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UDK 612.763:616.831-009.11-085-053.2 |
ISSN 035-2899, 39(2014) br.3 p.132-136 |
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Original paper Manual ability classification system in assessing hand function in children with cerebral palsy Klasifikacija manuelne sposobnosti u procjeni funkcije ruku kod djece sa cerebralnom paralizom
Dobrinka Dragić, Đurđica Stevanović-Papić, Nataša Tomić,
Vladimira Šolaja-Koščica, |
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Download in pdf format | Summary: Manual ability classification system (MACS) describes how children with cerebral palsy handle objects in daily activities. The aim of the research is to identify the opportunities of MACS classification in the assessment of function and evaluation of changes of manual activity in children with cerebral palsy. Patients and methods: The study included 44 children of different ages (4-16 years) and types of cerebral palsy. We conducted a functional assessment and MACS classification for all children. The children were involved in multidisciplinary rehabilitation treatment, while their families were involved in the activities of therapy, intervention and evaluation. Six months after the therapeutic interventions using repeated MACS classification, the changes in manual activities were observed and quantified as: 1.improvement of bimanual hand activity, 2. absence of improvement of bimanual hand activity. Results: Most of the children had the spastic form of cerebral palsy and needed help with the activities of hands. Six months after the therapeutic interventions, hand function was improved in 22 children (p<0.001), in all MACS levels. The biggest change was in the MACS level III (77% of children of this level), in spastic type of cerebral palsy and in schoolchildren (56 % children of that age). Conclusion: Manual Ability Classification System of children with cerebral palsy helps in the assessment of function and evaluation of manual activity changes in children with cerebral palsy. Key words: manual ability classification, evaluation Napomena: kompletan tekst rada na srpskom jeziku Note: full text in Serbian |
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Corresponding Address: Dobrinka Dragić, Zavod za fizikalnu medicinu i rehabilitaciju „Dr Miroslav Zotović“, Slatinska 11, 78000 Banja Luka, Republika Srpska, Bosna i Hercegovina; E-mail: dobrinkadragic@gmail.com |
Paper received: 24.6.2014 Paper accepted: 30.6.2014 Paper Internet issues: 26.9.2014 |
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