Parent and Clinician Perspectives on the Participation of Children with Cerebral Palsy in Community-Based Football: A Qualitative Exploration in a Regional Setting

Sivaratnam, Carmel; Howells, Katherine; Stefanac, Nicole; Reynolds, Kelly; Rinehart, Nicole

doi:10.3390/ijerph17031102

Cited by 10 publications

(15 citation statements)

References 44 publications

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“…Related to the physical benefits of the walker developed by “ Padrino Tecnlógico ”, effort tolerance was one of the main codes identified in this study. This is because other research referring to fatigue has been recognized by clinicians as a barrier to participation [ 25 ]. In this way, it has been demonstrated that a posterior walker, such as the walker developed by “ Padrino Tecnológico ”, promotes less oxygen cost [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Benefits of a Low-Cost Walking Device in Children with Cerebral Palsy: A Qualitative Study

Rodríguez-Costa

Cruz-López

Fernández-Zárate

et al. 2021

IJERPH

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Children with Cerebral Palsy (CP) participate less regularly in physical and social activities. Support walkers allow mobility for infants who need aid. The aim of this study is to explore the benefits of a low-cost walking device in children with CP. A qualitative study using semi-structured, face-to-face interviews was conducted. Eight participants (two parents, two educational professionals, and four physical therapists) who live or work with children with CP that use a low-cost walking device were questioned to examine the benefits of the practice. Thematic analysis denoted three key factors about the benefits: emotional welfare, physical wellbeing, and social enjoyment. To conclude, the use of a support walker in children with CP makes them feel happier, improves their self-confidence and autonomy, and promotes participation.

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Section: Discussionmentioning

confidence: 99%

Benefits of a Low-Cost Walking Device in Children with Cerebral Palsy: A Qualitative Study

Rodríguez-Costa

Cruz-López

Fernández-Zárate

et al. 2021

IJERPH

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“…One possible explanation for this finding is that all children who were surveyed had been enrolled in Auskick, which may reflect a stronger preference for Auskick to begin with than the broader population of children with NDDs. Further, Australian Rules Football holds a central place in Australian culture and is a topic that is discussed among children during school, even by those who have no interest in playing football [ 40 ]. Clinicians and parents of children with CP recognise community culture, identity and sense of belonging as key facilitators to participation in Auskick, as well as the popularity of football within the community and the importance of football in the wider state [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Further, Australian Rules Football holds a central place in Australian culture and is a topic that is discussed among children during school, even by those who have no interest in playing football [ 40 ]. Clinicians and parents of children with CP recognise community culture, identity and sense of belonging as key facilitators to participation in Auskick, as well as the popularity of football within the community and the importance of football in the wider state [ 40 ]. Although further investigation is required, it appears that the popularity of AFL across the nation may potentially set Auskick apart from other physical activities for Australian children with NDDs.…”

Section: Discussionmentioning

confidence: 99%

“…Very few studies have explored Auskick participation in children with NDDs. In a preliminary study that qualitatively explored perspectives of children with CP participating in Auskick, child interest in AFL, previous exposure to AFL and the sense of communal identity and belonging were identified by parents and clinicians as important facilitators of participation, whereas barriers identified included game factors, child disability and confidence, and parent apprehension about their child’s abilities [ 40 ]. Similarly, parents who participated in interviews as part of an exploratory study of an Auskick program adapted for children with ASD identified that their child’s symptomology, namely social-communication deficits, repetitive interests and sensory difficulties, can act as a barrier to participation [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

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The Influence of Child-Related Factors on Caregiver Perceptions of Their Child’s Sustained Participation in a Community Football Program: A Study of Children with and without Neurodevelopmental Disorders

Sivaratnam

Devenish

Chellew

et al. 2021

IJERPH

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This study evaluated the influence of activity preference and involvement on season completion in a community-based football program for children with and without neurodevelopmental disorders. Caregivers (n = 1428) of 1529 children aged 4 to 17 (M = 7.27, SD = 1.85), with (n = 175) and without (n = 1354) neurodevelopmental disorders who were currently participating or had previously participated in a group-based NAB AFL Auskick football program completed an online survey. The survey collected information on their child’s completion of any attempted seasons of the football program, level of involvement during the sessions and preference for football over other sports and activities. Eighty percent of children with a neurodevelopmental diagnosis had completed all seasons of Auskick, compared with 93% of children without a neurodevelopmental diagnosis. Results indicated that children with neurodevelopmental disorders (n = 135) were 3.71 times less likely to complete a football season than their typically developing peers (n = 903). Higher levels of involvement during football sessions and greater preference for football were linked to a higher football season completion rate, irrespective of neurodevelopmental disability diagnosis. This study highlights the influence of child-related factors, in particular, preference and involvement, on children’s sustained participation in community football programs, regardless of neurodevelopmental disability status.

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“…In examining the environmental factors, it is essential to consider issues such as access, provision, availability of resources, social support, and equality [9]. CPSD children's participation is affected by factors such as the type of cerebral palsy, the degree of mental disability, epilepsy, and the ability to walk and communicate [5,10]. Psychosocial pressures, financial problems, and inadequate service systems, as well as building design, lack of income, and access to special facilities can also affect CPSD children's participation [11].…”

Section: Introductionmentioning

confidence: 99%

Relationship of Environmental Factors With Social Participation of Children With Cerebral Palsy Spastic Diplegia: A Preliminary Study

Gharib

Azar

Vameghi

et al. 2021

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Objective: Cerebral palsy Spastic Diplegia (CPSD) is the most common motor disability in childhood. It is a neurodevelopmental condition beginning early in life and continues throughout life. In addition to mobility problems, the environment can also affect the CPSD children’s social participation. This study aims to investigate the relationship of environmental factors with the social participation of children with CPSD. Materials & Methods: This cross-sectional study was conducted on 116 parents of children with CPSD referred to the occupational therapy clinics in Tehran, Mazandaran, and Alborz provinces of Iran in 2018-2019. They were recruited using a convenience sampling method. Parents completed the European Child Environment Questionnaire (ECEQ) and the life habit questionnaire to assess their perception of the environmental factors and their children’s participation, respectively. The Gross Motor Function Classification System-Expanded and Revised (GMFCS-E&R) was initially used to classify the gross motor function (walking ability) of the children with cerebral palsy living in Europe (The SPARCLE project). We used it to estimate cognitive levels in children. The Pearson correlation coefficient and linear regression of SPSS version 22 were used to analyze the results. Results: Based on the GMFCS-E&R classification, 23.3% of children were at level I, 27.6% at level II, 31.9% at level III, and 17.2% at level IV. Moreover, 89.7% of the children had an IQ>75, and 85.3% had no seizures. All domains and sub-domains of ECEQ had significantly correlated with social participation (P<0.01), where the physical environment had the highest correlation (r=-0.811, P<0.01). Based on the linear regression model, physical environment (β=-0.475, P<0.01) and attitudinal environment (β=-0.285, P<0.05) were the predictors of social participation (adjusted R2=0.71). Conclusion: Physical and attitudinal environments are predictors of social participation in children with CPSD. Environmental modifications and adaptations at home, community, school, and especially transportation system can increase the social participation of these children.

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Parent and Clinician Perspectives on the Participation of Children with Cerebral Palsy in Community-Based Football: A Qualitative Exploration in a Regional Setting

Cited by 10 publications

References 44 publications

Benefits of a Low-Cost Walking Device in Children with Cerebral Palsy: A Qualitative Study

Benefits of a Low-Cost Walking Device in Children with Cerebral Palsy: A Qualitative Study

The Influence of Child-Related Factors on Caregiver Perceptions of Their Child’s Sustained Participation in a Community Football Program: A Study of Children with and without Neurodevelopmental Disorders

Relationship of Environmental Factors With Social Participation of Children With Cerebral Palsy Spastic Diplegia: A Preliminary Study

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