Effects of gross motor function and manual function levels on performance-based ADL motor skills of children with spastic cerebral palsy.

Only 23 children were studied, all with mild to moderate spastic cerebral palsy and GMFCS or MACS Levels I to III, so results cannot be applied to severe levels or other cerebral palsy types. Children with mixed diagnoses such as severe visual or auditory problems or intellectual disability were excluded, so the sample may not represent typical clinical caseloads. The study analysed only ADL motor skills, not ADL process skills, so it does not address cognitive or organisational aspects of daily performance. The MACS regression significance labels are inconsistent between the text and the table, so the exact significance of MACS Level II and III coefficients should be read cautiously. The paper reports a hospital sample and does not describe blinding or a longitudinal design.

Do not use these results to predict ADL motor skills for children with severe or non-spastic cerebral palsy; the study included only 23 children with mild to moderate spastic cerebral palsy at GMFCS or MACS Levels I to III.