Correlation between Gross Motor Function Classification System and Communication Function Classification System in Children with Cerebral Palsy
Abstract: Cerebral Palsy (CP)
is a group of movement and posture disorder commonly accompanied by
comorbidities such as sensation, cognition, communication abnormalities and
many more. This study aimed to identify the correlation between gross motor
function(measured by Gross Motor Function Classification System, GMFCS) and
communication function (measured by Communication Function Classification
System, CFCS) in children with CP.
Methods: Thirty six children with CP aged 0–12 years were examined.
Samples were taken from Department of Physical Medicine and Rehabilitation Dr.
Hasan Sadikin General Hospital Bandung on September to October 2015. Patients’
descriptive data, levels of GMFCS and CFCS were collected by the researcher and
residents previously standardized. Kendall’s tau b correlation coefficient was
used to analyze the inter-relationship between the GMFCS and CFCS.
Results: Levels of GMFCS and CFCS in all samples were moderately
correlated (r=0.405; p=0.004). In patients with spastic quadripledic type,
correlation were found moderate(r=0.495; p=0.014). No significant correlation
was found when CP spastic quadriplegic patients were excluded (r=0.048,
p=0.829).
Conclusions: Levels of GMFCS and CFCS should be described to provide the
complete gross motor and communication picture of CP children.Gross motor
function in a child with spastic quadriplegic CP might be correctly predicted
from his/ her communication function and vice versa.
Keywords: Cerebral palsy,
children, Communication Function Classification System, Gross Motor Function
Classification System
Author: Vindy Margaretha,
Marietta Shanti Prananta, Anggraini Alam
Journal Code: jpkedokterangg170133