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Titre : | Capacity to Participation in Cerebral Palsy: Evidence of an Indirect Path Via Performance (2013) |
Auteurs : | Kristie F. Bjornson ; Chuan Zhou ; Richard Stevenson ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/12, 2013) |
Article en page(s) : | pp. 2365-2372 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activité motrice ; Paralysie cérébrale ; Rééducation et réadaptation |
Mots-clés: | Cerebral Palsy ; Motor Activity |
Résumé : |
Objective To examine the hypothesis that the influence of physical activity capacity on participation is mediated through activity performance. Design Secondary analysis of a prospective cross-sectional study sample. Setting Regional pediatric specialty care hospital. Participants Children (N=128; 59% boys; age range, 29y) with cerebral palsy with Gross Motor Function Classification System levels I to III; 49% had hemiplegia, and 72% had spasticity. Interventions Not applicable. Main Outcome Measures Activity capacity was measured with the Gross Motor Function Measure-66, performance was measured with the Activities Scale for Kids, and participation was measured with the Assessment of Life Habits. Children's Assessment of Participation and Enjoyment and the Assessment of Preschool Children's Participation assessed diversity participation. Regression equations and Sobel z test were used to examine the mediated effect via performance. Results Physical activity performance mediates 74.9% (β=.83, P<.001 of the effect activity capacity on total participation levels and p=".001)" diversity participation.> Conclusions The relation between what an ambulatory child with cerebral palsy is able to perform in a clinical setting and their participation in life is significantly mediated by what they actually do motorically in day-to-day life. Results suggest that interventions focusing on improving what they actually do every day, regardless of their capacity to perform (what they can do when tested), may positively influence participation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |