{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T03:16:12Z","timestamp":1768014972659,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T00:00:00Z","timestamp":1359504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe the pattern of use of rehabilitation services in children and adolescents with cerebral palsy (<jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>), and to identify factors associated with use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this study, parents of 91 school\u2010age children and 167 adolescents with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> completed a questionnaire regarding educational and rehabilitation resources received within the last 6 months. Rehabilitation services included occupational therapy (<jats:styled-content style=\"fixed-case\">OT<\/jats:styled-content>), physical therapy (<jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>), speech language pathology (<jats:styled-content style=\"fixed-case\">SLP<\/jats:styled-content>), psychology and special education. Demographic characteristics were documented and developmental and functional status was assessed. Relationships between service utilization and sociodemographic factors, functioning and school setting were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over half of children (53.2%) and adolescents (57.5%) were in regular schools; however, 41% of these required special education resources. The remainder (42.5\u201346.8%) was in special schools. The majority of children (84.6%) were receiving at least one rehabilitation service although this decreased (68.1%) in adolescence. <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">OT<\/jats:styled-content> were most common and services were provided predominantly in the school setting. Services were primarily weekly direct interventions at school age, with weekly interventions or consultations most common for adolescents. Younger age was associated with service receipt at school age only. Children with greater motor limitations, lower <jats:styled-content style=\"fixed-case\">IQ<\/jats:styled-content> and greater activity limitations were more likely to receive <jats:styled-content style=\"fixed-case\">OT<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">SLP<\/jats:styled-content> or special education. Children in segregated schools were significantly more likely to receive rehabilitation services, when compared with children in regular schools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of children and youth received one or more services. Individuals with greater motor or cognitive challenges were more likely to receive a range of school\u2010based services from rehabilitation specialists. When compared with children of school age, adolescents were less likely to receive services and when provided, services were more likely to be consultative. Services may need to be more optimally organized through childhood to enhance benefits to children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> across activity limitation profiles.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12026","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T11:32:41Z","timestamp":1359545561000},"page":"275-282","source":"Crossref","is-referenced-by-count":58,"title":["Rehabilitation service utilization in children and youth with cerebral palsy"],"prefix":"10.1111","volume":"40","author":[{"given":"A.","family":"Majnemer","sequence":"first","affiliation":[{"name":"School of Physical &amp; Occupational Therapy Faculty of Medicine McGill University  Montreal QC Canada"},{"name":"Montreal Children's Hospital\u2010MUHC and Centre for Interdisciplinary Research in Rehabilitation (CRIR)  Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Shikako\u2010Thomas","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Program School of Physical &amp; Occupational Therapy Faculty of Medicine McGill University  Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Lach","sequence":"additional","affiliation":[{"name":"Montreal Children's Hospital\u2010MUHC and Centre for Interdisciplinary Research in Rehabilitation (CRIR)  Montreal QC Canada"},{"name":"School of Social Work McGill University  Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Shevell","sequence":"additional","affiliation":[{"name":"Montreal Children's Hospital\u2010MUHC and Centre for Interdisciplinary Research in Rehabilitation (CRIR)  Montreal QC Canada"},{"name":"Department of Pediatrics McGill University  Montreal QC Canada"},{"name":"Departments of Neurology &amp; Neurosurgery McGill University  Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Law","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science McMaster University  Hamilton ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics McGill University  Montreal QC Canada"},{"name":"Douglas Hospital  Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Poulin","sequence":"additional","affiliation":[{"name":"Departments of Neurology &amp; Neurosurgery McGill University  Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"QUALA Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,30]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Agency for Healthcare Research and Quality(2002)AHRQ Annual Report on Research and Financial Management. 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