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A Multivariate Model of Determinants of Change in Gross-Motor Abilities and Engagement in Self-Care and Play of Young Children With Cerebral Palsy
Journal article   Peer reviewed

A Multivariate Model of Determinants of Change in Gross-Motor Abilities and Engagement in Self-Care and Play of Young Children With Cerebral Palsy

Lisa A Chiarello, Robert J Palisano, Doreen J Bartlett and Sarah Westcott McCoy
Physical & occupational therapy in pediatrics, v 31(2)
24 Mar 2011
PMID: 20964514

Abstract

motor development play Cerebral palsy daily living skills theoretical models playfulness self-care
A multivariate model of determinants of change in gross-motor ability and engagement in self-care and play provides physical and occupational therapists a framework for decisions on interventions and supports for young children with cerebral palsy and their families. Aspects of the child, family ecology, and rehabilitation and community services may influence children's activity and participation. Aspects of the child include primary and secondary impairments, associated and comorbid health conditions, and adaptive behaviors. Literature support for the model is reviewed. A clinical scenario illustrates the use of the model as a framework for practice. The model encourages therapists to broaden the focus of rehabilitation services for young children with CP to include not only development of motor abilities but also comprehensive interventions and supports to enhance participation in daily activities and routines. Therapists are encouraged to consider how child, family, and service factors interact when planning interventions and evaluating outcomes.

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50 citations in Scopus

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Pediatrics
Rehabilitation
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