Impact of social participation, motor, and cognitive functioning on quality of life in children with Cerebral Palsy

IF 2.6 2区医学 Q1 EDUCATION, SPECIAL

Research in Developmental Disabilities Pub Date : 2025-04-04 DOI:10.1016/j.ridd.2025.105004

Maria Chiara Di Lieto , Elisa Matteucci , Alice Martinelli , Elena Beani , Valentina Menici , Giada Martini , Veronica Barzacchi , Nevio Dubbini , Giuseppina Sgandurra

{"title":"Impact of social participation, motor, and cognitive functioning on quality of life in children with Cerebral Palsy","authors":"Maria Chiara Di Lieto , Elisa Matteucci , Alice Martinelli , Elena Beani , Valentina Menici , Giada Martini , Veronica Barzacchi , Nevio Dubbini , Giuseppina Sgandurra","doi":"10.1016/j.ridd.2025.105004","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Cerebral Palsy (CP) may impact the quality of life (QOL) and social.participation in different life situations and the discussion concerning the predictive.factors related is still open. The aim of the present study is to investigate the QOL in.Italian children with CP by a parent-reported questionnaire, evaluating the predictive.role of social participation and of motor and cognitive levels on the QOL dimensions.Participants and methods: Seventy-one children with CP (31 males and 40 females) and with a mean age 8.9 years (SD 2.5 years) participated in this study and the Cerebral Palsy Quality of Life Questionnaire for Children (CP-QOL-Child) questionnaire was fulfilled by their parents. Type of CP, The Participation and Environment Measure for Children and Youth questionnaire (PEM-CY), functional motor level (described with GMFCS and MACS) and cognitive profile (Wechsler scales assessment) were collected.</div></div><div><h3>Results</h3><div>Significant differences within CP-QOL domains were found (X2(6) = 176.38,p < .001). The age and the level of environmental helpfulness in social participation impacted significantly the majority of CP-QOL domains (p < .001). The MACS and Verbal cognitive levels significantly influence CP-QOL domains, in terms of Feeling about functioning and Family health as Social wellbeing respectively(p < .001). The GMFCS level does not directly predict QOL but significantly impacts the environmental helpfulness in social participation (p < .001).</div></div><div><h3>Discussion</h3><div>Beside the known role of motor impairment in determining QOL, the verbal cognitive level and the parent-perception of environmental supports in social context,also represent significant co-predictive factors of QOL. Important implications in terms of multidimensional social and health care of children with CP may be proposed.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"161 ","pages":"Article 105004"},"PeriodicalIF":2.6000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Developmental Disabilities","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0891422225000885","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SPECIAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Cerebral Palsy (CP) may impact the quality of life (QOL) and social.participation in different life situations and the discussion concerning the predictive.factors related is still open. The aim of the present study is to investigate the QOL in.Italian children with CP by a parent-reported questionnaire, evaluating the predictive.role of social participation and of motor and cognitive levels on the QOL dimensions.Participants and methods: Seventy-one children with CP (31 males and 40 females) and with a mean age 8.9 years (SD 2.5 years) participated in this study and the Cerebral Palsy Quality of Life Questionnaire for Children (CP-QOL-Child) questionnaire was fulfilled by their parents. Type of CP, The Participation and Environment Measure for Children and Youth questionnaire (PEM-CY), functional motor level (described with GMFCS and MACS) and cognitive profile (Wechsler scales assessment) were collected.

Results

Significant differences within CP-QOL domains were found (X2(6) = 176.38,p < .001). The age and the level of environmental helpfulness in social participation impacted significantly the majority of CP-QOL domains (p < .001). The MACS and Verbal cognitive levels significantly influence CP-QOL domains, in terms of Feeling about functioning and Family health as Social wellbeing respectively(p < .001). The GMFCS level does not directly predict QOL but significantly impacts the environmental helpfulness in social participation (p < .001).

Discussion

Beside the known role of motor impairment in determining QOL, the verbal cognitive level and the parent-perception of environmental supports in social context,also represent significant co-predictive factors of QOL. Important implications in terms of multidimensional social and health care of children with CP may be proposed.

查看原文本刊更多论文

社会参与、运动和认知功能对脑瘫儿童生活质量的影响

背景脑瘫（CP）可能会影响患者的生活质量（QOL）和社交能力。参与不同的生活情境和讨论有关预测。相关因素仍未确定。本研究的目的是探讨生活质量。通过对意大利CP患儿家长报告问卷，评估其预测性。社会参与、运动和认知水平在生活质量维度上的作用。研究对象与方法：71例脑瘫患儿（男31例，女40例），平均年龄8.9岁（SD 2.5岁），由家长填写《脑瘫儿童生活质量问卷》（CP- qol - child）。收集CP类型、儿童和青少年参与和环境测量问卷（PEM-CY）、功能运动水平（用GMFCS和MACS描述）和认知概况（韦氏量表评估）。结果两组CP-QOL域间差异有统计学意义（X2(6) = 176.38,p <； .001）。年龄和社会参与中的环境帮助水平显著影响大部分CP-QOL域（p <； .001）。MACS和言语认知水平分别在功能感觉和家庭健康作为社会福祉方面显著影响CP-QOL领域（p <； .001）。GMFCS水平不能直接预测生活质量，但显著影响社会参与中的环境帮助性（p <； .001）。除了已知的运动障碍对生活质量的影响外，言语认知水平和父母对社会环境支持的感知也是生活质量的重要共同预测因素。在多角度的社会和卫生保健方面的重要意义的儿童CP可能会提出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.