Development and Validation of the Toileting Function Classification System for Children With Cerebral Palsy Ages 6–18

The TFCS provides a reliable framework for documenting and addressing toileting challenges in children with CP. Its implementation enhances family-professional communication and guides rehabilitation programs, ultimately improving quality of life. Plain-Language Summary: Toileting is a complex part of daily life that can be especially challenging for many children with disabilities. Difficulties with toileting are often linked to a combination of physical, sensory, and cognitive factors and may be even greater when conditions such as cerebral palsy occur alongside intellectual or developmental disabilities. This study focused on children with cerebral palsy and the development of a new classification system to describe their toileting function in a structured way. This tool can help occupational therapists and families better understand a child's needs and plan appropriate supports, contributing to improved care and quality of life.