Comparative Evaluation of Occupational Therapists' Prediction Consistency of Future Gross Motor Function of 2-18 Years Old Patients with Cerebral Palsy Compared with Results from Gross Motor Function Classification System

Document Type : Original article

Authors

1 Assistant Professor in Occupational Therapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran,

2 Msc Student of Occupational Therapy, Students' Research Committee, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Msc of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Msc of Biostatistics, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 Phd Student in Neuroscience, Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Gross motor function classification system is widely used to classify and predict gross motor function in children with cerebral palsy. However, this prediction is intuitive and is done without tools. The aim of the present study was comparative evaluation of occupational therapists' prediction consistency of future gross motor function of 2-18 years old children with cerebral palsy compared with the results from Gross motor function classification system.
Materials and Methods: The current study followed a cross-sectional trial design. The population of the study consisted of 12 occupational therapists working at rehabilitation centers in Sari, Qaemshahr, Babol, Zirab and Juybar cities, Mazandaran, under the supervision of Social Welfare Department of the Province. First, occupational therapists chose 117 children with cerebral palsy and classified them into five levels according to their future gross motor function using their prediction. Next, the researcher classified the children using Gross motor function classification system. Finally, the prediction consistencies were compared between therapists and the researcher..
Results: The weighted kappa coefficient scale was found to be 0.642 in the first level and 0.867 in the fifth level, which shows good and very good agreement in sequence in these two levels. In the fourth level, this scale was found to be 0.054 that shows poor agreement. The weighted kappa coefficients were 0.383 and 0.246 in the second and the third levels, which indicate slight agreements. Although these two levels were found to be statistically different, the difference was not significant.
Conclusion: The use of Gross motor function classification system by occupational therapists in rehabilitation centers and Social Welfare offices is necessary for correct prediction of future gross motor function and correct determination of rehabilitative device type.

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References

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The Scientific Journal of Rehabilitation Medicine
Volume 5, Issue 4
January and February 2017
Pages 198-205

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History

  • Receive Date: 31 May 2015
  • Revise Date: 09 July 2016
  • Accept Date: 06 September 2016
  • First Publish Date: 21 December 2016

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