Article

OBJECTIVE: To describe the manual ability of adolescents with cerebral palsy and
to investigate the relationship of manual ability with daily activities. SUBJECTS : Ninety-four adolescents with cerebral palsy,
aged 12-16 years. METHODS : Manual ability was assessed according to the Manual
Ability Classification System (MACS) and the ABILHAND-Kids. Daily activities were
assessed with the Vineland Adaptive Behavior Scales (VABS) sub-scales for
(personal and domestic) daily living skills. The relationship between manual
ability and daily activities was investigated with regression analysis:
independent variables were manual ability, disease and personal characteristics.
RESULTS: MACS and ABILHAND-Kids were both strongly associated with personal daily
activities (explained variance 77% and 84%, respectively) and less strongly with
domestic daily activities (explained variance 45% and 62%, respectively).
Including other disease characteristics and personal characteristics in the model
increased the explained variance of personal daily activities to 91% for both
models and the explained variance of domestic daily activities to 68% and 73% for
the MACS and ABILHAND-Kids models, respectively. CONCLUSION: Manual ability is
limited in many adolescents with cerebral palsy, and limitations in manual ability are strongly related to limitations in daily activities.

Langue : ANGLAIS