Promoting functional development for children with cerebral palsy in low‐income countries

Author(s):  
Cally J Tann
2019 ◽  
Vol 34 (13) ◽  
pp. 842-850
Author(s):  
Emmanuel Segnon Sogbossi ◽  
Damienne Houekpetodji ◽  
Toussaint G. Kpadonou ◽  
Yannick Bleyenheuft

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.


2020 ◽  
Vol 2 (2) ◽  
pp. 165-171
Author(s):  
Bambang Trisnowiyanto ◽  
M Mudatsir Syatibi

Cerebral Palsy (CP) is a motor disability disorder that most commonly occurs in children so that sufferers are unable to perform functional activities independently and need special service. Aquatic therapy and neuro developmental are interventions of physical therapy to help improve the motor functional development ability. The purpose of research is to find out the difference between aquatic therapy and neuro developmental treatment on the motor functional development ability of children with cerebral palsy. The type of research is quasi-experimental research with a pretest and posttest design. The subject of the research is the cerebral palsy community in Yogyakarta, namely Wahana Keluarga Cerebral Palsy (WKCP). The mann-whitney test use to test the hypothesis statistically.The results are difference in influence from aquatic therapy and neuro developmental treatment on the motor functional development ability of children with cerebral palsy, especially in the dimension of sitting, crawling and kneeling, standing, walking, running and jumping, and not for dimension of supine and prone. The conclusion is aquatic exercise is more influential on the motor functional development ability of children with cerebral palsy compared to neuro developmental treatment.


2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.


Author(s):  
Firas Massaad ◽  
Frédéric Dierick ◽  
Adélaïde van den Hecke ◽  
Christine Detrembleur

Sign in / Sign up

Export Citation Format

Share Document