KMID : 1151720130020020031
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Journal of Korean Society of Cognitive Rehabilitation 2013 Volume.2 No. 2 p.31 ~ p.44
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Inter-rater reliability of the Manual Ability Classification System(MACS) for children with cerebral palsy between 1 and 6 years of age
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Kim Heung-Su
You Seung-Bok Yuk Jin-Sook Byun Eun-Mi Yu Ji-Eun Choi In-Ae
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Abstract
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Objective: This research was conducted to identify inter-rater reliability of the Manual Ability Classification System(MACS) for children with cerebral palsy between 1 and 6 years of age and to compare inter-rater reliability according to age groups.
Methods: 5 occupational therapists assessed 31 children with cerebral palsy between 1 and 6 years of age using MACS. The guideline including fine motor and self-care activities appropriate to age was established and referred to during assessment. Inter-rater reliability was analysed using weighted Cohen`s kappa.
Results: Inter-rater reliability of the MACS was ¥ê=0.78 for children aged 1¡6 years, ¥ê=0.82 for children aged 1¡2 years, ¥ê=0.75 for children aged 2¡4 years, and ¥ê=0.78 for children aged 4¡6 years.
Conclusion: Inter-rater reliability of the MACS for children with cerebral palsy between 1 and 6 years of age was beyond good. Especially, inter-rater reliability of the MACS for children aged 1¡2 years was the highest. It is meaningful to suggest a guideline including fine motor and self-care activities appropriate to age. For further development of the MACS for young children, it is necessary to identify inter-rater reliability according to whether a guideline including fine motor and self-care activities appropriate to age is used or not. Also, it is necessary to identify validity of a guideline including fine motor and self-care activities appropriate to age.
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KEYWORD
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Reliability, Classification system of hand function for cerebral palsy
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