Akmer Mutlu1, Özgün Kaya Kara2, Ayşe Livanelioğlu3, Sevilay Karahan4, Halil Alkan5, Bilge Nur Yardımcı6, Mary Jo Cooley Hidecker7. 1. Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey. Electronic address: akmermutlu@yahoo.com. 2. Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey. Electronic address: ozgun_kaya@yahoo.com. 3. Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey. Electronic address: alivanelioglu@yahoo.com. 4. Faculty of Medicine, Department of Biostatistics, Hacettepe University, 06100, Samanpazari, Ankara, Turkey. Electronic address: sevilaykarahan@gmail.com. 5. Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey. Electronic address: halilalkan@hacettepe.edu.tr. 6. Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100, Samanpazari, Ankara, Turkey. Electronic address: bilgenuryardimci@gmail.com. 7. Division of Communication Disorders, University of Wyoming, Dept. 3311 ∼, 1000 E, University Avenue, Laramie, WY, 82071, USA. Electronic address: MaryJo.CooleyHidecker@uwyo.edu.
Abstract
BACKGROUND: Functional classification systems have generally been used by clinicians and recently by parents to classify various functions of children with cerebral palsy (CP). OBJECTIVE: This study evaluated the agreement between clinicians and parents when classifying the communication function of children with CP using the Communication Function Classification System (CFCS). In addition, the relationships between the Gross Motor Function Classification System - Expanded and Revised (GMFCS-E&R), the Manual Ability Classification System (MACS), and CFCS were investigated. METHODS: This study was a cross-sectional study and included 102 children aged 4-18 years with CP and their parents. The parents and clinician classified the communication of children by using the Turkish language version of CFCS. Furthermore GMFCS-E&R and MACS were used for classification only by the clinician. RESULTS: The weighted Kappa agreement between CFCS results of the parents and clinicians was 0.95 (95% CI 0.95-0.96, p < 0.001). GMFCS-E&R levels were highly correlated with CFCS levels (r = 0.78 (95%CI 0.68-0.84, p < 0.001)). MACS and CFCS results were also highly correlated (r = 0.73 (95%CI 0.63-0.81, p < 0.001). CONCLUSION: The child's communication was classified as indicating higher functioning by the parents compared with the clinicians. The excellent agreement between parents and clinicians with the Turkish language version of CFCS for children with CP indicated that parents and clinicians could use the same language while classifying the communication function of children.
BACKGROUND: Functional classification systems have generally been used by clinicians and recently by parents to classify various functions of children with cerebral palsy (CP). OBJECTIVE: This study evaluated the agreement between clinicians and parents when classifying the communication function of children with CP using the Communication Function Classification System (CFCS). In addition, the relationships between the Gross Motor Function Classification System - Expanded and Revised (GMFCS-E&R), the Manual Ability Classification System (MACS), and CFCS were investigated. METHODS: This study was a cross-sectional study and included 102 children aged 4-18 years with CP and their parents. The parents and clinician classified the communication of children by using the Turkish language version of CFCS. Furthermore GMFCS-E&R and MACS were used for classification only by the clinician. RESULTS: The weighted Kappa agreement between CFCS results of the parents and clinicians was 0.95 (95% CI 0.95-0.96, p < 0.001). GMFCS-E&R levels were highly correlated with CFCS levels (r = 0.78 (95%CI 0.68-0.84, p < 0.001)). MACS and CFCS results were also highly correlated (r = 0.73 (95%CI 0.63-0.81, p < 0.001). CONCLUSION: The child's communication was classified as indicating higher functioning by the parents compared with the clinicians. The excellent agreement between parents and clinicians with the Turkish language version of CFCS for children with CP indicated that parents and clinicians could use the same language while classifying the communication function of children.
Authors: Leanne Sakzewski; Sarah Reedman; Kate McLeod; Megan Thorley; Andrea Burgess; Stewart Trost; Matthew Ahmadi; David Rowell; Mark Chatfield; Yannick Bleyenheuft; Roslyn N Boyd Journal: BMJ Open Date: 2021-03-02 Impact factor: 2.692
Authors: Leanne Sakzewski; Yannick Bleyenheuft; Roslyn N Boyd; Iona Novak; Catherine Elliott; Sarah Reedman; Cathy Morgan; Kerstin Pannek; Jurgen Fripp; Prue Golland; David Rowell; Mark Chatfield; Robert Stuart Ware Journal: BMJ Open Date: 2019-09-08 Impact factor: 2.692