• The Journal of Korean Physical Therapy
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• 제26권5호
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• pp.315-323
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• 2014

Purpose: This study was conducted in order to investigate the effect of motor ability on mastery motivation in children with cerebral palsy. Methods: Sixty children with cerebral palsy (5~12 years) and their parents participated in the study. Data on general characteristics and disability condition, Gross Motor Functional Classification System, Manual Ability Classification System, and The Dimensions of Mastery questionnaire were collected for this study. Independent t-test, and ANOVA were used for analysis of the effect of The Dimensions of Mastery questionnaire according to general and disability condition, Gross Motor Functional Classification System, and Manual Ability Classification System. Linear regression analysis was performed to determine the effects of Gross Motor Functional Classification System and Manual Ability Classification System on The Dimensions of Mastery questionnaire. SPSS win. 22.0 was used and Tukey was used for post hoc analysis, level of statistical significance was less than 0.05. Results: The Dimensions of Mastery questionnaire score showed statistically significant difference according to gender, region, type, disability rating, Gross Motor Functional Classification System, and Manual Ability Classification System (p<0.05). Gross Motor Functional Classification System and Manual Ability Classification System were the effect factor on The Dimensions of Mastery questionnaire significantly (p<0.05). Conclusion: These results suggest that motor ability of children with cerebral palsy was an important factor having an effect on The Dimensions of Mastery questionnaire.

• PNF and Movement
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• 제7권2호
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• pp.21-26
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• 2009

Purpose : The aim of this study was to determine the reliability of parents and therapists-assessed manual ability using the Manual Ability Classification System (MACS) for children with cerebral palsy Methods : Subjects were 136 children with cerebral palsy using rehabilitation programs in 16 welfare centers. Reliability was determined using the intraclass correlation coefficient (ICC). Parents and therapists assessed manual ability of children using MACS. Result : The 136 children (Male 73, Female 63) mean age was 7y 5mo years [range 3y 11mo - 13y 5mo]. The overall agreement between parents-assessed and therapists- assessed MACS was good (ICC = 0.84, 95% confidence interval 0.77-0.88). Conclusion : The MACS offers a reliable method for population-based research and communicating about the manual ability of children with CP.

• Physical Therapy Korea
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• 제17권1호
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• pp.62-68
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• 2010

The purposes of this study were to examine inter-rater reliability of the Manual Ability Classification System (MACS) by children's age and to identify the correlation between the MACS and the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP). Twenty-six children with CP older than two years participated. Children with CP were classified according to the MACS and the GMFCS by two physical therapists. Inter-rater reliability was analyzed using the Intraclass Correlation Coefficients (ICCs). The results showed that the reliability of the MACS for children aged 2~3 years was .88 and for children aged above 4 years was .98 (p<.05). Children with quadriplegia had a higher level of MACS than children with spastic hemiplegia and diplegia. A moderate relationship between the MACS and the GMFCS was found in all children (rater 1, r=.631; rater 2, r=.438). The MACS will be used for classification of children with CP according to the manual abilities. Thus, it offers a reliable method for communicating between therapists about the manual ability of children with CP who are older than 2 years.

• The Journal of Korean Academy of Sensory Integration
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• 제10권1호
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• pp.11-20
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• 2012

Objective : The purpose of this study is intended to provide useful information about the disability evaluation indicators, the Modified Barthel Index (MBI) as a measurement tool for assessing the ability to perform activities of daily living through the correlation between the Modified Barthel Index (MBI) and the Manual Ability Classification System (MACS), and Gross Motor Function Classification System (GMFCS). Methods : The subject was 82 children with cerebral palsy. The validity was aexamined by calculation of correlation between the Modified Barthel Index (MBI), the Manual Ability Classification System (MACS) and Gross Motor Function Classification System (GMFCS). Results : There were a good significant correlation between the MBI and MACS (r = -.765, p <0.001), the MBI and the GMFCS (r = -.851, p < 0.001) and the MACS and the GMFCS (r = .615, p <0.001). Conclusion : The close correlation between the MBI that is used as the basis of grading cerebral palsy and high reliability and validity of the MACS, GMFCS suggest that disability evaluation indicators, the MBI could be useful for children with disabilities.

• The Journal of the Korea Contents Association
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• 제10권1호
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• pp.317-324
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• 2010

The purpose of this study was to examine the validity of the Manual Ability Classification System (MACS) by analysing of relation between MACS and Jebsen-Talyor Hand Function Test. The concurrent validity was examined by calculation of correlation between MACS and Jabsen-Talyor Hand Function test and the discriminant validity was examined by measurement of hand function difference according to MACS level. For this, eighty-one children with spastic cerebral palsy were employed in this study. The children were evaluated by using the MACS and Jebsen-Taylor Hand Function Test for their hand function. There were a significant correlation between the MACS and Hand function (r = .870, p < .05). The good correlation between the MACS and subtest of Jabsen-Talyor Hand function (p < .05). The hand function according to the MACS level were different significantly (p < .05). The MACS is valid classification system for assessment of hand function of children with cerebral palsy. The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

• Physical Therapy Korea
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• 제21권3호
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• pp.55-62
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• 2014

This study investigated the relationship between function classification systems and the Pediatric Evaluation of Disability Inventory (PEDI) functional skills in children with cerebral palsy (CP). Two hundred and eleven children with CP participated in this study. The Korean-Gross Motor Function Classification System (K-GMFCS), Korean-Manual Ability Classification System (K-MACS), Korean-Communication Function Classification System (K-CFCS), and self-care, mobility, and social function domains of the Korean-Pediatric Evaluation of Disability Inventory (K-PEDI) functional skills were measured by physical therapists or occupational therapists. All of the function classification systems were significantly correlated with PEDI functional skills ($r_s$=-.549 to -.826) (p<.05). Especially, K-GMFCS, K-MACS, and K-CFCS were correlated significantly with mobility, self-care, and social function, respectively. Using stepwise multiple regression analysis, we established that K-GMFCS, K-MACS, and K-CFCS were predictors of self-care skills (74.3%) and mobility skills (79.5%) of the K-PEDI (p<.05). In addition, K-CFCS and K-MACS were predictors of social function (65.9%) of the K-PEDI (p<.05). The information gathered in this study using the levels measured in the function classification systems may be useful to clinicians for estimating the PEDI functional skills in children with CP.

• The Journal of the Korea Contents Association
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• 제9권7호
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• pp.248-256
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• 2009

The purpose of this study was to investigate the relationship among functional evaluation systems, the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy and to provide the foundation data about MACS for evaluation system of hand function in children with spastic cerebral palsy. For this, sixty children with spastic cerebral palsy were employed in this study. The sixty children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). There were a significant correlation between the MACS and the GMFCS (r =.659, p <.05). The good correlation between the MACS and WeeFIM was found (r = -.576, p <.05). The functional status according to the hand function level evaluated by using the MACS were different significantly (p <.05). The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

• Journal of the Korea Academia-Industrial cooperation Society
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• 제12권12호
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• pp.5709-5714
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• 2011

The purpose of this study was to investigate the utility of function classification system in children with cerebral palsy (CP). For this, relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with cerebral palsy form September 2008 to August 2010. The participants was 217 children with CP in this study. The 217 children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). The GMFCS have a significant correlation with total score and domains of WeeFIM (p<.05) There were a significant correlation with total score and domains of WeeFIM (p<.05) except no significancy with communication domain in dyskinesia type. The highest number of participants were in level 1 (20.3) and level 5 (40.6%) for GMFCS. For MACS, the highest number of participants were level 2 (48.8%) and level 5 (16.6%). The function classification of GMFCS and MACS in practice will provide usefulness for assessment of function in children with CP.

• Journal of the Korean Society of Physical Medicine
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• 제14권2호
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• pp.97-105
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• 2019

PURPOSE: This study examined the factors related to school-based activity performance in school-aged children with spastic cerebral palsy (CP). METHODS: The Gross Motor Function Systems (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS) as functional classifications, and the physical activity performance of the School Function Assessment (SFA) were measured in 79 children with spastic CP to assess the student's performance of specific school-related functional activities. RESULTS: All the function classification systems were correlated significantly with the physical activity performance of the SFA ($r_s=-.47$ to -.80) (p<.05). The MACS (${\beta}=-.59$), GMFCS (${\beta}=-.23$), CFCS (${\beta}=-.21$), and age (${\beta}=-.15$) in order were predictors of the physical activity performance of the SFA (84.8%)(p<.05). CONCLUSION: These functional classification systems can be used to predict the school-based activity performance in school-aged children with CP. In addition, they can contribute to the selection of areas for intensive interventions to improve the school-based activity performance.

• The Journal of the Korea Contents Association
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• 제5권4호
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• pp.169-179
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• 2005

Standard industry and occupation code are usually assigned manually in Korean census. The manual coding is very labor intensive and expensive task. Furthermore, inconsistent coding is resulted from the ability of human experts and their working environments. This paper proposes an automatic code classification system which converts natural language responses on survey questionnaires into corresponding numeric codes by using manually constructed rule base and example-based machine learning. The system was trained with 400,000 records of which standard codes was assigned. It was evaluated with 10-fold cross validation and was tested with three code sets: population occupation set, industry set, and industry survey set. The proposed system showed 76.63%, 82.24 and 99.68% accuracy for each code set.