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Disabil Rehabil. 2012;34(15):1306-10. doi: 10.3109/09638288.2011.641662. Epub 2011 Dec 26.

A comparison of activity, participation and quality of life in children with and without spastic diplegia cerebral palsy.

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Edith Cowan University, School of Exercise, Biomedical and Health Sciences, Australia.



To measure activity, participation and QoL in children with CP and to determine how these differ from a comparable group of typically developing (TD) children.


A total of eleven males and eight females with CP ranging in age from 5 to 12 years (mean age 7 years 10 months, SD 1 year 10 months; GMFCS level I-II) and 19 age and sex matched TD peers were recruited. Activity was measured using Paediatric Activity Card Sort (PACS), 6-Minute Walk Test and Timed Up and Go Test (TUG). Participation was measured using the assessment of Life Habits (LIFE-H) and quality of life was measured using the Cerebral Palsy Quality of Life Questionnaire (CP-QoL).


TD children performed more activities of personal care than children with CP, as assessed via the PACS, t(40) = 3.266, p = 0.002. TD children participate in more life habits than children with CP across all the LIFE-H domains except that of relationships. Results from the CP-QoL indicate that TD children experience a greater QoL in the domains of functioning, t(40) = 2.824, p = 0.007, and participation and physical health, t(40) = 3.543, p = 0.001, than children with CP.


These findings encourage the development of therapeutic interventions that aim to reduce these imbalances at all levels of the International Classification of Functioning, Disability and Health.

[Indexed for MEDLINE]

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