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Barriers and facilitators in physical activity among youth with cerebral palsy in Sweden: a qualitative study
Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.ORCID iD: 0000-0002-9627-4625
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy. Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, Gävle, Sweden.ORCID iD: 0000-0001-7543-4397
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0001-5979-3648
2026 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 21, no 3, article id e0346578Article in journal (Refereed) Published
Abstract [en]

Limitations to full social participation in physical activity—both during leisure time and in physical education—persist among young individuals with cerebral palsy. This study explores the experiences of physical education and physical leisure activities among youth with cerebral palsy living in Sweden. It examines how these youths navigate contextual barriers and facilitators to participation, focusing on norms of function and gender. Individual interviews with 13 youth, aged 15–18 years, were analysed using Qualitative Content Analysis resulting in a main theme: Being in a continuum between exclusion and empowerment, with three categories: 1) Excluded and denied of support; 2) Resisting prejudice and discrimination; and 3) Empowered, with appropriate support. Most participants had experienced not being given equal opportunity in particularly in physical education but also in leisure activities and had encountered limiting norms and preconceptions based on gender and function. The findings indicate that norm-consciousness, respect and involvement in decision-making are key for participation and empowerment.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2026. Vol. 21, no 3, article id e0346578
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Occupational Therapy
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URN: urn:nbn:se:umu:diva-252236DOI: 10.1371/journal.pone.0346578ISI: 001730358400029PubMedID: 41915640Scopus ID: 2-s2.0-105034402819OAI: oai:DiVA.org:umu-252236DiVA, id: diva2:2054845
Funder
Umeå UniversityStiftelsen drottning Silvias jubileumsfondAvailable from: 2026-04-22 Created: 2026-04-22 Last updated: 2026-04-22Bibliographically approved

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Degerstedt, FridaKeisu, Britt-IngerBjörklund, MartinEnberg, Birgit

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