The Impact of Manual Ability Level on Participation of Children with Cerebral Palsy in Life Areas
Iranian Journal of Child Neurology,
Vol. 13 No. 3 (2019),
2 June 2019
Participation is a complex and context-dependent concept, which several factors can influence it. The aim of this study was assessing the relationship between the upper extremity function level of children with cerebral palsy (all type of cerebral palsy and severity) and their participation in different life areas.
Materials & Methods
This cross-sectional study assessed the relationship between the level of upper extremity function of cerebral palsy children and their participation in different life areas. Participants were 274 parents of children with cerebral palsy of the schools of children with pecial needs and occupational therapy clinics in Tehran, Iran in 2018.
They completed the Manual Ability Classification System (MACS) to determine the level of upper extremity function of children with cerebral palsy and Children Participation Assessment Scale-Parent version (CPAS-P) (to determine the participation level of children with cerebral palsy) questionnaires separately.
The mean age of children was 8 yr and 8 months old (at least 6 yr and maximum 12 yr). The correlation between the level of upper extremity function and the overall score of each dimension of participation is significant (P<0.05) and moderate.
The upper extremity function of children with cerebral palsy has a moderate and significant relationship with the participation of children with cerebral palsy in different life areas and withdifferent dimensions of participation especially parental satisfaction dimension. Therefore, there is a correlation between upper extremity function and participation in occupations, but this relationship is moderate and is not very strong.
- Cerebral palsy
- Manual ability
- Patient participation
Gage J, Novacheck T. An update on the treatment of gait problems in cerebral palsy. Journal of Pediatric Orthopaedics. 2001;10:265–74.
Stanley F, Blair E, Alberman E. Cerebral palsies: Epidemiology and causal pathways New York: Cambridge University Press2000.
Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disability and Rehabilitation. 2006;28(4):183–91.
Pashmdarfard M, Amini M, Mehraban AH. Participation of Iranian Cerebral Palsy Children in Life Areas: A Systematic Review. Iran J Child Neurol. 2017;11(1):1-12.
Shikako-Thomas K, Shevell M, Schmitz N, Lach L, Law M, Poulin C, et al. Determinants of participation in leisure activities among adolescents with cerebral palsy Research in Developmental Disabilities. 2013;34:2621–34.
Adamsom L. Self-image, adolescence, and disability. American Journal of Occupational Therapy 2003;57(5):578–82.
American Association of Occupational Therapy. Occupational Therapy Practice Framework: Domain And Process, 3rd Edition. Am J Occup Therapy 2014;48:3-48.
Zaff JF, Moore K, Papillo AR, Williams S. Implications of extracurricular activity participation during adolescence on positive outcomes. Journal of Research on Adolescence. 2003;18(6): 599–630.
Mehraban AH, Hasani M, Amini M. The Comparison of Participation in School-Aged Cerebral Palsy Children and Normal Peers: A Preliminary Study Iran J Pediatr. 2016;26(3):doi: 10.5812/ijp.303.
RostamzadehZadeh O, Amini M, Mehraban AH. [Comparison of Participation of Children with Cerebral Palsy Aged 4 to 6 in Occupations With Normal Peers (Persian)]. Journal of Rehabilitation. 2016;17(3):192-9.
Mutlu A, Pistav-Akmese P, Yardımcı BN, Ogretmen T. What do the relationships between functional classification systems of children with cerebral palsy tell us? J Phys Ther Sci. 2016;28:3493–8.
law m. Participation in the occupations of everyday life. Am J Occup Ther 2002;56(6):640-9.
Shikako-Thomas K, Kolehmainen N, Ketelaar M, Bult M, Law M. Promoting leisure participation as part of health and well-being in children and youth with cerebral palsy. J Child Neurol. 2014;29(8):1125-33.
King G, Law M, King S, Rosenbaum P, Kertoy MK, Young NL. A conceptual model of the factors affecting the recreationand leisure participation of children with disabilities. Physical & Occupational Therapy in Pediatrics. 2003;23(1):63–90.
Law M, King G, King S, Kertoy M, Hurley P, Rosenbaum P. Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Developmental Medicine and Child Neurology. 2006;48(5):337–44.
Elisasson AC, Krumlinde SL, sblad BR, Beckung E, Arner M, Ohrvall M. The Manual Ability Classification System (MACS) for children with cerebral palsy: Scale development and evidence of validity and reliability. Developmental Medicine and Child Neurology. 2006;48:459–554.
Riahi A, Rassafiani M, Akbarfahimi N, karimloo M. To Determine the Reliability and Validity of the Persian Translation of the Manual Ability Classification System for Children with Cerebral Palsy. Iranian journal of special children 2012;12(2):17-25.
Amini M, Mehraban AH, Haghni H, Asgharnezhad A, Mahani MK. Development and validation of Iranian children’s participation assessment scale. Med J Islam Repub Iran. 2016;30(333.
Amini M, Mehraban AH, Haghani H, Mollazade E, Zaree M. Factor Structure and Construct Validity of Children Participation Assessment Scale in Activities Outside of School–Parent Version (CPAS-P). Occupational Therapy In Health Care. 2017;31(1):44-60.
Naghdi S, Ansari N, Raji P, Shamili A, Amini M, Hasson S. Cross-cultural validation of the Persian version of the Functional Independence Measure for patients with stroke. Disability and Rehabilitation. 2016;38(3):289-98.
Tan pS, M.A W, Slot vd, Ketelaar M, Becher JG, Dallmeijer AJ, et al. Factors contributing to the longitudinal development ofsocial participation in individuals with cerebral. Research in Developmental Disabilities 2016;57:125–35.
Boucher N, Dumas F, Maltais DB, Richards CL. The influence of selected personal and environmental factors on leisure activities in adults with cerebral palsy. Disability and Rehabilitation. 2010;32(16):1328–38.
Klotz MCM, Kost L, Braatz F, Ewerbeck V, Heitzmann D, Gantz S, et al. Motion capture of the upper extremity during activities of daily living in patients with spastic hemiplegic cerebral palsy
Gait & Posture. 2013;38:148–52.
- Abstract Viewed: 44 times
- PDF Downloaded: 31 times