Résumé
@#Objective To identify the reliability and validity of Chinese version of expanded and revised Gross Motor Function Classification System (GMFCS E&R). Methods 101 children with cerebral palsy aged 6～18 from 2 special schools in Shanghai and Guangzhou participated in this study. The interrater reliability was identified by analyzing the assessment results among different raters, including rehabilitation doctors, physical therapists, teachers and parents. Gross Motor Function Measure (GMFM) was used as the criterion to identify the parallel validity. Results GMFCS E&R had good interrater reliability (ICC=0.79～0.91) as well as the parallel validity (Spearman rank correlation coefficient is -0.46～-0.86). Conclusion Chinese version of GMFCS E&R has good reliability and validity. It is suitable for children with cerebral palsy as the tool of function classification in China.
Résumé
@#Objective To observe the effects of swimming on school-age children with cerebral palsy. MethodsHalliwick swimming method was used in swimming group (n=16), while the control group (n=15) received routine training. Before and after training, they were assessed with the Gross Motor Function Measure (GMFM-88) and the Berg Balance Scale. ResultsMost of the swimming group mastered swimming skills. The total scores of GMFM-88 and the Berg Balance Scale scores improved significantly in the swimming group (P<0.05), but not significantly in the control group (P>0.05) after training. ConclusionHalliwick technique is an effective way to learn swimming for school-age children with cerebral palsy. There is certain effect of swimming on motor function, especially on the balance functions.