Understanding Participation of Preschool-Age Children With Cerebral Palsy Academic Article uri icon

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  • Participation in home, school, and community activities is a primary outcome of early intervention services for children with disabilities and their families. The objectives of this study were to (a) describe participation of preschool-age children with cerebral palsy (CP); (b) determine effects of sex, age, and gross motor function on intensity of participation; and (c) identify child, family, and service determinants of intensity of participation. A convenience sample of 85 preschool-age children with CP and their parents participated. Parents completed self-report measures on children’s participation, adaptive behavior, physical function, family functioning, and services. Children’s Gross Motor Function Classification System levels (Palisano, Rosenbaum, Bartlett, & Livingston, 2008) were determined by assessors. A multiple linear regression analysis was conducted to determine the variance in intensity of participation explained by the determinants. Children with limited self-mobility had a lower intensity of participation than children with independent upright mobility. Adaptive behavior, transfers and basic mobility function, and upper extremity and physical function explained 46% of the variance of intensity of participation.


  • Chiarello, Lisa Ann
  • Palisano, Robert
  • Orlin, Margo N
  • Chang, Hui-Ju
  • Begnoche, Denise
  • An, Mihee

publication date

  • March 2012