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Development and reliability of a system to classify gross motor function in children with cerebral palsy
Author(s) -
Palisano Robert,
Rosenbaum Peter,
Walter Stephen,
Russell Dianne,
Wood Ellen,
Galuppi Barbara
Publication year - 1997
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.1997.tb07414.x
Subject(s) - cerebral palsy , gross motor function classification system , inter rater reliability , delphi method , kappa , grading (engineering) , physical therapy , gross motor skill , physical medicine and rehabilitation , psychology , motor skill , reliability (semiconductor) , medicine , developmental psychology , rating scale , computer science , artificial intelligence , engineering , civil engineering , power (physics) , physics , quantum mechanics , linguistics , philosophy
To address the need for a standardized system to classify the gross motor function of children with cerebral palsy, the authors developed a five‐level classification system analogous to the staging and grading systems used in medicine. Nominal group process and Delphi survey consensus methods were used to examine content validity and revise the classification system until consensus among 48 experts (physical therapists, occupational therapists, and developmental pediatricians with expertise in cerebral palsy) was achieved. Interrater reliability ( k ) was 0.55 for children less than 2 years of age and 0.75 for children 2 to 12 years of age. The classification system has application for clinical practice, research, teaching, and administration.