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  • Title: The relationship between gross motor function and participation restriction in children with cerebral palsy: an exploratory analysis.
    Author: Kerr C, McDowell B, McDonough S.
    Journal: Child Care Health Dev; 2007 Jan; 33(1):22-7. PubMed ID: 17181749.
    Abstract:
    BACKGROUND: Children with cerebral palsy (CP) experience a variety of functional limitations depending on the severity of their condition that impact on their participation in day-to-day activities. METHODS: The gross motor function and participation restrictions experienced by 60 ambulant children with CP (mean age 11.04 years) were assessed using the Gross Motor Function Measure (GMFM-88) and the Lifestyle Assessment Questionnaire - Cerebral Palsy (LAQ-CP). RESULTS: A significant negative correlation existed between the GMFM-88 and the LAQ-CP (r = -0.52, P < 0.001). Significant relationships were also identified between the GMFM-88 and the physical independence, mobility, economic burden and social integration domains of the LAQ-CP. CONCLUSION: In ambulatory children with CP, better physical function is associated with a lesser impact of disability; however, the relationship between function and participation is complex. Measures of participation restriction may assist with goal setting appropriate to the specific needs of the child and family.
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