title: The Relationship between the School Function Assessment (SFA) and the Gross Motor Function Classification System (GMFCS) in Ambulatory Patients with Cerebral Palsy.
abstract: OBJECTIVE
  Determine the relationship between the SFA and GMFCS in children with cerebral palsy (CP).
  
  
  METHODS
  Through correlation, regression, and ANOVA analysis, data from 103 children were examined. A regression model was used to compare SFA-predicted versus actual GMFCS levels. One-way ANOVA was utilized to determine differences between SFA subscale scores in the context of GMFCS.
  
  
  RESULTS
  A significant correlation between composite SFA scores and GMFCS levels (r = -0.847, p < 0.020) was observed. Subscale-SFA and GMFCS correlations included Regular Class (r = -0.338, p < 0.001), Physical Tasks Adaptation (Phys1; r = -0.340, p < 0.001) and Assistance (Phys2; r = -0.340, p < 0.001), Position (r = -0.338, p<0.001), Recreational Movement (RecMvmt; r = -0.387, p <0.0001), Manipulation Movement (ManMvmt; r = -0.494, p < 0.0001), and Up/Down Stairs (UDStairs; r = -0.453, p< 0.0001). Between predicated and actual GMFCS levels, no statistical difference was observed. One-way ANOVA demonstrated SFA differences at GMFCS levels: Phys1 (F= 5.32, p < 0.002), Phys2 (F = 4.54, p < 0.005), Position (F = 4.63, p < 0.004), RecMvmt (F = 7.92, p < 0.0001), ManMvmt (F = 13.50, p < 0.0001), and UDStairs (F = 6.18, p < 0.001).
  
  
  CONCLUSIONS
  Utilizing both SFA-predicted and actual GMFCS levels may help determine if a child is performing at an expected level of daily function.
authors.forename: Remy V
authors.initials: RV
authors.lastname: Rabinovich
authors.forename: Nitesh V
authors.initials: NV
authors.lastname: Patel
authors.forename: Philip E
authors.initials: PE
authors.lastname: Gates
authors.forename: Norman Y
authors.initials: NY
authors.lastname: Otsuka
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D002547:Cerebral Palsy / Q000175:diagnosis*; D002648:Child; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D004521:Educational Measurement / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D012044:Regression Analysis; D012574:Schools; D012720:Severity of Illness Index