Volume 21, Issue 4 (Winter 2020)                   Vol. , No. , Season & Year , Serial No. | Back to browse issues page


XML Persian Abstract Print


Download citation:
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. 2020; 21 (4) :422-435
URL: http://rehabilitationj.uswr.ac.ir/article-1-2778-en.html
1- Orthopedic Research Center, Mazandran University of Medical Sciences, Sari, Iran.
2- Pediatric Neuro Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3- Department of Occupational Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. , hdalvand@sina.tums.ac.ir
Abstract:   (1017 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.
Full-Text [PDF 4872 kb]   (281 Downloads) |   |   Full-Text (HTML)  (144 Views)  
Type of Study: Original | Subject: Occupational Therapy
Received: 22/04/2020 | Accepted: 5/08/2020 | Published: 1/01/2021

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2021 CC BY-NC 4.0 | Archives of Rehabilitation

Designed & Developed by : Yektaweb