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Dev Neurorehabil. 2014 Dec;17(6):403-13. doi: 10.3109/17518423.2014.897398. Epub 2014 Apr 11.

Determinants of self-care participation of young children with cerebral palsy.

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1
School of Physical Therapy, Western University , London, ON , Canada.

Abstract

OBJECTIVE:

To test a model of child, family and service determinants of self-care participation of children with cerebral palsy (CP), grouped by Gross Motor Function Classification System levels (I-II and III-V).

METHODS:

Participants were a convenience sample of 429 children (242 males) with CP, aged 18-60 months. Data on impairments and gross motor function were collected by reliable therapists; parents provided information about children's health conditions and adaptive behaviour. Seven months later parents reported on family life and services received. One year after study onset, parents documented children's self-care participation. Data from two groups of children were analysed using structural equation modelling.

RESULTS:

The model explained a significant proportion of the variance of self-care participation, with higher motor function, fewer health conditions and higher levels of adaptive behaviour being associated with greater self-care participation.

CONCLUSION:

Supporting children's gross motor function, health and adaptive behaviour may optimize self-care participation.

KEYWORDS:

Biopsychosocial approach; prospective cohort study; structural equation modelling

PMID:
24725221
DOI:
10.3109/17518423.2014.897398
[Indexed for MEDLINE]

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