{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:08Z","timestamp":1787014088643,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,7,28]],"date-time":"2019-07-28T00:00:00Z","timestamp":1564272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["MOP-119276"],"award-info":[{"award-number":["MOP-119276"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["CE-12-11-5321"],"award-info":[{"award-number":["CE-12-11-5321"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the relationship between rehabilitation therapies and development in children with cerebral palsy (CP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a prospective, longitudinal study involving 656 children with CP (mean age\u00a0[SD] 6y [2y 8mo] at study entry; 1y 6mo\u201311y 11mo; 287 females, 369 males), and their parents. Children were assessed two to five times over 2\u00a0years by therapists using standardized measures of balance and walking endurance. Parents completed questionnaires on demographics, rehabilitation therapies, and their children\u2019s performance in self\u2010care and participation in recreation. Therapists and parents collaboratively classified children\u2019s Gross Motor Function Classification System (GMFCS) levels. We created longitudinal graphs for each GMFCS level, depicting change across time using centiles. Using multinomial models, we analyzed the relationship between therapies (amount, focus, family\u2010centeredness, and the extent therapies met children\u2019s needs) and whether change in balance, walking endurance, and participation was \u2018more than\u2019 and \u2018less than\u2019 the reference of \u2018as expected\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Children were more likely to progress \u2018more than expected\u2019 when participating in recreation when therapies were family\u2010centered, met children\u2019s needs, and focused on structured play\/recreation. A focus on health and well\u2010being was positively associated with participation and self\u2010care. The amount of therapy did not predict outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Therapy services that are family\u2010centered, consider the needs of the child, and focus on structured play\/recreational activities and health\/well\u2010being may enhance the development of children with CP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What this paper adds<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Family\u2010centered rehabilitation therapies were positively associated with greater participation in family\/recreation activities and walking endurance.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Parental perception that rehabilitation therapies met children\u2019s needs was associated with greater participation in family\/recreation activities.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Structured play, recreational activities, and health\/well\u2010being are important for self\u2010care and participation when planning rehabilitation therapy.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The amount of rehabilitation therapy was not related to developmental outcomes.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.14325","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T02:24:19Z","timestamp":1564367059000},"page":"140-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Physical, occupational, and speech therapy for children with cerebral palsy"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6513-0007","authenticated-orcid":false,"given":"Sarah Westcott","family":"McCoy","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0744-0167","authenticated-orcid":false,"given":"Robert","family":"Palisano","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Sciences Drexel University Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Avery","sequence":"additional","affiliation":[{"name":"Avery Information Services Orillia Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Jeffries","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences University of Oklahoma Health Sciences Center Oklahoma City OK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Laforme Fiss","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Mercer University Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Chiarello","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Sciences Drexel University Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Hanna","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20130022"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942630902805186"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/01942638.2012.715620"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEP.0b013e3181728a7b"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/13638490600668087"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-014-0292-5"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0b013e328332f617"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12317"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/17518423.2014.897398"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1138548"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzy123"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13105"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12246"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2016.04.005"},{"key":"e_1_2_9_16_1","volume-title":"International Classification of Functioning, Disability, and Health","author":"World Health Organization","year":"2001"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/01942638.2011.619250"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb07414.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/17518423.2013.827755"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0b013e32830150f9"},{"issue":"5","key":"e_1_2_9_21_1","first-page":"72","article-title":"Child engagement in daily life of young children with cerebral palsy: SP63","volume":"51","author":"Chiarello L","year":"2009","journal-title":"Dev Med Child Neurol"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.2466\/pms.2003.96.3c.1173"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12933"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzy132"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEP.0000000000000552"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942638.2019.1642288"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13903"}],"container-title":["Developmental Medicine &amp; Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dmcn.14325","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dmcn.14325","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dmcn.14325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T17:58:43Z","timestamp":1694109523000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dmcn.14325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,28]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1111\/dmcn.14325"],"URL":"https:\/\/doi.org\/10.1111\/dmcn.14325","archive":["Portico"],"relation":{},"ISSN":["0012-1622","1469-8749"],"issn-type":[{"value":"0012-1622","type":"print"},{"value":"1469-8749","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,28]]},"assertion":[{"value":"2019-06-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}