关键词: 脑瘫, 粗大运动, 手功能, 沟通功能, 分级

Abstract: Objective To analyze the relationship between gross motor function, operation function and communication function impairment and three major functions of children and adolescents with different types and age,in oroler to proviole reference for making rehabilitation strategies. Methods The Chinese version of the cerebral palsy Gross Motor Function Classification System extended and revised version (GMFCS-ER), the Chinese version of mini-MACS and the Chinese version of Manual Ability Classification System (MACS), the Chinese version of Communication Function Classification System (CFCS) were used to perform gross motor function on 119 children and adolescents with cerebral palsy aged 2 to 18 years old.Hand function and communication ability were evaluated and graded. Results 63.9% of children and adolescents had a GMFCS grade and 54.7% had grade Ⅰ and Ⅱ CFCS,52.9% of grades were graded Ⅱ and Ⅲ, and most of the three functions of children with hemiplegia grade Ⅰ-Ⅲ.22 of the 119 subjects (18.5%) had the same levels of three functional grades.Three functional grades had a moderate correlation in assessing children with cerebral palsy (r=0.62-0.70, P<0.001). Conclusions The three grading systems complement each other and influence each other.The use of only one functional grading system does not describe the overall functional status of children and adolescents with cerebral palsy.

Key words: cerebral palsy, gross exercise, hand function, communication function, grade