Abstract
Background: Cerebral palsy (CP) is a common childhood disability. However, these individuals are now living longer lives, participating in adult roles, and seeking healthcare services. The transition from pediatric to adult healthcare for adolescents with CP is a challenging yet significant time. Adolescents experience several barriers during transition.
Objectives: To utilize the environmental and personal dimensions of the ICF model in order to explore barriers when transitioning to adulthood as well as discuss characteristics and physical therapy implications needed to succeed within transition.
Methods: Electronic searching of PubMed, CINAHL, ERIC, Scopus, ProQuest, and the Cochrane Library databases was concluded on January 9, 2019 for studies including transition between pediatric and adult healthcare in individuals diagnosed with CP. Two independent reviewers agreed upon inclusion, eligibility, and quality assessment of each study using the Mixed-Methods Appraisal Tool (MMAT).
Results: Seven studies were included in the systematic review. Results for each study were separated based on the personal and environmental contextual factors of the ICF model and solutions to the barriers were then discussed.
Conclusions: Research has provided proposed solutions to select barriers, however, other barriers have yet to be addressed. More research is needed to address these barriers and provide a model program that can be implemented within the healthcare systems to promote a successful transition for adolescents with CP from pediatric to adult services.
Acknowledgements
The authors would like to thank Dr. Mark Wilhelm and Dr. Leigh Murray for their contributions.
Disclosure statement
No potential conflict of interest was reported by the authors.
Data availability statement
The authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials.
Additional information
Notes on contributors
Hannah Lilly
Biographical Notes: Hannah is third year physical therapy student at Walsh University. She completed her undergraduate degree at Ashland University with a Bachelor’s of Science Degree in Athletic Training. Mackenzie is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Exercise Science. Tatiana is third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Biology. Joanna is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Youngstown State University with a Bachelor’s of Science Degree in Biology with minors in Chemistry and Psychology.
Mackenzie Bitzel
Biographical Notes: Hannah is third year physical therapy student at Walsh University. She completed her undergraduate degree at Ashland University with a Bachelor’s of Science Degree in Athletic Training. Mackenzie is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Exercise Science. Tatiana is third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Biology. Joanna is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Youngstown State University with a Bachelor’s of Science Degree in Biology with minors in Chemistry and Psychology.
Tatiana Pejnovic
Biographical Notes: Hannah is third year physical therapy student at Walsh University. She completed her undergraduate degree at Ashland University with a Bachelor’s of Science Degree in Athletic Training. Mackenzie is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Exercise Science. Tatiana is third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Biology. Joanna is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Youngstown State University with a Bachelor’s of Science Degree in Biology with minors in Chemistry and Psychology.
Joanna Schnell
Biographical Notes: Hannah is third year physical therapy student at Walsh University. She completed her undergraduate degree at Ashland University with a Bachelor’s of Science Degree in Athletic Training. Mackenzie is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Exercise Science. Tatiana is third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Biology. Joanna is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Youngstown State University with a Bachelor’s of Science Degree in Biology with minors in Chemistry and Psychology.
Antonette Doty
Biographical Notes: Hannah is third year physical therapy student at Walsh University. She completed her undergraduate degree at Ashland University with a Bachelor’s of Science Degree in Athletic Training. Mackenzie is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Exercise Science. Tatiana is third year physical therapy student at Walsh University. She completed her undergraduate degree at Walsh University with a Bachelor’s of Science Degree in Biology. Joanna is a third year physical therapy student at Walsh University. She completed her undergraduate degree at Youngstown State University with a Bachelor’s of Science Degree in Biology with minors in Chemistry and Psychology.