Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2014     Vol 39     No 3
     
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      UDK 612.763:616.831-009.11-085-053.2

ISSN 035-2899, 39(2014) br.3 p.132-136

     
   
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,
Gabriela Mirković

Zavod za fizikalnu medicinu i rehabilitaciju "Dr Miroslav Zotović", Banjaluka

     
 
 
     
 

 

         
  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
     
             
     
     
      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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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija
E-mail: tmglasnik@gmail.com

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