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Titre : | Association Between Participation in Life Situations of Children With Cerebral Palsy and Their Physical, Social, and Attitudinal Environment : A Cross-Sectional Multicenter European Study (2012) |
Auteurs : | Allan Colver ; Ute Thyen ; Catherine Arnaud ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/12, 2012) |
Article en page(s) : | pp. 2154-2164 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Environnement ; Paralysie cérébrale ; Participation sociale ; Rééducation et réadaptation |
Mots-clés: | modèles statistiques |
Résumé : |
"Objective To evaluate how participation of children with cerebral palsy (CP) varied with their environment. Design Home visits to children. Administration of Assessment of Life Habits and European Child Environment Questionnaires. Structural equation modeling of putative associations between specific domains of participation and environment, while allowing for severity of child's impairments and pain. Setting European regions with population-based registries of children with CP. Participants Children (n=1174) aged 8 to 12 years were randomly selected from 8 population-based registries of children with CP in 6 European countries. Of these, 743 (63%) agreed to participate; 1 further region recruited 75 children from multiple sources. Thus, there were 818 children in the study. Interventions Not applicable. Main Outcome Measure Participation in life situations. Results For the hypothesized associations, the models confirmed that higher participation was associated with better availability of environmental items. Higher participation in daily activitiesmealtimes, health hygiene, personal care, and home lifewas significantly associated with a better physical environment at home (P<.01 mobility was associated with transport and physical environment in the community. participation social roles relationships recreation attitudes of classmates support at home. school teachers therapists. explained between variation participation.> Conclusions The findings confirmed the social model of disability. The physical, social, and attitudinal environment of disabled children influences their participation in everyday activities and social roles." |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993(12)00550-3/abstract |