pISSN 2288-6982
eISSN 2288-7105



Original Article

Phys. Ther. Korea 2021; 28(4): 245-250

Published online November 20, 2021

© Korean Research Society of Physical Therapy

Exploring the Relationship Between International Classification of Functioning, Disability, and Health Items Linked to Clinical Assessments in Children With Cerebral Palsy

Sang-Duk Park1 , MS, Sook-Hee Yi2 , MD, Jeong-Soo Kim1,3 , PhD

1Department of Physical Therapy, Seoul Rehabilitation Hospital, 2Department of Rehabilitation Medicine, Seoul Rehabilitation Hospital, Seoul, 3Department of Physical Therapy, College of Health Science, Yonsei University, Wonju, Korea

Correspondence to: Jeong-Soo Kim

Received: October 1, 2021; Revised: October 12, 2021; Accepted: October 19, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background: The International Classification of Functioning, Disability, and Health-Child and Youth version (ICF-CY) is designed to record the characteristics of developing children and examine the influence of a child’s environment on their health.
Objects: This study was designed to determine the relationship between the clinically extracted ICF-CY items and The Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Measure (GMFM) items.
Methods: Thirty patients (17 males and 13 females) who were hospitalized in a pediatric and youth patient unit of a rehabilitation hospital were included in the study. Four health professionals (two physical therapists and two occupational therapists) working independently linked the PEDI and GMFM-66 items to the activity and participation domains of the ICF-CY.
Results: There were strong negative correlations between the ICF-CY subdomains and the PEDI subdomains (r = 0.76–0.95; p < 0.05). There were positive strong correlations between the ICF-CY subdomains and the GMFM-66 (r = 0.76–0.95; p < 0.05).
Conclusion: The extracted ICF codes were a valid tool for evaluating the mobility and self-care conditions of cerebral palsy in the pediatric rehabilitation area.

Keywords: Cerebral palsy , GMFM-66, ICF-CY, Outcome measures