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Reliability of the Korean Version of the Eating and Drinking Ability Classification System in Children with Cerebral

Sangwon Hwang1, Kang-Jae Jung1, Yeonhee Choi2

  • 1Department of Physical Medicine and Rehabilitation, Eulji University Hospital, Daejeon, 95 Dunsanseo-ro, Seo-gu, Daejeon 35233, Republic of Korea.

Children (Basel, Switzerland)
|June 26, 2025
PubMed

Insights

The Korean version of the Eating and Drinking Ability Classification System (EDACS) is a reliable tool for assessing eating and drinking abilities in children with cerebral palsy (CP). This classification system improves clinical utility and communication for both professionals and non-professionals.

Area of Science:

  • Pediatric Rehabilitation
  • Neurodevelopmental Disorders
  • Clinical Assessment Tools

Background:

  • Children with cerebral palsy (CP) often experience challenges with eating and drinking.
  • Accurate classification of these abilities is crucial for effective intervention and care.
  • The Eating and Drinking Ability Classification System (EDACS) provides a framework for such classification.

Purpose of the Study:

  • To evaluate the reliability and validity of the Korean version of the EDACS.
  • To assess its psychometric properties in children with cerebral palsy.

Main Methods:

  • A prospective cross-sectional study involving 40 children with CP.
  • Reliability assessed by a pediatric rehabilitation physician, a speech-language therapist (SaLT), and caregivers.
  • Inter-rater and intra-rater reliability were calculated using Cohen's weighted kappa (κW).

Main Results:

  • Almost perfect agreement was found between the physician and SaLT (κW = 0.940, 0.919).
  • Substantial agreement was observed between the physician and caregivers (κW = 0.618, 0.592).
  • The Korean EDACS demonstrated moderate to high correlations with other established functional scales.

Conclusions:

  • The Korean version of the EDACS is a reliable and valid tool for classifying eating and drinking abilities in children with CP.
  • Its use can enhance clinical utility and facilitate communication among healthcare professionals and caregivers.
  • This supports the widespread adoption of the EDACS in clinical practice for pediatric CP populations.
Abstract

Keywords:
cerebral palsydrinking behavioreating behaviorefficiencypediatricsreproducibility of results

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