neurol. 2020 May 6;20(1):172. doi: 10.1186/s12883-020-01721-4.
The prognosis of gross motor function is a major concern for therapy and intervention in children with cerebral palsy (CP). The classification system for gross motor function, the Gross Motor Function Classification System (GMFCS), is actively studied because it could be useful in the communication between professionals and families. This study aimed to verify the stability of GMFCS over 2 years in children with CP aged 2-12 years.
The GMFCS level of 100 children with CP who underwent rehabilitation therapy in hospitals or who attended special elementary schools in South Korea were collected in the study. The agreements across three measurement points were analyzed in these children.
The weighted kappa coefficients were statistically significant (p < .05). The coefficients ranged from 0.690 to 0.789 in children with CP aged 2-12 years. The lowest coefficient of 0.557 was observed in children with CP aged 2-4 years between the first and third measurements points.
The results provided evidence of GMFCS stability for the first year and change of the GMFCS during the two-year study period in children aged 2-4 years. Moreover, the findings indicate that the stability of GMFCS varies with time, duration, and age. It is recommended that GMFCS assessments be performed periodically, which are even more necessary for children with CP aged 2-4 years.
运动功能的预后是脑瘫（CP）患儿治疗和干预的主要关注点。运动功能分类系统（GMFCS）是一种用于评估脑瘫患儿粗大运动功能的分类系统，目前正在积极研究，因为它可能有助于专业人士和家庭之间的沟通。本研究旨在验证 2-12 岁 CP 患儿 GMFCS 在 2 年内的稳定性。
本研究共纳入韩国 100 名接受康复治疗的住院患儿或特殊小学患儿，收集其 GMFCS 水平。分析了这些儿童在三个测量点的一致性。
加权kappa 系数具有统计学意义（p<0.05）。2-12 岁 CP 患儿的系数范围为 0.690-0.789。2-4 岁 CP 患儿在第 1 次和第 3 次测量点之间的最低系数为 0.557。
本研究结果首次为 2-4 岁 CP 患儿提供了 GMFCS 第一年的稳定性和两年研究期间 GMFCS 变化的证据。此外，研究结果表明 GMFCS 的稳定性随时间、持续时间和年龄而变化。建议定期进行 GMFCS 评估，对于 2-4 岁的 CP 患儿更为必要。
