title: Manual ability classification system for children with cerebral palsy in a school setting and its relationship to home self-care activities.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  The MACS is a reliable instrument in a school environment and is related to the performance of daily life self-care activities at home.
authors.affiliation: Rehabilitation Center De Hoogstraat, Rembrandtkade 10, 3583TM Utrecht, The Netherlands. MAKuyper@dehoogstraat.nl
authors.forename: M A
authors.initials: MA
authors.lastname: Kuijper
authors.forename: G J
authors.initials: GJ
authors.lastname: van der Wilden
authors.forename: M
authors.initials: M
authors.lastname: Ketelaar
authors.forename: J W
authors.initials: JW
authors.lastname: Gorter
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000145:classification*; D015588:Observer Variation; D012572:School Health Services; D012648:Self Care