TY - JOUR
T1 - Classification in childhood disability
T2 - Focusing on function in the 21st century
AU - Rosenbaum, Peter
AU - Eliasson, Ann Christin
AU - Hidecker, Mary Jo Cooley
AU - Palisano, Robert J.
PY - 2014/8
Y1 - 2014/8
N2 - Classification systems in health care are usually based on current understanding of the condition. They are often derived empirically and adopted applying sound principles of measurement science to assess whether they are reliable (consistent) and valid (true) for the purposes to which they are applied. In the past 15 years, the authors have developed and validated classification systems for specific aspects of everyday function in people with cerebral palsy - gross motor function, manual abilities, and communicative function. This article describes the approaches used to conceptualize each aspect of function, develop the tools, and assess their reliability and validity. We report on the utility of each system with respect to clinical applicability, use of these tools for research, and the uptake and impact that they have had around the world. We hope that readers will find these accounts interesting, relevant, and applicable to their daily work with children and youth with disabilities.
AB - Classification systems in health care are usually based on current understanding of the condition. They are often derived empirically and adopted applying sound principles of measurement science to assess whether they are reliable (consistent) and valid (true) for the purposes to which they are applied. In the past 15 years, the authors have developed and validated classification systems for specific aspects of everyday function in people with cerebral palsy - gross motor function, manual abilities, and communicative function. This article describes the approaches used to conceptualize each aspect of function, develop the tools, and assess their reliability and validity. We report on the utility of each system with respect to clinical applicability, use of these tools for research, and the uptake and impact that they have had around the world. We hope that readers will find these accounts interesting, relevant, and applicable to their daily work with children and youth with disabilities.
KW - CFCS
KW - GMFCS
KW - MACS
KW - childhood disability
KW - functional classification
UR - http://www.scopus.com/inward/record.url?scp=84904673192&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84904673192&partnerID=8YFLogxK
U2 - 10.1177/0883073814533008
DO - 10.1177/0883073814533008
M3 - Review article
C2 - 24810083
AN - SCOPUS:84904673192
SN - 0883-0738
VL - 29
SP - 1036
EP - 1045
JO - Journal of Child Neurology
JF - Journal of Child Neurology
IS - 8
ER -