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Participation, environment, and quality of life in children with cerebral palsy and physical disabilities

Nava Gelkop1, Batya Engel-Yeger1

  • 1Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.

Developmental Medicine and Child Neurology
|November 17, 2025
PubMed

Insights

Children with cerebral palsy and physical disability (CP/PD) have lower participation and quality of life (QoL). Community support significantly improves QoL for these children, highlighting the need for community engagement in rehabilitation.

Area of Science:

  • Pediatric Rehabilitation
  • Child Development
  • Disability Studies

Background:

  • Children with cerebral palsy and physical disability (CP/PD) often experience challenges in participation and quality of life (QoL).
  • Environmental factors play a significant role in the daily lives and well-being of children with disabilities.

Purpose of the Study:

  • To compare participation, environmental factors, and QoL between children with CP/PD and typically developing children.
  • To examine the relationships between these factors in both groups.

Main Methods:

  • A cross-sectional study involving 59 children (6-12 years), with 30 diagnosed with CP/PD and 29 typically developing.
  • Parents completed questionnaires assessing participation, environment, and QoL; functional classifications were recorded for the CP/PD group.

Main Results:

  • Children with CP/PD showed significantly lower participation and QoL compared to typically developing peers.
  • Higher gross motor function in the CP/PD group correlated with increased participation in home activities.
  • Community-setting support was a significant predictor of QoL and mediated the relationship between disability level and QoL.

Conclusions:

  • Community-based support is vital for improving the QoL of children with CP/PD.
  • Rehabilitation strategies should prioritize community engagement to enhance participation and overall well-being.
Abstract

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