지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.12
- 수록면
- 529 - 538 (10page)
- DOI
- 10.5143/JESK.2020.39.6.529
이용수
초록· 키워드
오류제보하기
Objective: To investigate the inter-rater and intra-rater reliability of the Korean version of the MACS by comparing the classification given by pediatric therapists and guardians of children with cerebral palsy.
Background: Cerebral palsy can affect hand functions resulting in diminished mobility, muscle weakness, insufficient control in rapid coordinated movements, involuntary movements, spasticity, and poor postural control. The Manual Ability Classification System (MACS) has been widely used to describe children"s hands with cerebral palsy when handling objects in their daily activities. However, the reliability of this MACS has not been verified in Korean.
Method: Data were collected from 45 children in the age range of 4~18 years old who were diagnosed with cerebral palsy by a medical specialist in rehabilitative medicine/neurosurgery. Total two pediatric therapists (physical therapist and occupational therapist) classified manual ability (MACS) through direct observation and information provided by guardians. Pediatric therapists and guardians used the Korean version of the MACS. Inter-rater and intra-rater reliability was analyzed using unweighted Kappa coefficient (k) and intra-class correlation coefficient (ICC).
Results: The results of intra-rater agreement show almost perfect agreement almost perfect between both pediatric therapists classified the MACS of children with cerebral palsy in the initial assessment and after one month. The results of inter-rater agreement between the physical therapist and the occupational therapist that MACS has almost perfect [K=0.87 (95% CI: 0.81~0.92), ICC=0.93 (95% CI: 0.91~0.97)]. The results of inter-rater agreement between physical therapist and guardians were observed to be moderate [K=0.45 (95% CI: 0.34~0.57), ICC=0.76 (95% CI: 0.64~0.84)].
Conclusion: Therefore, The Korean version of the MACS has been shown to be a reliable measurement tool that can be used jointly by pediatric therapists with variable clinical careers and by guardians.
Application: The application of the MACS in clinical practice can be an important focus to set treatment goals for disabled children including cerebral palsy in partnership with the guardians.
Background: Cerebral palsy can affect hand functions resulting in diminished mobility, muscle weakness, insufficient control in rapid coordinated movements, involuntary movements, spasticity, and poor postural control. The Manual Ability Classification System (MACS) has been widely used to describe children"s hands with cerebral palsy when handling objects in their daily activities. However, the reliability of this MACS has not been verified in Korean.
Method: Data were collected from 45 children in the age range of 4~18 years old who were diagnosed with cerebral palsy by a medical specialist in rehabilitative medicine/neurosurgery. Total two pediatric therapists (physical therapist and occupational therapist) classified manual ability (MACS) through direct observation and information provided by guardians. Pediatric therapists and guardians used the Korean version of the MACS. Inter-rater and intra-rater reliability was analyzed using unweighted Kappa coefficient (k) and intra-class correlation coefficient (ICC).
Results: The results of intra-rater agreement show almost perfect agreement almost perfect between both pediatric therapists classified the MACS of children with cerebral palsy in the initial assessment and after one month. The results of inter-rater agreement between the physical therapist and the occupational therapist that MACS has almost perfect [K=0.87 (95% CI: 0.81~0.92), ICC=0.93 (95% CI: 0.91~0.97)]. The results of inter-rater agreement between physical therapist and guardians were observed to be moderate [K=0.45 (95% CI: 0.34~0.57), ICC=0.76 (95% CI: 0.64~0.84)].
Conclusion: Therefore, The Korean version of the MACS has been shown to be a reliable measurement tool that can be used jointly by pediatric therapists with variable clinical careers and by guardians.
Application: The application of the MACS in clinical practice can be an important focus to set treatment goals for disabled children including cerebral palsy in partnership with the guardians.
목차
1. Introduction
2. Method
3. Results
4. Discussion
5. Conclusion
References
참고문헌 (6)
참고문헌 신청
박은영 / 2010 / 경직형 뇌성마비 아동의 손 기능 분류 체계의 타당도 검증 / 한국콘텐츠학회 논문지 10(1):317~324
Plasschaert, V. F. P. / 2009 / Classification of manual abilities in children with cerebral palsy under 5 years of age: how reliable is the Manual Ability Classification System? / Clinical Rehabilitation 23(2):164~170
Rethlefsen, S. A. / 2010 / Classification systems in cerebral palsy / Orthopedic Clinics of North America 41(4):457~467
Ryyahi, A. / 2013 / Cross-cultural validation of the Persian version of the Manual Ability Classification System for children with cerebral palsy / International Journal of Therapy and Rehabilitation 20(1):19~24
Meeteren, J. / 2010 / Using the manual ability classification system in young adults with cerebral palsy and normal intelligence / Disabil Rehabil 32(23):1885~1893
Plasschaert, V. F. P. / 2009 / Classification of manual abilities in children with cerebral palsy under 5 years of age: how reliable is the Manual Ability Classification System? / Clinical Rehabilitation 23(2):164~170
Rethlefsen, S. A. / 2010 / Classification systems in cerebral palsy / Orthopedic Clinics of North America 41(4):457~467
Ryyahi, A. / 2013 / Cross-cultural validation of the Persian version of the Manual Ability Classification System for children with cerebral palsy / International Journal of Therapy and Rehabilitation 20(1):19~24
Meeteren, J. / 2010 / Using the manual ability classification system in young adults with cerebral palsy and normal intelligence / Disabil Rehabil 32(23):1885~1893
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