Participation in age-related activities and influence of cultural factors--comments from youth and parents of children with postnatal post infectious hemiplegia in Stockholm, Sweden.
OBJECTIVE
To investigate whether children with postnatal post-infectious hemiplegic cerebral palsy, and their parents, felt that participation in activities typical for the child's age and gender was affected. To identify factors, intra- and extra-personal that influenced disability with emphasis on factors related to immigration.


METHODS
Interviews with six youths and 15 caregivers regarding the child's ability to participate in age-related activities, the consequences of disability in their home country compared to Sweden, and whether immigration influenced being a parent to a disabled child.


RESULTS
All reported large difficulties participating in age-related activities. Positive and negative differences in participation in different cultures were described. War, culture, eating habits, hygiene habits, and school could differ and create difficulties when in Sweden. Language skills and intra personal factors influenced information gathering and participation in parental activities.


CONCLUSIONS
Surprisingly large difficulties in participation may separate those with a postnatal post-infectious aetiology from hemiplegia of other aetiologies. High degrees of additional impairments may influence participation more than the physical disability. Language skills and cultural factors influence ability to seek and gain information. A mutual process where both Swedes and immigrants know traditions of care for disabled in both places may create understanding and improved dialogue.
Radell
U
U
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Huddinge, Sweden. ulrika@learntomove.se
Tillberg
E
E
Mattsson
E
E
Amark
P
P
D000203:Activities of Daily Living; D002547:Cerebral Palsy / Q000382:microbiology / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation; D002648:Child; D003466:Cultural Characteristics; D019988:Children with Disabilities / Q000523:psychology*; D006429:Hemiplegia / Q000382:microbiology / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D007239:Infections / Q000150:complications*; D007407:Interviews as Topic; D010290:Parents / Q000523:psychology*; D013548:Sweden