Related Experiment Video
Updated: Aug 19, 2026

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Children with functional motor limitations: the effects on family strengths
Silja Pirila1, Jaap Van Der Meere, Ritva-Liissa Seppänen
1Pediatric Research Centre, Tampere University Hospital, Finland and Department of Psychology, University of Tampere, Finland. silja.pirila@phsp.fi
Insights
Family strengths remained strong for children with motor limitations. However, severe limitations, including cognitive difficulties, were linked to reduced family identity and internal coping abilities.
Area of Science:
- Pediatric Rehabilitation
- Developmental Psychology
- Family Studies
Background:
- Functional motor limitations and cognitive difficulties significantly impact children's participation.
- Understanding the influence of childhood functional limitations on family dynamics is crucial for targeted support.
Purpose of the Study:
- To investigate the relationship between the severity of functional motor limitations in children and their family's strengths.
- To explore how cognitive function interacts with motor limitations in affecting family functioning.
Main Methods:
- Assessed functional motor abilities using Autti-Ramo's Scale.
- Evaluated cognitive functions with the Griffiths Scales of Mental Development.
- Measured family strengths using the Family Functioning Style Scale.
Main Results:
- Family strengths were generally robust across participants.
- Families with children experiencing severe participation limitations (motor and cognitive) reported lower family identity and internal coping.
- Milder limitations did not show a significant impact on overall family strengths.
Conclusions:
- While families demonstrate resilience, severe functional limitations in children pose challenges to family identity and coping mechanisms.
- Early identification and support for families with children facing complex needs are recommended.
- Further research into specific interventions supporting family identity and coping is warranted.
Abstract:
Sixty children with functional motor limitations (age range from 15 months to 7 years 3 months) and their parents participated in the study. The objective was to explore the relationship of the severity of their restrictions on family strengths. Functional motor abilities of the children were assessed using Autti-Ramo's Scale. Cognitive functions were assessed using the Swedish standardized version of the Griffiths Scales of Mental Development. Family strengths were indexed using the Family Functioning Style Scale. The social-economical status, children's age and caretakers' age were taken into account. Overall, the results indicated that family strengths were rather strong. Only families rearing a child with severe participation limitations (functional motor limitations and cognitive difficulties) showed less strengths concerning family identity and internal coping relative to families with a child with milder participation limitations.
Related Concept Videos
Family Therapy
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Relationship with Other Adult Family Members and Siblings
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
