Which of the following measures evaluates participation and activity domains for children with CP?

• A. CAPE
• B. TUG
• C. GMFM
• D. MoCA

Answer: (A)

Participation and activity in children with CP refers to what they actually do in daily life, across home, school, and community, and how much they enjoy those activities. CAPE is designed to capture this firsthand: it asks about a wide range of activities, showing how diverse their participation is, how often they do them (intensity), and their enjoyment. This aligns with how therapists think about real-life engagement and the impact of environmental supports or barriers on daily life, which is the essence of measuring participation and activity domains.

In contrast, the other measures focus on different areas. The GMFM targets gross motor abilities—the actual tasks a child can perform—without describing how those abilities translate into everyday participation. The TUG is a quick mobility test, reflecting functional transfer and speed, not ongoing engagement in activities. The MoCA is a cognitive screen, not related to participation or activity levels.

So CAPE uniquely addresses participation and activity in children with CP, making it the best choice.