Article

OBJECTIVE: To establish construct validity of the Capacity Profile, a method to
comprehensively classify additional care needs in five domains of body functions
(physical health, motor, sensory, mental, voice and speech functions), in
adolescents with non-progressive, permanent conditions such as cerebral palsy.
DESIGN: Cross-sectional study. SUBJECTS: Ninety-four adolescents with cerebral
palsy: 60 boys, 34 girls, median age 14.3, range 12-16 years, unilateral (n =
37), bilateral (n = 57), spastic (n = 76), ataxic (n = 4), dyskinetic (n = 5),
mixed (dyskinetic and spastic, n =9), Gross Motor Function Classification System:
level I (n = 50), level II (n = 6), level III (n = 10), level IV (n = 8), level V
(n = 20). METHODS: Associations were calculated between Capacity Profile domains
and Vineland Adaptive Behavior Scales (communication, daily activities, social
and motor skills) and Gross Motor Function Classification System using Spearman's
rho. Furthermore, we explored the independent contribution of the Capacity
Profile domains to activities and participation measured with the Vineland
Adaptive Behavior Scales. RESULTS: All Capacity Profile domains were
significantly associated with all domains of the Vineland Adaptive Behavior
Scales and the Gross Motor Function Classification System (P<0.05). Multiple
regression analysis showed that the Capacity Profile contributed 87% to variance
in communication (Capacity Profile-voice 78%, mental 8% and physical 1%), 85% to
daily activities (Capacity Profile-mental 75%, motor 8% and voice 2%), 60% to
social skills (Capacity Profile-voice 56% and mental 4%), and 91% to motor skills
(Capacity Profile-motor 87%, mental 3% and sensory 1%). CONCLUSION: These
findings support the construct validity of the Capacity Profile in adolescents
with cerebral palsy. Construct validity in other medical conditions should be
further investigated.

Langue : ANGLAIS