The relationship between gross motor function and participation restriction in children with cerebral palsy: an exploratory analysis

Child Care Health Dev. 2007 Jan;33(1):22-7. doi: 10.1111/j.1365-2214.2006.00634.x.


Background: Children with cerebral palsy (CP) experience a variety of functional limitations depending on the severity of their condition that impact on their participation in day-to-day activities.

Methods: The gross motor function and participation restrictions experienced by 60 ambulant children with CP (mean age 11.04 years) were assessed using the Gross Motor Function Measure (GMFM-88) and the Lifestyle Assessment Questionnaire - Cerebral Palsy (LAQ-CP).

Results: A significant negative correlation existed between the GMFM-88 and the LAQ-CP (r = -0.52, P < 0.001). Significant relationships were also identified between the GMFM-88 and the physical independence, mobility, economic burden and social integration domains of the LAQ-CP.

Conclusion: In ambulatory children with CP, better physical function is associated with a lesser impact of disability; however, the relationship between function and participation is complex. Measures of participation restriction may assist with goal setting appropriate to the specific needs of the child and family.

MeSH terms

  • Activities of Daily Living*
  • Adolescent
  • Cerebral Palsy / physiopathology*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Motor Skills / physiology*
  • Quality of Life*
  • Severity of Illness Index
  • Surveys and Questionnaires