韩国脑瘫儿童沟通功能分类系统的稳定性。
Stability of the Communication Function Classification System among Children with Cerebral Palsy in South Korea.
机构信息
Department of Secondary Special Education, College of Education, Jeonju University, Jeonju 55069, Korea.
出版信息
Int J Environ Res Public Health. 2021 Feb 15;18(4):1881. doi: 10.3390/ijerph18041881.
Interest in the prognosis of skill levels has been an important issue among children with cerebral palsy (CP). This study aimed to verify the stability of the Communication Function Classification System (CFCS) in 2- to 18-year-old children with CP. Data collected from 171 children with CP who received rehabilitation therapy in hospitals or attended special elementary schools in South Korea were reviewed. They were divided into two groups, children <4 years and children ≥4 years. Participants were evaluated over 1-year and 2-year intervals from the first rating. Agreement between the three measurements and the weighted kappa were analyzed. At the 1-year interval, results demonstrated a high agreement rate of the CFCS in children ≥4 years old, and during the 2-year interval the study revealed a low agreement rate in children aged 2-4 years. The results indicated the stability of the CFCS in children ≥4 years old but some change of the CFCS in 2- to 4-year-old children. Moreover, the findings suggested that the change of the CFCS varied with time and age. Based on these results, it is recommended that the CFCS assessments be performed periodically, especially among 2- to 4-year-old children with CP.
对技能水平预后的兴趣一直是脑瘫（CP）儿童中的一个重要问题。本研究旨在验证 Communication Function Classification System（CFCS）在 2 至 18 岁 CP 儿童中的稳定性。回顾了韩国医院康复治疗或特殊小学就读的 171 名 CP 儿童的数据。他们被分为<4 岁和≥4 岁两组。参与者从第一次评估开始，在 1 年和 2 年的时间间隔内进行评估。分析了三个测量值之间的一致性和加权 Kappa。在 1 年的时间间隔内，≥4 岁儿童的 CFCS 具有较高的一致性率，而在 2 年的时间间隔内，2-4 岁儿童的研究结果显示一致性率较低。结果表明 CFCS 在≥4 岁儿童中具有稳定性，但 2-4 岁儿童的 CFCS 有一些变化。此外，研究结果表明 CFCS 的变化随时间和年龄而变化。基于这些结果，建议定期进行 CFCS 评估，尤其是在 2-4 岁的 CP 儿童中。
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