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J Rehabil Med. 2010 May;42(5):493-8. doi: 10.2340/16501977-0543.

Manual ability and its relationship with daily activities in adolescents with cerebral palsy.

Author information

1
Department of Rehabilitation Medicine, VU University Medical Center, 1007 MB Amsterdam, The Netherlands. m.vaneck@vumc.nl

Abstract

OBJECTIVE:

To describe the manual ability of adolescents with cerebral palsy and to investigate the relationship of manual ability with daily activities.

DESIGN:

Cross-sectional study.

SUBJECTS:

Ninety-four adolescents with cerebral palsy, aged 12-16 years.

METHODS:

Manual ability was assessed according to the Manual Ability Classification System (MACS) and the ABILHAND-Kids. Daily activities were assessed with the Vineland Adaptive Behavior Scales (VABS) sub-scales for (personal and domestic) daily living skills. The relationship between manual ability and daily activities was investigated with regression analysis: independent variables were manual ability, disease and personal characteristics.

RESULTS:

MACS and ABILHAND-Kids were both strongly associated with personal daily activities (explained variance 77% and 84%, respectively) and less strongly with domestic daily activities (explained variance 45% and 62%, respectively). Including other disease characteristics and personal characteristics in the model increased the explained variance of personal daily activities to 91% for both models and the explained variance of domestic daily activities to 68% and 73% for the MACS and ABILHAND-Kids models, respectively.

CONCLUSION:

Manual ability is limited in many adolescents with cerebral palsy, and limitations in manual ability are strongly related to limitations in daily activities.

PMID:
20544163
DOI:
10.2340/16501977-0543
[Indexed for MEDLINE]
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