ENHANCING PSYCHOSOCIAL DEVELOPMENT THROUGH EXTRACURRICULAR MOTOR ACTIVITIES IN PEDIATRIC PALLIATIVE CARE: A CASE STUDY

Abstract

Background. Children with life-limiting conditions frequently face social isolation, reduced functional autonomy, and limited participation in educational activities. In this context, the integration of physiotherapy into structured extracurricular programs becomes essential for supporting psychosocial development and enhancing overall quality of life.
Objectives. The study aimed to investigate the impact of extracurricular motor activities on the social, emotional, cognitive, and communication skills of children in palliative care settings, highlighting the therapeutic potential of motor-recreational interventions.
Methods. The case study involved a child with a primary diagnosis of Cerebral Palsy, who participated in a summer camp designed for children with incurable conditions. The intervention included adapted group physical exercises, functional interactive motor games, and themed multisensory workshops tailored to the child’s cognitive and physical level. Data were collected through direct observation and the administration of the Strengths and Difficulties Questionnaire (SDQ).
Results. Significant improvements were observed in social interaction, emotional expression, and participation in group activities. The participant demonstrated increased self-confidence, reduced anxiety during interactions with other children, and active engagement in collaborative tasks. Motor activities–particularly aquatic and sensory-based interventions–contributed to enhancements in body
schema and postural control.
Conclusion. Extracurricular motor programs that include components of adapted physiotherapy have a major impact on the psychosocial development of children with progressive chronic conditions.  Integrated approaches contribute to reducing physical discomfort and facilitating social inclusion, while strengthening self-esteem by providing an emotionally supportive environment in which children feel safe.