Editing Cerebral palsy (section)

===Productivity===
The effects of sensory, motor, and cognitive impairments affect self-care occupations in children with CP and productivity occupations. Productivity can include but is not limited to, school, work, household chores, or contributing to the community.<ref name="fedrizzi_2003" />

Play is included as a productive occupation as it is often the primary activity for children.<ref name="Blesedell CE 2003. p. 705-709" /> If play becomes difficult due to a disability, like CP, this can cause problems for the child.<ref name="Townsend E 2002. p. 34" /> These difficulties can affect a child's self-esteem.<ref name="Townsend E 2002. p. 34" /> In addition, the sensory and motor problems experienced by children with CP affect how the child interacts with their surroundings, including the environment and other people.<ref name="Townsend E 2002. p. 34" /> Not only do physical limitations affect a child's ability to play, the limitations perceived by the child's caregivers and playmates also affect the child's play activities.<ref name="parham_1997" /> Some children with disabilities spend more time playing by themselves.<ref name="miller_2003" /> When a disability prevents a child from playing, there may be social, emotional and psychological problems,<ref name="okimoto_2000" /> which can lead to increased dependence on others, less motivation, and poor social skills.<ref name="hestenes_2000" />

In school, students are asked to complete many tasks and activities, many of which involve handwriting. Many children with CP have the capacity to learn and write in the school environment.<ref name="Missiuna" /> However, students with CP may find it difficult to keep up with the handwriting demands of school and their writing may be difficult to read.<ref name="Missiuna" /> In addition, writing may take longer and require greater effort on the student's part.<ref name="Missiuna" /> Factors linked to handwriting include postural stability, sensory and perceptual abilities of the hand, and writing tool pressure.<ref name="Missiuna" />

Speech impairments may be seen in children with CP depending on the severity of brain damage.<ref name="howard_1996" /> Communication in a school setting is important because communicating with peers and teachers is very much a part of the "school experience" and enhances social interaction. Problems with language or motor dysfunction can lead to underestimating a student's intelligence.<ref name="rigby_1999" /> In summary, children with CP may experience difficulties in school, such as difficulty with handwriting, carrying out school activities, communicating verbally, and interacting socially.{{citation needed|date=January 2021}}