Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives
Background: Young people with disabilities, especially physical disabilities, report worse health than others. This may be because of the disability, lower levels of physical activity, and discrimination. For children with cerebral palsy, access to physiotherapy and physical activity is a crucial pr...
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| Veröffentlicht in: | Global health action 2017-01, Vol.10 (sup2), p.1272236-13 |
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| description | Background: Young people with disabilities, especially physical disabilities, report worse health than others. This may be because of the disability, lower levels of physical activity, and discrimination. For children with cerebral palsy, access to physiotherapy and physical activity is a crucial prerequisite for good health and function. To date, there is limited knowledge regarding potential gender bias and inequity in habilitation services.
Objectives: To map how physiotherapeutic interventions (PTI), physical leisure activity, and physical education are allocated for children with cerebral palsy regarding sex, age, level of gross motor function, and county council affiliation. This was done from a gender and equity perspective.
Methods: A register study using data from the Cerebral Palsy follow-Up Program (CPUP). Data included 313 children ≤18 years with cerebral palsy from the five northern counties in Sweden during 2013. Motor impairment of the children was classified according to the expanded and revised Gross Motor Function Classification System (GMFCS).
Results: In three county councils, boys received more physiotherapy interventions and received them more frequently than girls did. Differences between county councils were seen for frequency and reasons for physiotherapy interventions (p |
| doi_str_mv | 10.1080/16549716.2017.1272236 |
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| fullrecord | <record><control><sourceid>proquest_infor</sourceid><recordid>TN_cdi_proquest_journals_2215224587</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_b7a8db83f78f46e18d55d05b6eadaf75</doaj_id><sourcerecordid>2008945795</sourcerecordid><originalsourceid>FETCH-LOGICAL-c628t-80d6f113b363014c11630ba671b7f61ecd8a86563e58f3fdf77ae0882c8f8ec43</originalsourceid><addsrcrecordid>eNp9kstuEzEUhkcIREvhEUCW2LBJsMfjS1igVuVWqQIkLlvLYx8nribjqT2TKE_Dq-LpJBVh0ZWtc_7_O_bRXxQvCZ4TLPFbwlm1EITPS0zEnJSiLCl_VJyO9dlCSvz4cM-ik-JZSjcYcyoEfVqclLIkC0qq0-LP99Uu-dCvIOoOht4b5Nse4gba3oc2Id1a1I0aoxukTe83vt8hFyIyK9_YCG02oK8hjogW_diCzaWt71fIQIQ6Zlunm7R7hzSKsPQp01HqB5spMawR3A4jcZyzhNbmZgcxdTCOgvS8eOKyG17sz7Pi16ePPy-_zK6_fb66vLieGV7Kfiax5Y4QWlNOMakMIfmsNRekFo4TMFZqyRmnwKSjzjohNGApSyOdBFPRs-Jq4tqgb1QX_VrHnQraq7tCiEulY95OA6oWWtpaUiekqzgQaRmzmNUctNVOsMyaTay0hW6oj2gf_O-LO9qwHhShmC9k1r-f9Fm8Bmvy6vPWjmzHndav1DJsFOMV45JnwJs9IIbbAVKv1j4ZaBrdQhiSIlJgXslp1uv_pDdhiG1erSpLwsqyYlI8qMJYLiomFuM_2aQyMaQUwd0_mWA1hlQdQqrGkKp9SLPv1b__vXcdUpkF55PAtzloa70NsbGq17smRBd1a3xS9OEZfwGryPq6</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2008945795</pqid></control><display><type>article</type><title>Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives</title><source>Taylor & Francis Open Access</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Co-Action Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SWEPUB Freely available online</source><creator>Degerstedt, Frida ; Wiklund, Maria ; Enberg, Birgit</creator><creatorcontrib>Degerstedt, Frida ; Wiklund, Maria ; Enberg, Birgit</creatorcontrib><description>Background: Young people with disabilities, especially physical disabilities, report worse health than others. This may be because of the disability, lower levels of physical activity, and discrimination. For children with cerebral palsy, access to physiotherapy and physical activity is a crucial prerequisite for good health and function. To date, there is limited knowledge regarding potential gender bias and inequity in habilitation services.
Objectives: To map how physiotherapeutic interventions (PTI), physical leisure activity, and physical education are allocated for children with cerebral palsy regarding sex, age, level of gross motor function, and county council affiliation. This was done from a gender and equity perspective.
Methods: A register study using data from the Cerebral Palsy follow-Up Program (CPUP). Data included 313 children ≤18 years with cerebral palsy from the five northern counties in Sweden during 2013. Motor impairment of the children was classified according to the expanded and revised Gross Motor Function Classification System (GMFCS).
Results: In three county councils, boys received more physiotherapy interventions and received them more frequently than girls did. Differences between county councils were seen for frequency and reasons for physiotherapy interventions (p < 0.001). The physiotherapist was involved more often with children who had lower motor function and with children who had low physical leisure activity. Children with lower motor function level participated in physical leisure activity less often than children with less motor impairment (p < 0.001). Boys participated more frequently in physical education than did girls (p = 0.028).
Conclusion: Gender and county council affiliation affect the distribution of physiotherapy interventions for children with cerebral palsy, and there are associations between gender and physical activity. Thus, the intervention is not always determined by the needs of the child or the degree of impairment. A gender-bias is indicated. Further studies are needed to ensure fair interventions.</description><identifier>ISSN: 1654-9716</identifier><identifier>ISSN: 1654-9880</identifier><identifier>EISSN: 1654-9880</identifier><identifier>DOI: 10.1080/16549716.2017.1272236</identifier><identifier>PMID: 28219314</identifier><language>eng</language><publisher>United States: Taylor & Francis</publisher><subject>Adolescent ; Age ; barn ; Cerebral palsy ; Cerebral Palsy - therapy ; cerebral pares ; Child ; Child, Preschool ; Children ; Children & youth ; Classification ; CPUP ; CPUP registry ; Disabilities ; Disability ; Discrimination ; Education ; equal care ; equity in health ; Exercise ; Exercise Therapy - methods ; Female ; fysioterapi ; fysisk aktivitet ; Gender ; gender bias ; Gender differences ; gender studies ; genus ; genusbias ; genusvetenskap ; habilitation ; habilitering ; Health status ; Healthcare Disparities ; Humans ; Inequality ; Infant ; Interdisciplinary aspects ; Internet ; Intervention ; jämlilk vård ; Leisure ; Male ; Motor ability ; Motor Skills ; Original ; Pain ; Participation ; Patients ; People with disabilities ; Physical activity ; Physical disabilities ; Physical education ; Physical Therapy Modalities ; Physiotherapy ; Public health ; Recreation ; register study ; registerstudie ; Registries ; Rehabilitation ; rehabilitering ; Sexism ; sjukgymnastik ; skolidrott ; Society ; Sweden ; ungdomar ; Youth</subject><ispartof>Global health action, 2017-01, Vol.10 (sup2), p.1272236-13</ispartof><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2017</rights><rights>Copyright Taylor & Francis Ltd. 2017</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2017 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c628t-80d6f113b363014c11630ba671b7f61ecd8a86563e58f3fdf77ae0882c8f8ec43</citedby><cites>FETCH-LOGICAL-c628t-80d6f113b363014c11630ba671b7f61ecd8a86563e58f3fdf77ae0882c8f8ec43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645686/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645686/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2096,27481,27903,27904,53769,53771,59119,59120</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28219314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-130698$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Degerstedt, Frida</creatorcontrib><creatorcontrib>Wiklund, Maria</creatorcontrib><creatorcontrib>Enberg, Birgit</creatorcontrib><title>Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives</title><title>Global health action</title><addtitle>Glob Health Action</addtitle><description>Background: Young people with disabilities, especially physical disabilities, report worse health than others. This may be because of the disability, lower levels of physical activity, and discrimination. For children with cerebral palsy, access to physiotherapy and physical activity is a crucial prerequisite for good health and function. To date, there is limited knowledge regarding potential gender bias and inequity in habilitation services.
Objectives: To map how physiotherapeutic interventions (PTI), physical leisure activity, and physical education are allocated for children with cerebral palsy regarding sex, age, level of gross motor function, and county council affiliation. This was done from a gender and equity perspective.
Methods: A register study using data from the Cerebral Palsy follow-Up Program (CPUP). Data included 313 children ≤18 years with cerebral palsy from the five northern counties in Sweden during 2013. Motor impairment of the children was classified according to the expanded and revised Gross Motor Function Classification System (GMFCS).
Results: In three county councils, boys received more physiotherapy interventions and received them more frequently than girls did. Differences between county councils were seen for frequency and reasons for physiotherapy interventions (p < 0.001). The physiotherapist was involved more often with children who had lower motor function and with children who had low physical leisure activity. Children with lower motor function level participated in physical leisure activity less often than children with less motor impairment (p < 0.001). Boys participated more frequently in physical education than did girls (p = 0.028).
Conclusion: Gender and county council affiliation affect the distribution of physiotherapy interventions for children with cerebral palsy, and there are associations between gender and physical activity. Thus, the intervention is not always determined by the needs of the child or the degree of impairment. A gender-bias is indicated. Further studies are needed to ensure fair interventions.</description><subject>Adolescent</subject><subject>Age</subject><subject>barn</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - therapy</subject><subject>cerebral pares</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Classification</subject><subject>CPUP</subject><subject>CPUP registry</subject><subject>Disabilities</subject><subject>Disability</subject><subject>Discrimination</subject><subject>Education</subject><subject>equal care</subject><subject>equity in health</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>fysioterapi</subject><subject>fysisk aktivitet</subject><subject>Gender</subject><subject>gender bias</subject><subject>Gender differences</subject><subject>gender studies</subject><subject>genus</subject><subject>genusbias</subject><subject>genusvetenskap</subject><subject>habilitation</subject><subject>habilitering</subject><subject>Health status</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Inequality</subject><subject>Infant</subject><subject>Interdisciplinary aspects</subject><subject>Internet</subject><subject>Intervention</subject><subject>jämlilk vård</subject><subject>Leisure</subject><subject>Male</subject><subject>Motor ability</subject><subject>Motor Skills</subject><subject>Original</subject><subject>Pain</subject><subject>Participation</subject><subject>Patients</subject><subject>People with disabilities</subject><subject>Physical activity</subject><subject>Physical disabilities</subject><subject>Physical education</subject><subject>Physical Therapy Modalities</subject><subject>Physiotherapy</subject><subject>Public health</subject><subject>Recreation</subject><subject>register study</subject><subject>registerstudie</subject><subject>Registries</subject><subject>Rehabilitation</subject><subject>rehabilitering</subject><subject>Sexism</subject><subject>sjukgymnastik</subject><subject>skolidrott</subject><subject>Society</subject><subject>Sweden</subject><subject>ungdomar</subject><subject>Youth</subject><issn>1654-9716</issn><issn>1654-9880</issn><issn>1654-9880</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>D8T</sourceid><sourceid>DOA</sourceid><recordid>eNp9kstuEzEUhkcIREvhEUCW2LBJsMfjS1igVuVWqQIkLlvLYx8nribjqT2TKE_Dq-LpJBVh0ZWtc_7_O_bRXxQvCZ4TLPFbwlm1EITPS0zEnJSiLCl_VJyO9dlCSvz4cM-ik-JZSjcYcyoEfVqclLIkC0qq0-LP99Uu-dCvIOoOht4b5Nse4gba3oc2Id1a1I0aoxukTe83vt8hFyIyK9_YCG02oK8hjogW_diCzaWt71fIQIQ6Zlunm7R7hzSKsPQp01HqB5spMawR3A4jcZyzhNbmZgcxdTCOgvS8eOKyG17sz7Pi16ePPy-_zK6_fb66vLieGV7Kfiax5Y4QWlNOMakMIfmsNRekFo4TMFZqyRmnwKSjzjohNGApSyOdBFPRs-Jq4tqgb1QX_VrHnQraq7tCiEulY95OA6oWWtpaUiekqzgQaRmzmNUctNVOsMyaTay0hW6oj2gf_O-LO9qwHhShmC9k1r-f9Fm8Bmvy6vPWjmzHndav1DJsFOMV45JnwJs9IIbbAVKv1j4ZaBrdQhiSIlJgXslp1uv_pDdhiG1erSpLwsqyYlI8qMJYLiomFuM_2aQyMaQUwd0_mWA1hlQdQqrGkKp9SLPv1b__vXcdUpkF55PAtzloa70NsbGq17smRBd1a3xS9OEZfwGryPq6</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Degerstedt, Frida</creator><creator>Wiklund, Maria</creator><creator>Enberg, Birgit</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><general>Taylor & Francis Group</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>JBE</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>ADHXS</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>D93</scope><scope>ZZAVC</scope><scope>DOA</scope></search><sort><creationdate>20170101</creationdate><title>Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives</title><author>Degerstedt, Frida ; Wiklund, Maria ; Enberg, Birgit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c628t-80d6f113b363014c11630ba671b7f61ecd8a86563e58f3fdf77ae0882c8f8ec43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>barn</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - therapy</topic><topic>cerebral pares</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Classification</topic><topic>CPUP</topic><topic>CPUP registry</topic><topic>Disabilities</topic><topic>Disability</topic><topic>Discrimination</topic><topic>Education</topic><topic>equal care</topic><topic>equity in health</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>fysioterapi</topic><topic>fysisk aktivitet</topic><topic>Gender</topic><topic>gender bias</topic><topic>Gender differences</topic><topic>gender studies</topic><topic>genus</topic><topic>genusbias</topic><topic>genusvetenskap</topic><topic>habilitation</topic><topic>habilitering</topic><topic>Health status</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Inequality</topic><topic>Infant</topic><topic>Interdisciplinary aspects</topic><topic>Internet</topic><topic>Intervention</topic><topic>jämlilk vård</topic><topic>Leisure</topic><topic>Male</topic><topic>Motor ability</topic><topic>Motor Skills</topic><topic>Original</topic><topic>Pain</topic><topic>Participation</topic><topic>Patients</topic><topic>People with disabilities</topic><topic>Physical activity</topic><topic>Physical disabilities</topic><topic>Physical education</topic><topic>Physical Therapy Modalities</topic><topic>Physiotherapy</topic><topic>Public health</topic><topic>Recreation</topic><topic>register study</topic><topic>registerstudie</topic><topic>Registries</topic><topic>Rehabilitation</topic><topic>rehabilitering</topic><topic>Sexism</topic><topic>sjukgymnastik</topic><topic>skolidrott</topic><topic>Society</topic><topic>Sweden</topic><topic>ungdomar</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Degerstedt, Frida</creatorcontrib><creatorcontrib>Wiklund, Maria</creatorcontrib><creatorcontrib>Enberg, Birgit</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical 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text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Umeå universitet</collection><collection>SwePub Articles full text</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Global health action</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Degerstedt, Frida</au><au>Wiklund, Maria</au><au>Enberg, Birgit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives</atitle><jtitle>Global health action</jtitle><addtitle>Glob Health Action</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>10</volume><issue>sup2</issue><spage>1272236</spage><epage>13</epage><pages>1272236-13</pages><issn>1654-9716</issn><issn>1654-9880</issn><eissn>1654-9880</eissn><abstract>Background: Young people with disabilities, especially physical disabilities, report worse health than others. This may be because of the disability, lower levels of physical activity, and discrimination. For children with cerebral palsy, access to physiotherapy and physical activity is a crucial prerequisite for good health and function. To date, there is limited knowledge regarding potential gender bias and inequity in habilitation services.
Objectives: To map how physiotherapeutic interventions (PTI), physical leisure activity, and physical education are allocated for children with cerebral palsy regarding sex, age, level of gross motor function, and county council affiliation. This was done from a gender and equity perspective.
Methods: A register study using data from the Cerebral Palsy follow-Up Program (CPUP). Data included 313 children ≤18 years with cerebral palsy from the five northern counties in Sweden during 2013. Motor impairment of the children was classified according to the expanded and revised Gross Motor Function Classification System (GMFCS).
Results: In three county councils, boys received more physiotherapy interventions and received them more frequently than girls did. Differences between county councils were seen for frequency and reasons for physiotherapy interventions (p < 0.001). The physiotherapist was involved more often with children who had lower motor function and with children who had low physical leisure activity. Children with lower motor function level participated in physical leisure activity less often than children with less motor impairment (p < 0.001). Boys participated more frequently in physical education than did girls (p = 0.028).
Conclusion: Gender and county council affiliation affect the distribution of physiotherapy interventions for children with cerebral palsy, and there are associations between gender and physical activity. Thus, the intervention is not always determined by the needs of the child or the degree of impairment. A gender-bias is indicated. Further studies are needed to ensure fair interventions.</abstract><cop>United States</cop><pub>Taylor & Francis</pub><pmid>28219314</pmid><doi>10.1080/16549716.2017.1272236</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Age barn Cerebral palsy Cerebral Palsy - therapy cerebral pares Child Child, Preschool Children Children & youth Classification CPUP CPUP registry Disabilities Disability Discrimination Education equal care equity in health Exercise Exercise Therapy - methods Female fysioterapi fysisk aktivitet Gender gender bias Gender differences gender studies genus genusbias genusvetenskap habilitation habilitering Health status Healthcare Disparities Humans Inequality Infant Interdisciplinary aspects Internet Intervention jämlilk vård Leisure Male Motor ability Motor Skills Original Pain Participation Patients People with disabilities Physical activity Physical disabilities Physical education Physical Therapy Modalities Physiotherapy Public health Recreation register study registerstudie Registries Rehabilitation rehabilitering Sexism sjukgymnastik skolidrott Society Sweden ungdomar Youth |
| title | Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives |
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