title: Manual ability and its relationship with daily activities in adolescents with cerebral palsy.
abstract: OBJECTIVE
  To describe the manual ability of adolescents with cerebral palsy and to investigate the relationship of manual ability with daily activities.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Manual ability is limited in many adolescents with cerebral palsy, and limitations in manual ability are strongly related to limitations in daily activities.
authors.affiliation: Department of Rehabilitation Medicine, VU University Medical Center, 1007 MB Amsterdam, The Netherlands. m.vaneck@vumc.nl
authors.forename: Mirjam
authors.initials: M
authors.lastname: van Eck
authors.forename: Annet J
authors.initials: AJ
authors.lastname: Dallmeijer
authors.forename: Ilse S
authors.initials: IS
authors.lastname: van Lith
authors.forename: Jeanine M
authors.initials: JM
authors.lastname: Voorman
authors.forename: Jules
authors.initials: J
authors.lastname: Becher
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000534:rehabilitation; D002648:Child; D003430:Cross-Sectional Studies; D019988:Children with Disabilities / Q000534:rehabilitation; D005260:Female; D006225:Hand / Q000503:physiopathology; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000502:physiology*