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Developmental trajectories of social participation in individuals with cerebral palsy: a multicentre longitudinal study
Author(s) -
Tan Siok Swan,
Wiegerink Diana J H G,
Vos Rimke C,
Smits Dirk Wouter,
Voorman Jeanine M,
Twisk Jos W R,
Ketelaar Marjolijn,
Roebroeck Marij E
Publication year - 2014
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12343
Subject(s) - cerebral palsy , intellectual disability , gross motor function classification system , psychology , population , social engagement , developmental psychology , international classification of functioning, disability and health , medicine , rehabilitation , psychiatry , neuroscience , social science , environmental health , sociology
Aim This study aimed to determine the developmental trajectories of social participation, by level of gross motor function and intellectual disability, in a D utch population of individuals with cerebral palsy ( CP ) aged 1 to 24 years. Method As part of the P ediatric R ehabilitation R esearch in the N etherlands ( PERRIN +), 424 individuals with CP (261 males, 163 females; mean age [ SD ] 9y 6mo [6y 2mo]; G ross M otor F unction C lassification [ GMFCS ] levels I – V [50% level I ]; 87% with spastic CP ; 26% with intellectual disability) were longitudinally followed for up to 4 years between 2002 and 2007. Social participation was assessed with the V ineland A daptive B ehavior S cales survey. Effects of age, GMFCS level and intellectual disability were analysed using multilevel modelling. Results The developmental trajectories for individuals in GMFCS levels I to IV did not significantly differ from each other. For individuals without intellectual disability, the degree of social participation increased with age and stabilized at about 18 years. These individuals reached social participation levels similar to typically developing individuals. The trajectories were significantly less favourable for individuals in GMFCS level V and individuals with intellectual disability. Interpretation Intellectual disability is more distinctive for the development of social participation than GMFCS level. The developmental trajectories will support individuals with CP and their families in setting realistic goals and professionals in optimizing the choice of interventions at an early age.