title: Relationship between gross motor function and daily functional skill in children with cerebral palsy.
abstract: OBJECTIVE
  To investigate the relationship between gross motor function and daily functional skill in children with cerebral palsy (CP) and to explore how this relationship is moderated by the Gross Motor Function Classification System, Bimanual Fine Motor Function (BFMF), neuromotor types, and limb distribution of CP.
  
  
  METHODS
  A cross-sectional survey of 112 children with CP (range, 4 years to 7 years and 7 months) was performed. Gross motor function was assessed with the Gross Motor Function Measure-66 (GMFM-66) and functional skill was assessed with the Pediatric Evaluation of Disability Inventory-Functional Skills Scale (PEDI-FSS).
  
  
  RESULTS
  GMFM-66 scores explained 49.7%, 67.4%, and 26.1% of variance in the PEDI-FSS scores in the self-care, mobility, and social function domains, respectively. Significant moderation by the distribution of palsy and BFMF classification levels II, III, and IV was found in the relationship between GMFM-66 and PEDI-FSS self-care. Further significant moderation by the distribution of palsy was also observable in the relationship between GMFM-66 and PEDI-FSS mobility.
  
  
  CONCLUSIONS
  These findings suggest that limb distribution and hand function must be considered when evaluating gross motor function and functional skills in children with CP, especially in unilateral CP.
authors.affiliation: Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Tae Gun
authors.initials: TG
authors.lastname: Kwon
authors.forename: Sook-Hee
authors.initials: SH
authors.lastname: Yi
authors.forename: Tae Won
authors.initials: TW
authors.lastname: Kim
authors.forename: Hyun Jung
authors.initials: HJ
authors.lastname: Chang
authors.forename: Jeong-Yi
authors.initials: JY
authors.lastname: Kwon
keywords: Cerebral palsy; Child; Disability evaluation; Severity of illness index