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Communication Function Classification System

From Wikipedia, the free encyclopedia

Communication Function Classification System
Purposeclassification scale for those with Cerebral palsy

The Communication Function Classification System (CFCS) for individuals with cerebral palsy (CP) is a five-level classification system which began development at Michigan State University[1] and currently under further refinement at the University of Kentucky. The research, organized and conducted by Dr. Mary Jo Cooley Hidecker, Ph.D., CCC-A/SLP, follows two widely used classification systems for cerebral palsy: the Gross Motor Function Classification System (GMFCS)[2][3][4] and the Manual Ability Classification System (MACS).[5] Dr. Ray Kent of the University of Wisconsin–Madison, Dr. Peter Rosenbaum of McMaster University, and Dr. Nigel Paneth of Michigan State University are also an integral part of this research.

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Transcription

Voiceover: In this video we're gonna talk a little bit about cell junctions. Cell junctions are basically things that connect cells to other cells. And they often occur in epithelial tissue. We're gonna talk about three major types of cell junctions today. The first, tight junctions, the second desmosomes, and the third, gap junctions. So starting off with tight junctions. Let's say we have two cells like this. So tight junctions basically connect the two cells together. And it's kinda like a glue that connects them together really tightly like that. I think of it like a watertight seal. It's a complete fluid barrier, which means that if there's water or ions or other molecules trying to get through between the two cells, they would not be able to. So it blocks out pretty much everything, from both sides of the cells, so water and ions cannot go through that gap between the two cells. This tight junction, this watertight seal tends to occur in things like the bladder, for example. Or sometimes intestines and the kidney. They occur in places where water really cannot go to other places. For example, our bladder holds urine, which is waste, and it would be really bad for our body if our bladder was unable to be watertight, to hold that urine just within the bladder. The next type that we're gonna talk about are desmosomes. Now let's say we have again, two cells like this. What desmosomes do, is I'm exaggerating the gap between these a little bit, but they're kinda like connections that hold two cells together. And these connections actually attach inside the cytoskeleton. And again, this gap is exaggerated. Usually the cells are a little closer. But in desmosomes, if there is water or ions, they can actually flow between these cells. So ions like sodium or potassium or water, or other small molecules can actually come through in this gap. I like to think about desmosomes kinda like spot welds They kinda hold the two cells together, but it's not like a complete glued seal like the tight junctions. They're kind of spotted throughout the cell so that things can actually flow in between the cells. Desomosomes tend to occur in tissues that experience a lot of stress. They offer a little bit of space for stress relief. So these spot welds, these desmosomes can be found in our skin and in our intestines. Now you notice that our intestines actually have both desmosomes and tight junctions. These cell junctions can be scattered throughout the even the same type of cell. So intestinal tissue can have both tight junctions and desmosomes. The last one we're gonna talk about are gap junctions. So let's say we have, again, our two cells like this. Gap junctions, and again I'm exaggerating the size of our gap junction. But, they're kinda like a tunnel that actually exists between the cells. So they're like a tunnel. And what they do is they actually let water and ions and so on, flow through this gap between the two cells. So they're kinda like a tunnel. These are often found in cells or tissue that spread action potential, or cells that use electrical coupling. For example, they can be found in cardiac muscle. This allows our cardiac muscle to actually spread action potential by using these ions. This allows our heart to continue beating. It can also be found in neurons. So in summary, we have three main types of cell junctions. The first are tight junctions. These are a watertight seal which prevents water or ions from flowing in between cells. We have desmosomes which are spot welds. And these spot welds generally occur in areas of stress, and they also allow water, ions, and other small molecules to flow between cells. And lastly are gap junctions. And gap junctions are tunnels that kind of connect two cells. And these tend to occur in cells that require propagation of electrical signal.

CFCS Variables

Design and development of the CFCS addressed a number of issues in cerebral palsy including a general lack of knowledge regarding the communication abilities of individuals with CP. The 5 CFCS levels are used instead of the more vague labels of "mild, moderate, severe, profound" difficulties. The system is designed to be a quick and simple instrument used by a person familiar with the individual to be classified. Variables of communication ability used within the CFCS include sender roles (being able to communicate a message to someone), receiver roles (being able to understand a message from someone), pace of communication, and the degree of familiarity with a communication partner. The CFCS follows the World Health Organization's (WHO's) International Classification of Functioning, Disability and Health (ICF).[citation needed]

Purposes

Possible benefits of the CFCS include describing functional communication performance using a common language among professionals and laypersons and recognizing the use of all effective methods of communication including augmentative and alternative communication (AAC). The CFCS can be used in research projects as a way of describing the communication performance of participants. The CFCS can be used clinically by parents and professionals to open-up discussions regarding how different communication environments, partners, and/or communication tasks might affect an individual's CFCS level and to choose goals to improve the person's communication effectiveness.[citation needed]

References

  1. ^ HIDECKER, MARY JO COOLEY; PANETH, NIGEL; ROSENBAUM, PETER L; KENT, RAYMOND D; LILLIE, JANET; EULENBERG, JOHN B; CHESTER JR, KEN; JOHNSON, BRENDA; MICHALSEN, LAUREN; EVATT, MORGAN; TAYLOR, KARA (August 2011). "Developing and validating the Communication Function Classification System for individuals with cerebral palsy". Developmental Medicine & Child Neurology. 53 (8): 704–710. doi:10.1111/j.1469-8749.2011.03996.x. PMC 3130799. PMID 21707596.
  2. ^ Morris, C; Bartlett, D (January 2004). "Gross Motor Function Classification System: impact and utility". Developmental Medicine & Child Neurology. 46 (1): 60–5. doi:10.1111/j.1469-8749.2004.tb00436.x. PMID 14974650.
  3. ^ Palisano, R; Rosenbaum, P; Walter, S; Russell, D; Wood, E; Galuppi, B (April 1997). "Development and reliability of a system to classify gross motor function in children with cerebral palsy". Developmental Medicine & Child Neurology. 39 (4): 214–23. doi:10.1111/j.1469-8749.1997.tb07414.x. PMID 9183258.
  4. ^ Palisano, RJ; Rosenbaum, P; Bartlett, D; Livingston, MH (October 2008). "Content validity of the expanded and revised Gross Motor Function Classification System". Developmental Medicine & Child Neurology. 50 (10): 744–50. doi:10.1111/j.1469-8749.2008.03089.x. PMID 18834387. S2CID 45875650.
  5. ^ Eliasson, AC; Krumlinde-Sundholm, L; Rösblad, B; Beckung, E; Arner, M; Ohrvall, AM; Rosenbaum, P (July 2006). "The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability". Developmental Medicine & Child Neurology. 48 (7): 549–54. doi:10.1111/j.1469-8749.2006.tb01313.x. PMID 16780622.

External links

This page was last edited on 25 January 2023, at 21:27
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