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Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy

BACKGROUND: Mini-Manual Ability Classification System (Mini-MACS) was developed for children with cerebral palsy aged 1–4 years, but its validity and reliability in different cultures are unavailable yet. This study was to determine the reliability and validity of Mini-MACS in East Asian children wi...

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Autores principales: Hou, Xiaohui, Qiu, Huiying, Liu, Liru, Li, Yinhua, He, Lu, Li, Jinling, Tang, Hongmei, Xu, Kaishou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9720180/
https://www.ncbi.nlm.nih.gov/pubmed/36478790
http://dx.doi.org/10.3389/fresc.2022.997221
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author Hou, Xiaohui
Qiu, Huiying
Liu, Liru
Li, Yinhua
He, Lu
Li, Jinling
Tang, Hongmei
Xu, Kaishou
author_facet Hou, Xiaohui
Qiu, Huiying
Liu, Liru
Li, Yinhua
He, Lu
Li, Jinling
Tang, Hongmei
Xu, Kaishou
author_sort Hou, Xiaohui
collection PubMed
description BACKGROUND: Mini-Manual Ability Classification System (Mini-MACS) was developed for children with cerebral palsy aged 1–4 years, but its validity and reliability in different cultures are unavailable yet. This study was to determine the reliability and validity of Mini-MACS in East Asian children with cerebral palsy and investigate the correlation between Mini-MACS and Gross Motor Function Classification System. METHODS: One hundred and four East Asian children with cerebral palsy aged 12–48 months were classified by one of their parents, an occupational therapist, and a physical therapist with Mini-MACS. The results were analyzed for inter-rater reliability by using intraclass correlation coefficient (ICC). The Nine-hole Peg Test was used for the criterion-related validity analysis, and parents retested their children after 2 weeks to evaluate test–retest reliability. Gross Motor Function Classification System levels were also collected to investigate the correlation with Mini-MACS. RESULTS: Good inter-rater reliability among the occupational therapist, physical therapist, and parents was found [ICC = 0.984 (95% confidence interval, CI, 0.976–0.989), 0.973 (95% CI 0.960–0.982), and 0.966 (95% CI 0.950–0.977), respectively; p < 0.01]. The test–retest reliability in parents was almost perfect [ICC = 0.985 (95% CI 0.977–0.990), p < 0.01]. Mini-MACS had consistency with the Nine-hole Peg Test (r = 0.582, 0.581, and 0.566, respectively; p < 0.01). A correlation was found between Gross Motor Function Classification System and Mini-MACS (r = 0.626, 0.596, and 0.598, respectively; p < 0.01). CONCLUSION: The Mini-MACS demonstrates evidence that it is a valid and reliable tool to classify manual ability in East Asian children with cerebral palsy and is also positively related to the Gross Motor Function Classification System.
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spelling pubmed-97201802022-12-06 Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy Hou, Xiaohui Qiu, Huiying Liu, Liru Li, Yinhua He, Lu Li, Jinling Tang, Hongmei Xu, Kaishou Front Rehabil Sci Rehabilitation Sciences BACKGROUND: Mini-Manual Ability Classification System (Mini-MACS) was developed for children with cerebral palsy aged 1–4 years, but its validity and reliability in different cultures are unavailable yet. This study was to determine the reliability and validity of Mini-MACS in East Asian children with cerebral palsy and investigate the correlation between Mini-MACS and Gross Motor Function Classification System. METHODS: One hundred and four East Asian children with cerebral palsy aged 12–48 months were classified by one of their parents, an occupational therapist, and a physical therapist with Mini-MACS. The results were analyzed for inter-rater reliability by using intraclass correlation coefficient (ICC). The Nine-hole Peg Test was used for the criterion-related validity analysis, and parents retested their children after 2 weeks to evaluate test–retest reliability. Gross Motor Function Classification System levels were also collected to investigate the correlation with Mini-MACS. RESULTS: Good inter-rater reliability among the occupational therapist, physical therapist, and parents was found [ICC = 0.984 (95% confidence interval, CI, 0.976–0.989), 0.973 (95% CI 0.960–0.982), and 0.966 (95% CI 0.950–0.977), respectively; p < 0.01]. The test–retest reliability in parents was almost perfect [ICC = 0.985 (95% CI 0.977–0.990), p < 0.01]. Mini-MACS had consistency with the Nine-hole Peg Test (r = 0.582, 0.581, and 0.566, respectively; p < 0.01). A correlation was found between Gross Motor Function Classification System and Mini-MACS (r = 0.626, 0.596, and 0.598, respectively; p < 0.01). CONCLUSION: The Mini-MACS demonstrates evidence that it is a valid and reliable tool to classify manual ability in East Asian children with cerebral palsy and is also positively related to the Gross Motor Function Classification System. Frontiers Media S.A. 2022-11-21 /pmc/articles/PMC9720180/ /pubmed/36478790 http://dx.doi.org/10.3389/fresc.2022.997221 Text en © 2022 Hou, Qiu, Liu, Li, He, Li, Tang and Xu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Hou, Xiaohui
Qiu, Huiying
Liu, Liru
Li, Yinhua
He, Lu
Li, Jinling
Tang, Hongmei
Xu, Kaishou
Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy
title Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy
title_full Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy
title_fullStr Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy
title_full_unstemmed Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy
title_short Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy
title_sort reliability and validity of the east asian children's version of mini-macs in children with cerebral palsy
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9720180/
https://www.ncbi.nlm.nih.gov/pubmed/36478790
http://dx.doi.org/10.3389/fresc.2022.997221
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