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J Phys Ther Sci. 2015 Aug;27(8):2611-4. doi: 10.1589/jpts.27.2611. Epub 2015 Aug 21.

Relationship between activity limitations and participation restriction in school-aged children with cerebral palsy.

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Department of Secondary Special Education, College of Education, Jeonju University, Republic of Korea.
Department of Physical Therapy, Ulsan College, Republic of Korea.


[Purpose] This study investigated the relationship between activity limitation and participation restriction in school-aged children with cerebral palsy. [Subjects and Methods] Data were collected from 109 children with cerebral palsy aged 6-12 years. Activity limitations were assessed by using functional classification systems including the Korean-Gross Motor Function Classification System, the Korean-Manual Ability Classification System, and the Korean-Communication Function Classification System. Participation restriction was measured using the Korean-Frequency of Participation Questionnaire. Physical or occupational therapists and parents collected the data. [Results] All levels of the functional classification systems were significantly negatively correlated with Korean-Frequency of Participation Questionnaire ratings (r= -0.382 to -0.477). The Korean-Frequency of Participation Questionnaire ratings differed significantly with respect to the functional classification systems; in particular, the differences in the ratings of levels I and V were significant. The Korean-Communication Function Classification System and Korean-Gross Motor Function Classification System were significant predictors of participation, explaining 26.5% of the variance. [Conclusion] Intervention programs are required to promote communication skills and gross motor ability in order to improve the participation of children with cerebral palsy.


Cerebral palsy; Functional classification system; Participation

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