The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Verification of Validity on the Manual Ability Classification System in Children With Spastic Cerebral Palsy

경직형 뇌성마비 아동의 손 기능 분류 체계의 타당도 검증

  • 박은영 (전주대학교 사범대학 중등특수교육과)
  • Published : 2010.01.28
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Abstract

The purpose of this study was to examine the validity of the Manual Ability Classification System (MACS) by analysing of relation between MACS and Jebsen-Talyor Hand Function Test. The concurrent validity was examined by calculation of correlation between MACS and Jabsen-Talyor Hand Function test and the discriminant validity was examined by measurement of hand function difference according to MACS level. For this, eighty-one children with spastic cerebral palsy were employed in this study. The children were evaluated by using the MACS and Jebsen-Taylor Hand Function Test for their hand function. There were a significant correlation between the MACS and Hand function (r = .870, p < .05). The good correlation between the MACS and subtest of Jabsen-Talyor Hand function (p < .05). The hand function according to the MACS level were different significantly (p < .05). The MACS is valid classification system for assessment of hand function of children with cerebral palsy. The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

이 연구에서는 경직형 뇌성마비 아동을 대상으로 뇌성마비 아동의 손 기능 분류 체계인 MACS의 동시 타당도와 판별타당도를 검증하는데 그 목적이 있었다. 이를 위해 경직형 뇌성마비 아동 81명을 대상으로 MACS와 Jabsen-Talyor 손 기능 검사를 실시하였다. 이 연구에서는 동시 타당도를 알아보기 위해 MACS와 Jabsen-Talyor 손 기능 검사 결과와의 상관을 알아보았고, 판별 타당도를 알아보기 위해 MACS 수준에 따른 Jabsen-Talyor 손 기능 검사 결과의 차이를 알아보았다. 동시 타당도를 알아본 결과, MACS는 Jabsen-Talyor 손 기능 검사 결과와 높은 상관을 보였다(r = .870, p < .05). 또한 MACS와 Jabsen-Talyor 손 기능 검사 하위 영역 간의 상관도 모두 유의한 것으로 나타났다(p < .05). 그러나 뇌성 마비 유형 중 편마비 아동에서는 상관이 유의하지 않은 것으로 나타났다. MACS 수준에 따른 Jabsen-Talyor 손 기능 검사 결과는 유의한 차이가 있는 것으로 나타났다(p < .05). MACS는 경직형 뇌성마비 아동의 손 기능 분류체계로써 타당한 도구인 것으로 나타났으며, 임상적으로 유용하게 사용될 수 있음을 시사하였다.

Keywords

References

  1. M. Bax, " Terminology and Classification of Cerebral Palsy," Developmental Medicine & Child Neurology, Vol.6, pp.295-297, 1964. https://doi.org/10.1111/j.1469-8749.1964.tb10791.x
  2. L. Mutch, E. Alberman, B. Hagberg, B, K. Kodama, and M. Velicovic Perat, "Cerebral Palsy Epidemiology: Where Are We Now and Where Are We Going?", Developmental Medicine & Child Neurology, Vol.34, No.6, pp.547-551, 1992. https://doi.org/10.1111/j.1469-8749.1992.tb11479.x
  3. M. Arner, A. C. Eliasson, S. Nicklasson, K. Sommerstein, and G. Hägglund, "Hand Function in Cerebral Palsy: Report of 367 Children in a Population-Based Longitudinal Health Care Program," The J. of Hand Surgery, Vol.33, No.8, pp.1337-1347, 2008. https://doi.org/10.1016/j.jhsa.2008.02.032
  4. P. Uvebrandt, "Hemiplegic Cerebral Palsy: Aetiology and Outcome," Acta Paediatrica Scandinavica Supplement, Vol.345, pp.1-100, 1988. https://doi.org/10.1111/j.1651-2227.1988.tb14939.x
  5. E. Fedrizzi, E. Pagliano, E. Andreucci, and G. Oleari, "Hand Function in Children with Hemiplegic Cerebral Palsy: Prospective Follow-up and Functional Outcome in Adolescence," Developmental Medicine & Child Neurology, Vol.45, No.2, pp.85-91, 2003. https://doi.org/10.1111/j.1469-8749.2003.tb00910.x
  6. World Health Organization, International Classification of Functioning Disability and Health(ICF), Geneva: World Health Organization, Pub, 2001.
  7. R. Palisano, P. Rosenbaum, S. Walter, D. Russell, E. Wood, and B. Galuppi, "Development and Reliability of a System to Classify Gross Motor Function in Children with Cerebral Palsy," Developmental Medicine & Child Neurology, Vol.39, No.4, pp.214-223, 1997. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x
  8. C. Morris and D. Bartlett, "Gross Motor Function Classification System: Impact and Utility," Developmental Medicine & Child Neurology, Vol.46, No.1, pp.60-65, 2004. https://doi.org/10.1111/j.1469-8749.2004.tb00436.x
  9. E. Beckung and G. Hagberg, "Neuroimpairments, Activity Limitations, and Participation Restrictions in Children with Cerebral Palsy," Developmental Medicine & Child Neurology, Vol.44, No.5, pp.309-316, 2002. https://doi.org/10.1111/j.1469-8749.2002.tb00816.x
  10. A. C. Eliasson, L. Krumlinde-Sundholm, and B. Rosblad, "The Manual Ability Classification System (MACS) for Children with Cerebral Palsy: Scale Development and Evidence of Validity and Reliability," Developmental Medicine & Child Neurology, Vol.48, No.7, pp.549-554, 2006. https://doi.org/10.1017/S0012162206001162
  11. A. C. Eliasson, L, Krumlinde-Sundholm, and B. Rosblad, "Using the MACS to Facilitate Comunication about Manual Abilities of Cbildren with Cerebral Palsy," Developmental Medicine & Child Neurology, Vol.49, No.2, pp.156-157, 2007. https://doi.org/10.1017/S0012162206002076
  12. C. Morris, J. Kurinczuk, R. Fitzpatrick, and P. Rosenbaum, "Reliability of the Manual Ability Classification System for Children with Cerebral Palsy," Developmental Medicine & Child Neurology, Vol.48, No.12, pp.950-953, 2006. https://doi.org/10.1017/S001216220600209X
  13. V. F. Plasschaert, M. Ketelaar, M. G. Nijnuis, L. Enkelaar, and J. W. Gorter, "Classification of Manual Abilities in Children with Cerebral Palsy under 5 Years of Age: How Reliable is the Manual Ability Classification System?", Clinical Rehabilitation, No.23, Vol.2, pp.164-170, 2009. https://doi.org/10.1177/0269215508098892
  14. 성태제, 시기자, 연구방법론, 학지사, 2006.
  15. J. Sim and P. Arnell, "Measurement Validity in Physical Therapy Research," Physical Therapy, No.73, pp.102-110, 1993. https://doi.org/10.1093/ptj/73.2.102
  16. A. Harvey, J. Robin, and M. E. Morris, "A System Review of Measures of Activity Limitation for Children with Cerebral Palsy," Developmental Medicine & Child Neurology, Vol.50, pp.190-198, 2008. https://doi.org/10.1111/j.1469-8749.2008.02027.x
  17. K. D. Carnahan, M. Arner, and G. Hagglund, "Association between Gross Motor Function (GMFCS) and Manual Ability (MACS) in Children with Cerebral Palsy: A Population-based Study of 359 Children," BMC Musculoskeletal Disorders, Vol.50, No.8, pp.1-7, 2007. https://doi.org/10.1186/1471-2474-8-50
  18. 박은영, “경직형 뇌성마비 아동의손 기능 분류 체계와 기능적 수행도 평가 간의 상관”, 한국콘텐츠학회논문지, 제9권, 제7호, pp.248-255, 2009.
  19. I. E. Asher, Occupational Therapy Assessment Tools, The American Occupational Therapy Association, 1996.
  20. L. G. Portney and M. P. Watkins, Foundations of Clinical Research: Applications to Practice, Appleton & Lange, 1993.
  21. M. E. Msall, B. T. Rogers, and H. Ripstein, "Measurements of Functional Outcomes in Children with Cerebral Palsy," Mental Retardation Developmental Disabilities Research Reviews, Vol.8, pp.194-203, 1997. https://doi.org/10.1002/(SICI)1098-2779(1997)3:2<194::AID-MRDD11>3.0.CO;2-Q
  22. D. J. Oeffinger, C. M. Tylkowski, M. K. Rayens, et al., "Gross Motor Function Classification System and Outcome Tools for Assessing Ambulatory Cerebral Palsy: A Multicenter Study," Developmental Medicine & Child Neurology, Vol.46, No.5, pp.311-319, 2004. https://doi.org/10.1111/j.1469-8749.2004.tb00491.x