Article

Our aim in this study was to investigate the relationship between (a)
the manual abilities of children with cerebral palsy (CP), assessed with the
Manual Ability Classification System (MACS) in a school rehabilitation setting,
and (b) the children's performance of self-care activities at home, assessed with
the Pediatric Evaluation of Disability Inventory (PEDI). In addition, we assessed
the interobserver reliability of the MACS. METHOD: Sixty-one children with CP
were included (mean age = 10.3 yr, range = 5-14). The MACS was classified by 2
independent raters. The PEDI was scored in a structured interview. RESULTS: The
Spearman correlation coefficient between the MACS and the self-care domain of the
PEDI Caregiver Assistance Scale was high and statistically significant (r = .72).
The interobserver reliability of the MACS was good (weighted kappa = .86).
CONCLUSION: The MACS is a reliable instrument in a school environment and is
related to the performance of daily life self-care activities at home.

Langue : ANGLAIS