Volume 21, Issue 4 (Winter 2021)
jrehab 2021, 21(4): 422-435 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Gharib M, Shayesteh Azar M, Vameghi R, Hosseini S A, Nobakht Z, Dalvand H. Relationship of Environmental Factors With Social Participation of Children With Cerebral Palsy Spastic Diplegia: A Preliminary Study. jrehab 2021; 21 (4) :422-435
URL: http://rehabilitationj.uswr.ac.ir/article-1-2778-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-2778-en.html
Masoud Gharib1 
, Masoud Shayesteh Azar2 , Roshanak Vameghi3 , Seyed Ali Hosseini3 , Zahra Nobakht3 , Hamid Dalvand * 4
, Masoud Shayesteh Azar2 , Roshanak Vameghi3 , Seyed Ali Hosseini3 , Zahra Nobakht3 , Hamid Dalvand * 4
1- Orthopedic Research Center, Mazandran University of Medical Sciences, Sari, Iran., Emam Khomeini hospital, Orthopedic Research center, Mazandran University of Medical Sciences, sari, Iran.
2- Orthopedic Research Center, Mazandran University of Medical Sciences, Sari, Iran., Orthopedic Research center, Mazandran University of Medical Sciences, sari, Iran.
3- Pediatric Neuro Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Pediatric Neuro rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4- Department of Occupational Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. ,hdalvand@sina.tums.ac.ir
2- Orthopedic Research Center, Mazandran University of Medical Sciences, Sari, Iran., Orthopedic Research center, Mazandran University of Medical Sciences, sari, Iran.
3- Pediatric Neuro Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Pediatric Neuro rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4- Department of Occupational Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. ,
Abstract: (3723 Views)
Objective: Cerebral palsy Spastic Diplegia (CPSD) is the most common motor disability in childhood. It is a neurodevelopmental condition beginning early in life and continues throughout life. In addition to mobility problems, the environment can also affect the CPSD children’s social participation. This study aims to investigate the relationship of environmental factors with the social participation of children with CPSD.
Materials & Methods: This cross-sectional study was conducted on 116 parents of children with CPSD referred to the occupational therapy clinics in Tehran, Mazandaran, and Alborz provinces of Iran in 2018-2019. They were recruited using a convenience sampling method. Parents completed the European Child Environment Questionnaire (ECEQ) and the life habit questionnaire to assess their perception of the environmental factors and their children’s participation, respectively. The Gross Motor Function Classification System-Expanded and Revised (GMFCS-E&R) was initially used to classify the gross motor function (walking ability) of the children with cerebral palsy living in Europe (The SPARCLE project). We used it to estimate cognitive levels in children. The Pearson correlation coefficient and linear regression of SPSS version 22 were used to analyze the results.
Results: Based on the GMFCS-E&R classification, 23.3% of children were at level I, 27.6% at level II, 31.9% at level III, and 17.2% at level IV. Moreover, 89.7% of the children had an IQ>75, and 85.3% had no seizures. All domains and sub-domains of ECEQ had significantly correlated with social participation (P<0.01), where the physical environment had the highest correlation (r=-0.811, P<0.01). Based on the linear regression model, physical environment (β=-0.475, P<0.01) and attitudinal environment (β=-0.285, P<0.05) were the predictors of social participation (adjusted R2=0.71).
Conclusion: Physical and attitudinal environments are predictors of social participation in children with CPSD. Environmental modifications and adaptations at home, community, school, and especially transportation system can increase the social participation of these children.
Materials & Methods: This cross-sectional study was conducted on 116 parents of children with CPSD referred to the occupational therapy clinics in Tehran, Mazandaran, and Alborz provinces of Iran in 2018-2019. They were recruited using a convenience sampling method. Parents completed the European Child Environment Questionnaire (ECEQ) and the life habit questionnaire to assess their perception of the environmental factors and their children’s participation, respectively. The Gross Motor Function Classification System-Expanded and Revised (GMFCS-E&R) was initially used to classify the gross motor function (walking ability) of the children with cerebral palsy living in Europe (The SPARCLE project). We used it to estimate cognitive levels in children. The Pearson correlation coefficient and linear regression of SPSS version 22 were used to analyze the results.
Results: Based on the GMFCS-E&R classification, 23.3% of children were at level I, 27.6% at level II, 31.9% at level III, and 17.2% at level IV. Moreover, 89.7% of the children had an IQ>75, and 85.3% had no seizures. All domains and sub-domains of ECEQ had significantly correlated with social participation (P<0.01), where the physical environment had the highest correlation (r=-0.811, P<0.01). Based on the linear regression model, physical environment (β=-0.475, P<0.01) and attitudinal environment (β=-0.285, P<0.05) were the predictors of social participation (adjusted R2=0.71).
Conclusion: Physical and attitudinal environments are predictors of social participation in children with CPSD. Environmental modifications and adaptations at home, community, school, and especially transportation system can increase the social participation of these children.
Type of Study: Original |
Subject:
Occupational Therapy
Received: 22/04/2020 | Accepted: 5/08/2020 | Published: 1/01/2021
Received: 22/04/2020 | Accepted: 5/08/2020 | Published: 1/01/2021
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
