scholarly journals Study Of Relationship Between Attitude And Problems Experienced By Mothers Of Children With Cerebral Palsy

2014 ◽  
Vol 8 (1) ◽  
pp. 219-230
Author(s):  
Shaista Naz ◽  
Nasir Sulman

The present research work was carried out to study the attitudes and problems experienced by mothers of children with cerebral palsy. To achieve this broad objective, scales for the attitudes of mothers and problems experienced by them were developed. It was found that a mother's attitudes to cerebral palsy were determined by the severity of the child's disability. The severe the disability, the less favourable were the mother's attitudes. Mothers having better attitudes experienced less problems compared to those who had poor and unfavourable attitudes. The degree of cerebral palsy in the child and its I.Q. were seen to influence their problem score. The age, sex, birth order of the child, age of mother and the type of family did not affect the mother's problem score. However, parental education, occupation, habitat and family income were found to be directly related to their problems.

2020 ◽  
Vol 185 ◽  
pp. 03016
Author(s):  
Xiaosu Jie ◽  
Haijun Shan ◽  
Yujin Hou ◽  
Hua Shi ◽  
Yuanjun Lou ◽  
...  

Objective: To explore the effect of combining modern rehabilitation concepts with acupuncture and massage therapy on the rehabilitation of children with cerebral palsy. Methods: Research work was carried out in our hospital. The work was carried out from September 2018 to September 2019. A total of 100 patients were selected, all of whom were children with cerebral palsy. The 100 patients with cerebral palsy were divided into two groups:the control group who was given modern rehabilitation concept intervention, and the intervention group who was given modern rehabilitation concept combined with acupuncture and massage. The recovery condition of the two groups of cerebral palsy children was compared and analyzed. Results: There were 5 patients in the treatment group who were ineffective, the effective rate was 90.00%, and 11 people in the control group were ineffective, the effective rate was 78.00% which has existential meaning. The incidence of sequelae of the children in the experimental group was 14.00%, and the incidence of sequelae of the children in the control group was 32.00%. In contrast, the incidence of the experimental group was low and the effect was good. The difference in data was significant (P <0.05). Conclusion: The combination of modern rehabilitation concepts and TCM acupuncture and massage intervention methods in children with cerebral palsy has a significant effect, which can improve the child ’s adverse conditions, promote the child ’s recovery, and improve the child ’s motor function, it can be promoted.


2021 ◽  
Author(s):  
LiJuan Liang ◽  
KeWei Wang ◽  
NanFei Hu ◽  
ShuaiZheng Gong ◽  
Li Liu ◽  
...  

Abstract In recent years, the incidence of accidental injuries among disabled children increased, including children with cerebral palsy(CP). However, there are few reports on the characteristics and risk factors of unintentional injuries in children with cerebral palsy. Therefore, we collected 117 children with CP as the research objects, and analyzed the characteristics and influencing factors of unintentional injuries of them to provide effective preventive measures and reduce the incidence of accidental injuries in children with CP. Results reveal that the incidence of once unintentional injuries in children with CP in the past 3 months was 32.47%, and the incidence of re-injury was 3.4%, which was lower than that of normal or disabled children. In addition, our research also found that the causes of unintentional injuries of children with CP were mainly fall. The injured parts were mainly lower limbs and head and neck. The injuries mainly occured indoors, and most unintentional injuries occurred during when resting, sleeping or relaxing. Multivariate logistic regression analysis of this study found that girls, low family income and less time with their parents were risk factors for unintentional injuries in children with CP.


2016 ◽  
Vol 101 (11) ◽  
pp. 1043-1047 ◽  
Author(s):  
Kammi K Schmeer ◽  
Aimee Yoon

BackgroundFamily socioeconomic status (SES) is an important source of child health disparities in the USA. Chronic stress is one way SES may impact children's physiology with implications for later health inequalities. These processes may work differently across childhood due to differences in exposure and susceptibility to stressors at different ages. We assess associations between family SES and one biomarker of chronic stress exposure—low-grade inflammation detected by elevated C reactive protein (CRP)—and evaluate differences in the associations by child age.MethodsWe used nationally representative data from the National Health and Nutrition Examination Survey and Tobit regression models to estimate SES associations with CRP and the moderating effects of age for children age 2–18 years. Our sample was limited to CRP ≤10 mg/l to focus on low-grade inflammation (N=13 165).ResultsChildren whose parent had less than a high school degree had 35% higher CRP than those with a college graduate parent; and, poor children had 24% higher CRP than those with high family income, net of controls. When children's body mass index was accounted for, low education and poverty associations were reduced to 19% and 15%, respectively. Child age interactions were negative and significant for both parental education and family income.ConclusionsThis study provides new evidence that SES is associated with low-grade inflammation in children, and that these associations may be particularly strong during early and mid-childhood. Future research should further our understanding of stressors related to low family SES that may lead to immune system dysregulation during childhood.


Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2132 ◽  
Author(s):  
Tasneem Karim ◽  
Israt Jahan ◽  
Rachael Dossetor ◽  
Nguyen Thi Huong Giang ◽  
Nguyen Thi Van Anh ◽  
...  

Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.


PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250640
Author(s):  
Mahmudul Hassan Al Imam ◽  
Israt Jahan ◽  
Manik Chandra Das ◽  
Mohammad Muhit ◽  
Hayley Smithers-Sheedy ◽  
...  

Objective The objective of this study was to assess the rehabilitation status and factors associated with rehabilitation service utilisation among children with cerebral palsy (CP) in Bangladesh. Materials and methods This is a population-based surveillance study conducted among children with CP registered in the Bangladesh CP Register (BCPR), the first population-based register of children with CP aged <18 years (y) in Bangladesh. Children with CP were identified from the community using the key informant method and underwent a detailed neurodevelopmental assessment. Socio-demographic, clinical and rehabilitation status were documented. Unadjusted and adjusted analyses with a 95% confidence interval (CI) were used to identify potential predictors of rehabilitation service uptake. Results Between January 2015 and December 2019, 2852 children with CP were registered in the BCPR (mean (standard deviation, SD) age: 7 y 8 months (mo) (4 y 7 mo), 38.5% female). Of these, 50.2% had received rehabilitation services; physiotherapy was the most common type of service (90.0%). The mean (SD) age at commencement of rehabilitation services was 3 y 10 mo (3 y 1 mo). The odds of not receiving rehabilitation was significantly higher among female children (adjusted odds ratio (aOR) 1.3 [95% CI: 1.0–1.7], children whose mothers were illiterate and primary level completed (aOR 2.1 [95% CI: 1.4–3.1] and aOR 1.5 [95% CI: 1.1–2.1], respectively), fathers were illiterate (aOR 1.9 [95% CI: 1.3–2.8]), had a monthly family income ~US$ 59–118 (aOR: 1.8 [95% CI: 1.2–2.6]), had hearing impairment (aOR: 2.3 [95% CI: 1.5–3.5]) and motor severity (i.e. Gross Motor Function Classification System level III (aOR: 0.6 [95% CI: 0.3–0.9]) and level V (aOR: 0.4 [95% CI: 0.2–0.7])). Conclusions Rehabilitation status was poor among the majority of the children with CP in the BCPR cohort, limiting their opportunities for functional improvement. A community-based rehabilitation model focusing on socio-demographic and clinical characteristics should be a public health priority in Bangladesh.


2020 ◽  
Vol 185 ◽  
pp. 03010
Author(s):  
Yujin Hou ◽  
Xiaosu Jie ◽  
Xin Guo ◽  
Yingying Zhang ◽  
Hua Shi ◽  
...  

Objective: To explore the effect of applying acupuncture on children with cerebral palsy dyskinesia. Methods: Research work was carried out in our hospital. The work was carried out from November 2018 to November 2019. A total of 100 patients were selected, all of whom were children with cerebral palsy, accompanied by dyskinesia. They were randomly divided into two groups, and were given conventional rehabilitation training and acupuncture treatment respectively, named the control group and the experimental group, and the clinical efficacy of the two groups of patients was analyzed. Results: There was no significant difference in the MAS scores of the two groups of children before treatment, which was expressed as P> 0.05. After treatment intervention, the scores of the two groups of children were improved, in contrast, the improvement effect is more significant for the experimental group, the data difference is large, P <0.05, which is significant. The treatment effective rate of the children in the experimental group was 92.00%, and the treatment effective rate of the children in the control group was 76.00%, there is a big difference between the two groups of data, P <0.05, which is significant. Conclusion: The application of acupuncture and moxibustion therapy in children with cerebral palsy movement disorders can improve the adverse symptoms of children and promote the recovery of patients, which has positive significance for clinical development.


This study is pursued to find the effectiveness of Structured Aquatic Training Program for children with Cerebral Palsy. Sensory profile was used to assess the effectiveness of endurance and tone, of14 Children with CP average of age nine years, purposively selected from Asha AWWA school at Delhi, India. Participants were divided into Experimental and Control groups. Result of Two Way ANOVA reflects positive accelerated transformation only in experimental group, showing moderate to considerable benefits through the 9 weeks training program. In addition, individualized scale of improvement was also studied, which resulted into minor to major enhancement of endurance and tone among all the experimental group participants. Hence a prolonged Structured Aquatic Training Program (intervention) is off paramount to get the best results. These findings also enhance the preceding research work based on aquatic intervention.


2021 ◽  
Vol 11 (7) ◽  
pp. 848
Author(s):  
Mahmudul Hassan Al Imam ◽  
Israt Jahan ◽  
Mohammad Muhit ◽  
Denny Hardianto ◽  
Francis Laryea ◽  
...  

Background: We assessed the rehabilitation status and predictors of rehabilitation service utilisation among children with cerebral palsy (CP) in selected low- and middle-income countries (LMICs). Methods: Data from the Global LMIC CP Register (GLM-CPR), a multi-country register of children with CP aged <18 years in selected countries, were used. Descriptive and inferential statistics (e.g., adjusted odds ratios) were reported. Results: Between January 2015 and December 2019, 3441 children were registered from Bangladesh (n = 2852), Indonesia (n = 130), Nepal (n = 182), and Ghana (n = 277). The proportion of children who never received rehabilitation was 49.8% (n = 1411) in Bangladesh, 45.8% (n = 82) in Nepal, 66.2% (n = 86) in Indonesia, and 26.7% (n = 74) in Ghana. The mean (Standard Deviation) age of commencing rehabilitation services was relatively delayed in Nepal (3.9 (3.1) year). Lack of awareness was the most frequently reported reason for not receiving rehabilitation in all four countries. Common predictors of not receiving rehabilitation were older age at assessment (i.e., age of children at the time of the data collection), low parental education and family income, mild functional limitation, and associated impairments (i.e., hearing and/or intellectual impairments). Additionally, gender of the children significantly influenced rehabilitation service utilisation in Bangladesh. Conclusions: Child’s age, functional limitation and associated impairments, and parental education and economic status influenced the rehabilitation utilisation among children with CP in LMICs. Policymakers and service providers could use these findings to increase access to rehabilitation and improve equity in rehabilitation service utilisation for better functional outcome of children with CP.


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.


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