title: The relationship between gross motor function and manual ability in cerebral palsy.
abstract: A retrospective cohort study was conducted to describe the relationship between gross motor function and manual ability in children with cerebral palsy and explore differences between cerebral palsy subtypes and associated comorbidities. Children with cerebral palsy born between 1999 and 2008 were included from the Registre de la Paralyse Cérébrale de Québec identifying 332 children. The overall agreement between Gross Motor Function Classification System and Manual Ability Classification Scale Levels was moderate (kappa 0.457, standard error 0.034) with a strong positive correlation (Spearman rho of 0.820, standard error 0.023). This agreement was moderate among children with spastic quadriparesis and dysketic cerebral palsy, fair in children with spastic diplegia, and poor in children with spastic hemiplegia. Children with cognitive impairment showed a higher correlation than those without cognitive impairment. The correlation between gross motor function and manual ability in children with CP varies based on neurologic subtype and cognitive level.
authors.affiliation: 1Division of Pediatric Neurology, Montreal Children's Hospital-McGill University Health Center, Montreal, Quebec, Canada.
authors.forename: Maryam
authors.initials: M
authors.lastname: Oskoui
authors.forename: Annette
authors.initials: A
authors.lastname: Majnemer
authors.forename: Lynn
authors.initials: L
authors.lastname: Dagenais
authors.forename: Michael I
authors.initials: MI
authors.lastname: Shevell
mesh_terms: D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003071:Cognition / Q000502:physiology; D004185:Disability Evaluation; D005260:Female; D005865:Gestational Age; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000175:diagnosis / Q000209:etiology*; D009069:Movement Disorders / Q000175:diagnosis / Q000209:etiology*; D011597:Psychomotor Performance / Q000502:physiology*; D012189:Retrospective Studies; D012720:Severity of Illness Index
keywords: cerebral palsy; functional assessment of children; motor function; rehabilitation