examined the participation of five children (two with CP) with CCN aged
6–9 years. In comparison to peers without a physical disability,
children with CCN participated in fewer activities, engaged
predominately in activities within the home and were less likely to
interact with friends or peers [9]. Similar findings have also been
reported in older children with CP and CCN aged 10–15 years [8],
highlighting the potential impact of severe communication
disorders.
In terms of the wider group of children with CP with
communication disorders, little is known about which aspects of
activity and participation are most relevant to this subgroup.
Communication difficulty has been associated with participation
in fewer formal (structured/pre-planned) activities [10]. In
contrast, better communication skills have been linked to greater
diversity in informal (spontaneous) activities [11] and fewer
physical activities (possibly due to increased involvement in
social activities) [12]. Fauconnier et al. [13] have provided the
largest study (n ¼ 818) to date examining the impact of communication
impairment on participation in children with CP. Authors
found that communication impairment was associated with
reduced participation on 8 of the 11 domains of the Assessment
of Life Habits. Specific domains affected included health hygiene,
communication (i.e. communicative participation), home life,
mobility, responsibilities, relationships, school and recreation.
Thus, communication disorders in this population can have far
reaching impacts.
examined the participation of five children (two with CP) with CCN aged6–9 years. In comparison to peers without a physical disability,children with CCN participated in fewer activities, engagedpredominately in activities within the home and were less likely tointeract with friends or peers [9]. Similar findings have also beenreported in older children with CP and CCN aged 10–15 years [8],highlighting the potential impact of severe communicationdisorders.In terms of the wider group of children with CP withcommunication disorders, little is known about which aspects ofactivity and participation are most relevant to this subgroup.Communication difficulty has been associated with participationin fewer formal (structured/pre-planned) activities [10]. Incontrast, better communication skills have been linked to greaterdiversity in informal (spontaneous) activities [11] and fewerphysical activities (possibly due to increased involvement insocial activities) [12]. Fauconnier et al. [13] have provided thelargest study (n ¼ 818) to date examining the impact of communicationimpairment on participation in children with CP. Authorsfound that communication impairment was associated withreduced participation on 8 of the 11 domains of the Assessmentof Life Habits. Specific domains affected included health hygiene,communication (i.e. communicative participation), home life,mobility, responsibilities, relationships, school and recreation.Thus, communication disorders in this population can have farreaching impacts.
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