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Influence of functional mobility and manual function on play in preschool children with cerebral palsy

Anaisa C Angelin1, Amanda Mp Sposito2, Luzia I Pfeifer2

  • 1Hospital de Base, Brazil.

Hong Kong Journal of Occupational Therapy : HKJOT
|September 7, 2018
PubMed

Insights

Preschool children with cerebral palsy exhibit significantly lower play performance compared to typically developing peers. Impaired functional mobility and manual dexterity negatively impact play exploration, but not pretend play or social interaction.

Area of Science:

  • Pediatric Rehabilitation
  • Developmental Psychology
  • Occupational Therapy

Background:

  • Cerebral palsy (CP) significantly impacts motor skills in preschool children.
  • Understanding play performance differences is crucial for targeted interventions in children with CP.
  • Factors influencing play in children with CP require further investigation.

Purpose of the Study:

  • To compare play performance between preschool children with and without cerebral palsy.
  • To identify factors affecting functional mobility and manual dexterity in play among children with CP.

Main Methods:

  • A comparative study involving 60 preschool children (30 with CP, 30 typically developing).
  • Assessment using the revised Knox Preschool Play Scale.
  • Classification of children with CP based on functional mobility and manual dexterity.

Main Results:

  • Children with CP demonstrated significantly lower scores across all play measures (p≤ .002).
  • Manual function and functional mobility were negatively correlated with material and space exploration in play.
  • Topography showed significant correlation with manual function and functional mobility.

Conclusions:

  • Typical development in preschool children is associated with superior play performance compared to those with cerebral palsy.
  • Reduced functional mobility and manual dexterity are linked to diminished play exploration.
  • Pretend play and social interaction during play were not significantly correlated with the degree of motor impairment.
Abstract

Keywords:
Cerebral palsyfunctional mobilitymanual functionplay

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