EXPLORING THE FACTORS CONTRIBUTING ACTIVITY AND PARTICIPATION PATTERN OF CHILDREN WITH CEREBRAL PALSY: A CRITICAL REVIEW

Background: Evidence indicates children with cerebral face restrictions in attending different aspects of life situation. There is need to review the restricting factors contributing in these children’s participation from... [ view full abstract ]

Background:
Evidence indicates children with cerebral face restrictions in attending different aspects of life situation. There is need to review the restricting factors contributing in these children’s participation from perspective of different researchers.
Method:
A comprehensive search of five databases conducted and in a systematic process of applying inclusion and exclusion criteria 10 articles were selected.
Results:
The final articles included in this review were critiqued and their quality was assessed by using CASP and McMASTER tools. The four organizing themes identified were: Significance of participation, Activity patterns, Environmental demands/support, Level of competencies.
Analysis
Thematic Analysis using thematic network analysis tool was used to synthesis the findings and identify global themes.
Conclusion:
This review suggests that environmental factors that were investigated intensively in recent literature had a significant role in participation/ non participation. Moreover, the lack of understanding of participation definition was clear during assessment of participation and development of participation measurements. The majority of outcome participation measurements seemed to be measuring other domains including activity. The subjective part of participation was ignored during participation measured in the studies included. Finally there is a lack of instruments that measures activity and participation with sufficient clarity.
Application to Practice:
The issue of participation and contributing factors should be explored and be incorporated in goal setting.

References
Alrasheedi, F. (2015) Exploring the factors contributing activity and participation pattern of children with Cerebral Palsy: a critical review. Unpublished MSc Thesis. Oxford Brookes University. Oxford