title: An ICF-based approach for cerebral palsy from a biopsychosocial perspective.
abstract: OBJECTIVE
  To integrate instruments to operationalize an ICF-based approach for cerebral palsy (CP); to assess differences in activity and participation among children with hemiplegia, diplegia and quadriplegia CP; to verify the facilitators or barriers to functioning; and to investigate the explanatory factors (cognitive and motor) for the type of school attended by children with CP (regular or special).
  
  
  METHODS
  Sixty children with CP were assessed using the Mini-Mental State Examination and an ICF-based instrument and their parents were interviewed. Data were analysed by Chi-Squared, Anova's and Kruskal-Wallis tests and multivariate logistic regression.
  
  
  RESULTS
  Significant differences between CP sub-groups were found for chewing, urinary function, cognitive function and activities and participation. Twelve environmental factors were identified as barriers. Multivariate regression identified cognitive function as a significant explanatory variable for the type of school attended, whereas motor function was not significant.
  
  
  CONCLUSIONS
  The ICF-based approach allows a comprehensive assessment, relevant for planning interventions.
authors.affiliation: Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Brazil. petersonmarco@yahoo.com.br
authors.forename: Peterson Marco O
authors.initials: PM
authors.lastname: Andrade
authors.forename: Vitor Geraldi
authors.initials: VG
authors.lastname: Haase
authors.forename: Fernanda
authors.initials: F
authors.lastname: Oliveira-Ferreira
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D055815:Young Adult