Stability of the Manual Ability Classification System in young children with cerebral palsy
Aim: To examine the stability over time of the Manual Ability Classification System (MACS) levels in children with cerebral palsy (CP) aged 18 to 60 months. Method: This was a prospective longitudinal population-based study of 252 Australian children (160 males [63%] 92 females [37%]; mean age [SD]...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Wiley-Blackwell Publishing Ltd.
2019
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| Online Access: | http://hdl.handle.net/20.500.11937/74433 |
| _version_ | 1848763273233563648 |
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| author | Burgess, A. Boyd, Roslyn Ziviani, J. Chatfield, M. Ware, R. Sakzewski, L. |
| author_facet | Burgess, A. Boyd, Roslyn Ziviani, J. Chatfield, M. Ware, R. Sakzewski, L. |
| author_sort | Burgess, A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aim: To examine the stability over time of the Manual Ability Classification System (MACS) levels in children with cerebral palsy (CP) aged 18 to 60 months. Method: This was a prospective longitudinal population-based study of 252 Australian children (160 males [63%] 92 females [37%]; mean age [SD] 41.7mo [14], range 17.2mo–69.2mo) with CP. Children were classified at 18 months (n=70), 24 months (n=131), 30 months (n=173), 36 months (n=209), 48 months (n=226), and 60 months (n=221) of age. Stability of the MACS was examined using the proportion of specific positive agreement and transition proportions, which are measures of agreement. Results: There were 1030 unique observations, with each of the 252 participants seen between two and six occasions (median=4). Average specific positive agreement over the study period was 76% for MACS level I, 67% for level II, 50% for level III, 51% for level IV, and 83% for level V. MACS levels I and V have the highest degree of stability, while levels III and IV have the lowest. We show how this may be explained by the proportion of children in each MACS level. Interpretation: Using measures of agreement rather than measures of reliability provides accurate information when measuring stability over time of an ordinal classification system. The relative stability of MACS levels can be explained by the proportion of children in each level. |
| first_indexed | 2025-11-14T11:00:50Z |
| format | Journal Article |
| id | curtin-20.500.11937-74433 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:00:50Z |
| publishDate | 2019 |
| publisher | Wiley-Blackwell Publishing Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-744332019-06-27T01:35:34Z Stability of the Manual Ability Classification System in young children with cerebral palsy Burgess, A. Boyd, Roslyn Ziviani, J. Chatfield, M. Ware, R. Sakzewski, L. Aim: To examine the stability over time of the Manual Ability Classification System (MACS) levels in children with cerebral palsy (CP) aged 18 to 60 months. Method: This was a prospective longitudinal population-based study of 252 Australian children (160 males [63%] 92 females [37%]; mean age [SD] 41.7mo [14], range 17.2mo–69.2mo) with CP. Children were classified at 18 months (n=70), 24 months (n=131), 30 months (n=173), 36 months (n=209), 48 months (n=226), and 60 months (n=221) of age. Stability of the MACS was examined using the proportion of specific positive agreement and transition proportions, which are measures of agreement. Results: There were 1030 unique observations, with each of the 252 participants seen between two and six occasions (median=4). Average specific positive agreement over the study period was 76% for MACS level I, 67% for level II, 50% for level III, 51% for level IV, and 83% for level V. MACS levels I and V have the highest degree of stability, while levels III and IV have the lowest. We show how this may be explained by the proportion of children in each MACS level. Interpretation: Using measures of agreement rather than measures of reliability provides accurate information when measuring stability over time of an ordinal classification system. The relative stability of MACS levels can be explained by the proportion of children in each level. 2019 Journal Article http://hdl.handle.net/20.500.11937/74433 10.1111/dmcn.14143 Wiley-Blackwell Publishing Ltd. restricted |
| spellingShingle | Burgess, A. Boyd, Roslyn Ziviani, J. Chatfield, M. Ware, R. Sakzewski, L. Stability of the Manual Ability Classification System in young children with cerebral palsy |
| title | Stability of the Manual Ability Classification System in young children with cerebral palsy |
| title_full | Stability of the Manual Ability Classification System in young children with cerebral palsy |
| title_fullStr | Stability of the Manual Ability Classification System in young children with cerebral palsy |
| title_full_unstemmed | Stability of the Manual Ability Classification System in young children with cerebral palsy |
| title_short | Stability of the Manual Ability Classification System in young children with cerebral palsy |
| title_sort | stability of the manual ability classification system in young children with cerebral palsy |
| url | http://hdl.handle.net/20.500.11937/74433 |