An evaluation of factors contributing to employment in adults with cerebral palsy.

Abstract

To explore the impact of a selection of contributing factors on employment in adults with cerebral palsy (CP). Eighty adults with CP (39 male, median age 31, IQ > 70) were evaluated using standardized tests and questionnaires for hand function, gross motor function, pain, depressive symptoms, fatigue, social participation, performing daily activities, supportive materials, and mobility aids. Two separate analyses were performed. Firstly, differences between three subgroups were investigated: employee (<i>n</i> = 43), volunteer/sheltered (<i>n</i> = 14), and unemployed (<i>n</i> = 23). Secondly, multivariable regression analysis was applied to investigate the association between functional factors and employment hours. Compared to employees, volunteer/sheltered workers performed significantly slower hand function tasks (<i>p</i> < 0.001). Participants in the employee group had primarily MACS I (55.8%) or MACS II (44.9%) scores. The employee group showed significantly (<i>p</i> < 0.001) higher social participation and performance in daily activities. Thirty-eight percent of the variance in working hours could be explained by social participation, daily activities, fatigue, and gross motor function. Employees are more likely adults with CP with better manual abilities. Sheltered/volunteer workers showed slower execution in hand function and higher limitations in fine motor skills. Social participation, performing daily activities, fatigue, and gross motor function are functional factors associated with hours of employment.