PMID- 25374154 OWN - NLM STAT- MEDLINE DCOM- 20161006 LR - 20191210 IS - 1541-3144 (Electronic) IS - 0194-2638 (Linking) VI - 36 IP - 1 DP - 2016 TI - Bimanual Fine Motor Function (BFMF) Classification in Children with Cerebral Palsy: Aspects of Construct and Content Validity. PG - 1-16 LID - 10.3109/01942638.2014.975314 [doi] AB - The Bimanual Fine Motor Function (BFMF) is currently the principal classification of hand function recorded by the Surveillance of Cerebral Palsy in Europe (SCPE) register. The BFMF is used in a number of epidemiological studies, but has not yet been validated. AIMS: To examine aspects of construct and content validity of the BFMF. METHODS AND RESULTS: Construct validity of the BFMF was assessed by comparison with the Manual Ability Classification System (MACS) using register-based data from 539 children born 1999-2003 (304 boys; 4-12 years). The high correlation with the MACS (Spearman's rho = 0.89, CI: 0.86-0.91, p<.001) supports construct validity of the BFMF. The content of the BFMF was appraised through literature review, and by using the ICF-CY as a framework to compare the BFMF and MACS. The items hold, grasp and manipulate were found to be relevant to describe increasingly advanced fine motor abilities in children with CP, but the description of the BFMF does not state whether it is a classification of fine motor capacity or performance. CONCLUSION: Our results suggest that the BFMF may provide complementary information to the MACS regarding fine motor function and actual use of the hands, particularly if used as a classification of fine motor capacity. FAU - Elvrum, Ann-Kristin G AU - Elvrum AK AD - a Department of Clinical Services , St. Olavs University Hospital , Trondheim , Norway. AD - b Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine , Norwegian University of Science and Technology , Trondheim , Norway. FAU - Andersen, Guro L AU - Andersen GL AD - b Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine , Norwegian University of Science and Technology , Trondheim , Norway. AD - c Vestfold Hospital Trust , The Cerebral Palsy Register of Norway , Tonsberg , Norway. FAU - Himmelmann, Kate AU - Himmelmann K AD - d Department of Pediatrics, Institute of Clinical Sciences, Queen Silvia Children's Hospital , Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden. FAU - Beckung, Eva AU - Beckung E AD - e Department of Physiotherapy, Institute of Neuroscience and Physiology , Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden. FAU - Ohrvall, Ann-Marie AU - Ohrvall AM AD - f Department of Women's and Children's Health , Karolinska Institutet , Stockholm , Sweden. FAU - Lydersen, Stian AU - Lydersen S AD - g Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine , Norwegian University of Science and Technology , Trondheim , Norway. FAU - Vik, Torstein AU - Vik T AD - b Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine , Norwegian University of Science and Technology , Trondheim , Norway. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20141106 PL - England TA - Phys Occup Ther Pediatr JT - Physical & occupational therapy in pediatrics JID - 8109120 SB - IM MH - Cerebral Palsy/*classification/physiopathology/rehabilitation MH - Child MH - Child, Preschool MH - Cohort Studies MH - Disability Evaluation MH - Female MH - Hand/*physiopathology MH - Hand Strength MH - Humans MH - Male MH - Motor Skills/*classification MH - Norway MH - *Registries MH - Severity of Illness Index MH - Sweden MH - Task Performance and Analysis OTO - NOTNLM OT - Bimanual fine motor function OT - cerebral palsy OT - classification OT - fine motor OT - manual ability classification system OT - validity EDAT- 2014/11/07 06:00 MHDA- 2016/10/08 06:00 CRDT- 2014/11/07 06:00 PHST- 2014/11/07 06:00 [entrez] PHST- 2014/11/07 06:00 [pubmed] PHST- 2016/10/08 06:00 [medline] AID - 10.3109/01942638.2014.975314 [doi] PST - ppublish SO - Phys Occup Ther Pediatr. 2016;36(1):1-16. doi: 10.3109/01942638.2014.975314. Epub 2014 Nov 6.