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Participation in leisure provides opportunities for skill acquisition and role competencies and developing personal interests. ICF proposes that the �¢����context�¢���� will significantly influence the extent of their participation. The purpose of This systematic review was describe factors that influence participation of children and youth with cerebral palsy in out of school Activities. The following databases were reviewed -PubMed, Medline and Google scholar- using the keywords participation, cerebral palsy, children, leisure activities, and recreation. The literature indicates participation in leisure activities for children and youth is influenced with a variety of variables. Gross motor function, cognitive ability, communicative skills, age and gender, activity demands, environmental resources and support, attitudes and family preferences and motivation are the most important Factors. Better understanding of the determinants of participation in leisure activities will assist occupational therapists to address them in planning activities that fit with their child�¢����s preferences and families to facilitate participation in purposeful daily activities.
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