whereas those with no communication disorder participated in
outdoor physical activities (e.g. bike riding, swimming).
However, this finding may be influenced by children’s gross
motor abilities since all children who engaged in home-based
outdoor activities were classified at GMFCS level I. In terms of
out-of-home activities, children with impaired communication
were less likely to play at their friends’ homes. Interestingly, only
parents of children with communication disorders raised concerns
about their children’s independence within the community. It is
important to consider that the above restrictions experienced by
children with communication disorders may result from multiple
factors including the child’s own abilities (e.g. mobility, communication,
cognition) and their environment.