Table 4 Activities and Participation Children and Adolescents – Neck (APCAN)

1

Body function

Within the last week, I can pay attention to what I am doing for more than 30 min.

For example: Watching TV, leisure reading, homework/classwork

2

Body function

I sleep well at night, and I feel well rested even when my neck hurts.

3

Body structure, activity

Right now, I can move my neck (looking behind me, looking up/down or over my shoulder).

4

Body function

I can lift my arms over my head without neck pain.

5

Activity

I can brush my teeth, take a shower, and wash my hair without neck pain.

6

Activity

I can put on a shirt/sweatshirt easily and without neck pain.

7

Activity

I can sit on a chair (at home, in the classroom etc.) comfortably for more than 30 min.

8

Activity

I can bend down to pick up toys/things from the floor.

9

Activity, participation, environmental

I can do these outdoor things just the way I do them when I do not have pain. For example, ride my bike/scooter/skateboard, climb on a slide, play on a play structure, and jump on a trampoline.

If your choice is not in the examples, you can write your own activity of choice below.

Other preferred activity of choice: ______

10

Activity

I can play with toys/board games/puzzles/do arts and crafts while sitting on a chair/floor like I usually do.

11

Activity

I can do these technology related things easily (For example Talk and/or text on the phone while holding the phone in my hands, play video games, use my tablet/i-pad).

If your choice is not in the examples, you can write your own activity of choice below.

I use technology most often for:

12

Activity

I can run/hop/skip/jump.

13

Activity

I can throw a ball (For example, Football, baseball, basketball) as far as I want.

14

Activity, participation

I can do these things as I usually do. Select all that apply:

● Write, type in class/home.

● Classroom or leisure reading

Others:

15

Activity

I can ride in a car/school bus.

16

Activity

I can stand/walk for up to 10 min with my backpack on my shoulders.

17

Participation

I can help with household chores (for example, wash dishes, use a broom, vacuum, make my bed, and clean my room). If your choice is not in the examples, you can write it below.

The chores I do most often:

18

Participation

I can participate in recreational sports like swimming, gymnastics or other sporting activity of my choice for as long as I want.

Specify (other sport of choice):

19

Participation

I can attend school regularly.

20

Participation

I can keep up with friends in gym class/siblings at home.