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      Development and reliability of a system to classify gross motor function in children with cerebral palsy

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          Abstract

          To address the need for a standardized system to classify the gross motor function of children with cerebral palsy, the authors developed a five-level classification system analogous to the staging and grading systems used in medicine. Nominal group process and Delphi survey consensus methods were used to examine content validity and revise the classification system until consensus among 48 experts (physical therapists, occupational therapists, and developmental pediatricians with expertise in cerebral palsy) was achieved. Interrater reliability (kappa) was 0.55 for children less than 2 years of age and 0.75 for children 2 to 12 years of age. The classification system has application for clinical practice, research, teaching, and administration.

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          Author and article information

          Journal
          Developmental Medicine & Child Neurology
          Wiley-Blackwell
          00121622
          14698749
          April 1997
          September 2008
          : 39
          : 4
          : 214-223
          Article
          10.1111/j.1469-8749.1997.tb07414.x
          9183258
          50e991ef-f5da-48f4-93e3-d9671f884717
          © 1997

          http://doi.wiley.com/10.1002/tdm_license_1.1

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