Relationship between gross motor function and the function, activity and participation components of the International Classification of Functioning in children with spastic cerebral palsy

Abstract

[Purpose] This study aimed to evaluate the relationship between gross motor function, measured using the Gross Motor Function Measure (GMFM), Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), and Functional Independence Measure for Children (WeeFIM), and Function, and Activity and Participation components of the International Classification of Functioning, Disability, and Health-Child and Youth Check List (ICF-CY) in children with spastic cerebral palsy (CP). [Subjects and Methods] Seventy-seven children with spastic CP participated in the study. The GMFM, GMFCS, MACS, and WeeFIM were administered in their entirety to patients without orthoses or mobility aids. The ICF-CY was used to evaluate the degree of disability and health. [Results] The score of the ICF component of Activity and Participation had a significantly strong correlation with the scores of GMFM, GMFCS, MACS, WeeFIM, and ICF component of Function. [Conclusion] When establishing a treatment plan for children with spastic CP, the children’s physical abilities, and their limitation in activity, performance, and participation, which would be measured using the ICF-CY, should be taken into consideration.