title: Association between motor functioning and leisure participation of children with physical disability: an integrative review.
abstract: OBJECTIVE
  The aim of this integrative review is to synthesize the evidence of association between motor functioning and leisure participation of children with physical disability.
  
  
  METHODS
  We conducted a systematic electronic search of key databases from the period 1 January 2001 to 30 April 2014 using relevant keywords. The Mixed Method Appraisal Tool was used to assess the quality of the qualitative and quantitative studies included and carried out in children with physical disability aged 6 to 12 years. We synthesized and compared information from both type of studies to identify the extent, and way by which, motor functioning influences leisure participation.
  
  
  RESULTS
  Thirty-five studies were included and analyzed for this review. Twenty-four studies used quantitative and 11 studies used qualitative methodology. We identified the association between motor functioning and six dimensions of participation including diversity, intensity, context, preferences, enjoyment and quality of participation. Motor functioning was found to have a weak to moderate association with involvement in specific leisure activity types and dimensions. We developed a conceptual framework to illustrate the influence of motor functioning on leisure participation from this review.
  
  
  CONCLUSIONS
  Whether motor functioning poses a barrier to leisure participation for children with physical disability appears to depend on the functional movement required to participate in a particular leisure activity.
authors.affiliation: Centre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin, New Zealand.
authors.forename: Parimala S
authors.initials: PS
authors.lastname: Kanagasabai
authors.affiliation: Centre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin, New Zealand.
authors.forename: Hilda
authors.initials: H
authors.lastname: Mulligan
authors.affiliation: Donald Beasley Institute, Dunedin, New Zealand.
authors.forename: Brigit
authors.initials: B
authors.lastname: Mirfin-Veitch
authors.affiliation: Centre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin, New Zealand.
authors.forename: Leigh A
authors.initials: LA
authors.lastname: Hale
mesh_terms: D002648:Child; D019988:Children with Disabilities / Q000523:psychology*; D006801:Humans; D007899:Leisure Activities; D009043:Motor Activity / Q000502:physiology*; D009048:Motor Skills / Q000502:physiology*