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Determinants of Participation in Leisure Activities in Children and Youth with Cerebral Palsy: Systematic Review
Authors:Keiko Shikako-Thomas  Annette Majnemer  Mary Law  Lucyna Lach
Institution:1. McGill University, Montreal, Quebec, Canada;2. McGill University and Montreal Children's Hospital, Montreal, Quebec, Canada;3. McMaster University and CanChild Centre for Childhood Disability Research, Hamilton, Ontario, Canada
Abstract:Children and youth with cerebral palsy (CP) experience difficulties in their ability to move, problem solve, socialize, and communicate, associated with limitations in activities in all environments. They are at risk for lower participation in social and leisure activities critical in fostering friendships, developing interests, and promoting well-being. Little is known about involvement in leisure activities and their determinants. This systematic review aims to describe participation in leisure activities by children with CP and identify personal and environmental factors that influence participation. The following databases were reviewed—CINAHL, Medline, Cochrane, Web of Science, OTseeker, and REHABDATA—using the keywords participation, cerebral palsy, leisure, and recreation. The literature to date suggests that children with physical disabilities are less involved in leisure activities than their peers; activities are more passive, home based, and lack variety. Several factors influence participation in leisure activities, including age, gender, activity limitations, family preferences and coping, motivation, and environmental resources and supports.
Keywords:Cerebral palsy  children  participation  leisure  recreation  activity  environment
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