The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy

Background/Objectives: Cerebral palsy (CP) is the most common cause of motor disability in childhood and is frequently associated with cognitive impairments that limit autonomy and participation. While motor function is a known predictor of functional outcomes, the specific contribution of cognitive...

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Autores: Carracedo-Martín, María, Moral‑Salicrú, Paula, Blasco, Montse, Fernández Andújar, Marina, Pueyo Benito, Roser, Ballester Plané, Júlia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Oviedo (UNIOVI)
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/224241
Acceso en línea:https://hdl.handle.net/2445/224241
Access Level:acceso abierto
Palabra clave:Infants amb discapacitat
Motricitat
Paràlisi cerebral
Cognició
Children with disabilities
Motor ability
Cerebral palsy
Cognition
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spelling The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral PalsyCarracedo-Martín, MaríaMoral‑Salicrú, PaulaBlasco, MontseFernández Andújar, MarinaPueyo Benito, RoserBallester Plané, JúliaInfants amb discapacitatMotricitatParàlisi cerebralCognicióChildren with disabilitiesMotor abilityCerebral palsyCognitionBackground/Objectives: Cerebral palsy (CP) is the most common cause of motor disability in childhood and is frequently associated with cognitive impairments that limit autonomy and participation. While motor function is a known predictor of functional outcomes, the specific contribution of cognitive domains within the International Classification of Functioning, Disability and Health (ICF) framework remains unexplored. This systematic review examines the relationship between cognitive domains and the ICF components of Activities and Participation, and Environmental Factors in people with CP. Methods: Following PRISMA guidelines, a systematic search was conducted across six databases (PubMed, PsycINFO, CENTRAL, CINAHL, ERIC, and WOS) for studies published between 2002 and 2025. Eligible studies included participants with CP (n = 3056) and analyzed associations between cognitive functions and ICF domains using standardized tools and statistical methods. Risk of bias was evaluated using the Oxford Centre for Evidence-Based Medicine criteria. Results: Forty-four studies met inclusion criteria, involving mostly children and adolescents with spastic CP and mild to moderate motor impairment. General intellectual functioning, language, and visual perception were the most studied domains, showing consistent associations with ICF chapters such as Learning and applying knowledge, Communication, and Mobility. Although fewer studies examined Environmental Factors, relevant associations emerged with support systems, attitudes, and services. Heterogeneity in assessment methods and participant profiles was observed, and adult representation was limited. Conclusions: Cognitive functioning is significantly associated with multiple ICF domains in CP. Environmental Factors remain insufficiently addressed. Further research should consider CP heterogeneity and promote standardized assessments to support ICF-based intervention planning.MDPI2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/224241Articles publicats en revistes (Psicologia Clínica i Psicobiologia)reponame:Dipòsit Digital de la UBinstname:Universidad de Oviedo (UNIOVI)InglésReproducció del document publicat a: https://doi.org/10.3390/jcm14186393Journal of Clinical Medicine, 2025, vol. 14, num.18, 6393https://doi.org/10.3390/jcm14186393cc-by (c) Carracedo-Martín, María et al., 2025http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2242412026-05-27T06:46:51Z
dc.title.none.fl_str_mv The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
title The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
spellingShingle The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
Carracedo-Martín, María
Infants amb discapacitat
Motricitat
Paràlisi cerebral
Cognició
Children with disabilities
Motor ability
Cerebral palsy
Cognition
title_short The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
title_full The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
title_fullStr The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
title_full_unstemmed The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
title_sort The Role of Cognitive Functioning in the ICF Framework: A Systematic Review of Its Influence on Activities and Participation and Environmental Factors in People with Cerebral Palsy
dc.creator.none.fl_str_mv Carracedo-Martín, María
Moral‑Salicrú, Paula
Blasco, Montse
Fernández Andújar, Marina
Pueyo Benito, Roser
Ballester Plané, Júlia
author Carracedo-Martín, María
author_facet Carracedo-Martín, María
Moral‑Salicrú, Paula
Blasco, Montse
Fernández Andújar, Marina
Pueyo Benito, Roser
Ballester Plané, Júlia
author_role author
author2 Moral‑Salicrú, Paula
Blasco, Montse
Fernández Andújar, Marina
Pueyo Benito, Roser
Ballester Plané, Júlia
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Infants amb discapacitat
Motricitat
Paràlisi cerebral
Cognició
Children with disabilities
Motor ability
Cerebral palsy
Cognition
topic Infants amb discapacitat
Motricitat
Paràlisi cerebral
Cognició
Children with disabilities
Motor ability
Cerebral palsy
Cognition
description Background/Objectives: Cerebral palsy (CP) is the most common cause of motor disability in childhood and is frequently associated with cognitive impairments that limit autonomy and participation. While motor function is a known predictor of functional outcomes, the specific contribution of cognitive domains within the International Classification of Functioning, Disability and Health (ICF) framework remains unexplored. This systematic review examines the relationship between cognitive domains and the ICF components of Activities and Participation, and Environmental Factors in people with CP. Methods: Following PRISMA guidelines, a systematic search was conducted across six databases (PubMed, PsycINFO, CENTRAL, CINAHL, ERIC, and WOS) for studies published between 2002 and 2025. Eligible studies included participants with CP (n = 3056) and analyzed associations between cognitive functions and ICF domains using standardized tools and statistical methods. Risk of bias was evaluated using the Oxford Centre for Evidence-Based Medicine criteria. Results: Forty-four studies met inclusion criteria, involving mostly children and adolescents with spastic CP and mild to moderate motor impairment. General intellectual functioning, language, and visual perception were the most studied domains, showing consistent associations with ICF chapters such as Learning and applying knowledge, Communication, and Mobility. Although fewer studies examined Environmental Factors, relevant associations emerged with support systems, attitudes, and services. Heterogeneity in assessment methods and participant profiles was observed, and adult representation was limited. Conclusions: Cognitive functioning is significantly associated with multiple ICF domains in CP. Environmental Factors remain insufficiently addressed. Further research should consider CP heterogeneity and promote standardized assessments to support ICF-based intervention planning.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/224241
url https://hdl.handle.net/2445/224241
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/jcm14186393
Journal of Clinical Medicine, 2025, vol. 14, num.18, 6393
https://doi.org/10.3390/jcm14186393
dc.rights.none.fl_str_mv cc-by (c) Carracedo-Martín, María et al., 2025
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Carracedo-Martín, María et al., 2025
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Psicologia Clínica i Psicobiologia)
reponame:Dipòsit Digital de la UB
instname:Universidad de Oviedo (UNIOVI)
instname_str Universidad de Oviedo (UNIOVI)
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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