School of Physical & Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Dev Med Child Neurol. 2010 Feb;52(2):167-73. doi: 10.1111/j.1469-8749.2009.03393.x. Epub 2009 Dec 1.
The objective was to describe leisure activity preferences of children with cerebral palsy (CP) and their relationship to participation. Factors associated with greater interest in leisure activities were identified.
Fifty-five school-aged children (36 males, 19 females; mean age 9 y 11 mo; range 6 y 1 mo-12 y 11 mo) with CP (Gross Motor Function Classification System [GMFCS]) level I 62%, level II 22%, level III-IV 16%; 33.3% hemiplegia, 29.6% diplegia, 25.9% quadriplegia, 11.2% other) who could complete the Preferences for Activities of Children (PAC) were recruited.
Social and recreational activities were most preferred, and self-improvement activities were least preferred. Younger age, higher motivation, and IQ predicted interest in active-physical activities (r(2)=0.39). Negative reaction to failure was associated with less preference for social activities (r(2)=0.16), whereas increased prosocial behaviours were related to greater preference for recreational (r(2)=0.13) and self-improvement activities; the latter is also predicted by older age (r(2)=0.24). Interest in skill-based activities was greater in females and in children who were highly motivated, younger, and had greater motor limitations (r(2)=0.51). The findings suggest that personal factors and functional abilities influence leisure activity preferences. High preference for certain activities was not always associated with involvement in these activities.
Determination of preferences is inherent to child-centred practice and should, therefore, be part of the evaluation process. Rehabilitation strategies can minimize barriers to leisure participation, such as fear of failure, low motivation, or environmental obstacles.
描述脑瘫儿童（CP）的休闲活动偏好及其与参与度的关系。确定与对休闲活动更感兴趣相关的因素。
招募了 55 名学龄儿童（36 名男性，19 名女性；平均年龄 9 岁 11 个月；范围 6 岁 1 个月-12 岁 11 个月），他们患有 CP（粗大运动功能分类系统 [GMFCS]）水平 I 62%，水平 II 22%，水平 III-IV 16%；33.3%偏瘫，29.6%双瘫，25.9%四肢瘫，11.2%其他），他们可以完成儿童活动偏好（PAC）。
社交和娱乐活动是最受欢迎的，自我提升活动是最不受欢迎的。年龄较小、动机较高和智商较高预测对积极身体活动的兴趣（r(2)=0.39）。对失败的负面反应与对社交活动的偏好减少有关（r(2)=0.16），而增加亲社会行为与对娱乐（r(2)=0.13）和自我提升活动的偏好增加有关；后者也与年龄较大有关（r(2)=0.24）。技能型活动的兴趣在女性和高动机、年龄较小、运动能力受限较大的儿童中更高（r(2)=0.51）。研究结果表明，个人因素和功能能力影响休闲活动偏好。对某些活动的高度偏好并不总是与参与这些活动相关。
偏好的确定是儿童为中心实践的固有要求，因此应成为评估过程的一部分。康复策略可以最小化休闲参与的障碍，例如对失败的恐惧、低动机或环境障碍。
