Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Faculty of Medicine, Department of Biostatistics, SANKO University, Gaziantep, Turkey.
Dev Neurorehabil. 2024 Nov;27(8):328-336. doi: 10.1080/17518423.2024.2413133. Epub 2024 Oct 13.
This correlational study aimed to determine the reliability and validity of the Turkish version of the Visual Function Classification System (VFCS) for children with CP.
Two physiotherapists and caregivers ( = 56) applied the VFCS ( = 120) two times at a 15-day interval. Physiotherapists' classifications were compared for interrater reliability. Same physiotherapists and caregivers' classifications' were compared for intrarater reliability. Expanded & Revised Gross Motor Function Classification System (GMFCS E&R), Manual Ability Classification System (MACS), and Communication Function Classification System (CFCS) were used for assessing validity of the culturally adapted VFCS.
The interrater reliability between physiotherapists was excellent (ICC = 0.974, ICC = 0.988), while interrater reliability between the first physiotherapist and caregivers was good (ICC = 0.866, ICC = 0.893). The intrarater reliability was excellent (ICC = 0.971, ICC = 0.996, ICC = 0.984). A correlation was detected between the VFCS and the GMFCS E&R, MACS, and CFCS levels ( = 0.415, < .001, = 0.450, p < .001, = 0.491, < .001).
The findings of this study demonstrate the utility, compatibility and reliability of the Turkish version of the VFCS.
NCT05102955.
本相关性研究旨在确定适用于脑瘫儿童的视觉功能分类系统（VFCS）土耳其语版本的可靠性和有效性。
两名物理治疗师和护理人员（ = 56）在 15 天的间隔内两次应用 VFCS（ = 120）。比较物理治疗师的分类以评估组内可靠性。比较同一名物理治疗师和护理人员的分类以评估组内可靠性。使用扩展和修订后的粗大运动功能分类系统（GMFCS E&R）、手动能力分类系统（MACS）和沟通功能分类系统（CFCS）评估文化适应后的 VFCS 的有效性。
物理治疗师之间的组间可靠性为优秀（ICC = 0.974，ICC = 0.988），而第一位物理治疗师与护理人员之间的组间可靠性为良好（ICC = 0.866，ICC = 0.893）。组内可靠性为优秀（ICC = 0.971，ICC = 0.996，ICC = 0.984）。VFCS 与 GMFCS E&R、MACS 和 CFCS 水平之间存在相关性（ = 0.415， < .001， = 0.450，p < .001， = 0.491， < .001）。
本研究结果表明，VFCS 土耳其语版本具有实用性、兼容性和可靠性。
NCT05102955。
