title: Predictors of participation change in various areas for preschool children with cerebral palsy: a longitudinal study.
abstract: This study identifies potential predictors of participation changes in various areas for preschool children with cerebral palsy (CP). Eighty children with CP (2-6 years) were enrolled. Seven potential predictors were identified: age; sex; socioeconomic status, CP subtype; cognitive function, Function Independence Measure for Children (WeeFIM), and motor composite variable from 5 motor factors (gross motor function classification system (GMFCS) level; bimanual fine motor function level; selective motor control score; Modified Ashworth Scale score; and Spinal Alignment and Range of Motion Measure). Outcome was assessed at baseline and at 6-month follow-up using the Assessment of Preschool Children's Participation (APCP) including diversity and intensity scores in the areas of play (PA), skill development (SD), active physical recreation, social activities (SA), and total areas. Dependent variables were change scores of APCP scores at baseline and 6-month follow-up. Regression analyses shows age and sex together predicted for APCP-total, APCP-SD diversity and APCP-total intensity changes (r(2)=0.13-0.25, p<0.001); cognitive function and WeeFIM were negative predictors for APCP-SA and APCP-PA diversity changes, respectively. CP subtype, motor composite variable, and socioeconomic status predicted for APCP changes in some areas. Findings suggest that young boys with poor cognitive function and daily activity predicted most on participation changes.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Linkou, 5 Fu-Hsing St., Kwei-Shan, Tao-Yuan 333, Taiwan. Electronic address: katiewu1110@gmail.com.
authors.forename: Katie P
authors.initials: KP
authors.lastname: Wu
authors.affiliation: Department of Physical Therapy, Chang Gung University, 259 Wen-Hwa 1st Rd, Kwei-Shan, Tao-Yuan 333, Taiwan. Electronic address: chuang@mail.cgu.edu.tw.
authors.forename: Yu-fen
authors.initials: YF
authors.lastname: Chuang
authors.affiliation: Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Linkou, 5 Fu-Hsing St., Kwei-Shan, Tao-Yuan 333, Taiwan; Graduate Institute of Early Intervention, Chang Gung University, 259 Wen-Hwa 1st Rd, Kwei-Shan, Tao-Yuan 333, Taiwan. Electronic address: clingchen@gmail.com.
authors.forename: Chia-ling
authors.initials: CL
authors.lastname: Chen
authors.affiliation: Graduate Institute of Early Intervention, Chang Gung University, 259 Wen-Hwa 1st Rd, Kwei-Shan, Tao-Yuan 333, Taiwan. Electronic address: linda611kimo@gmail.com.
authors.forename: I-shu
authors.initials: IS
authors.lastname: Liu
authors.affiliation: Graduate Institute of Early Intervention, Chang Gung University, 259 Wen-Hwa 1st Rd, Kwei-Shan, Tao-Yuan 333, Taiwan. Electronic address: littlemy29@gmail.com.
authors.forename: Hsiang-tseng
authors.initials: HT
authors.lastname: Liu
authors.affiliation: Department of Industrial Engineering and Management, National Taipei University of Technology, 1, Sec. 3, Zhongxiao E. Rd., Taipei 106, Taiwan. Electronic address: imhcchen@ntut.edu.tw.
authors.forename: Hsieh-ching
authors.initials: HC
authors.lastname: Chen
mesh_terms: D002547:Cerebral Palsy; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009043:Motor Activity; D009048:Motor Skills; D010988:Play and Playthings; D012923:Social Class; D058992:Social Participation
keywords: Cerebral palsy; Longitudinal study; Participation; Predictor; Preschool children