A Retrospective Analysis of Disability-Related Data on Disabled Children and their Families in Turkey
Subscribe/Renew Journal
Materials and Methods: Records and data of 116 patients with different neurological conditions seen at the Physiotherapy Department at a special education centre between August 2004 and August 2008 were investigated. Obtained data and records included: age, gender, mode of delivery, diseases distribution , types of cerebral palsy and related factors, education level and job status of the parents, intermarriage, therapy interest rate.
Results: The most prevelant mode of delivery was as a vaginal delivery in 68 (59%) cases while a caesarean section seen in 47 (41%) cases in addition to one adoption case with unknown delivery type. 29 (25%) of this deliveries were as a premature while 2 (2%) deliveries were as late deliveries. Cerebral palsy was the most prevalent (61%) cause of physiotherapy attendance. The spastic type also represented the most type of cerebral palsies with prevelant of 57%. The most prevelant parents educational level included the primary school (mothers-fathers, 56%-47%). There was also intermarriage betweeen 33 pairs with cousin relation in 28 pairs and 5 pairs with distant relation. Most of the mothers were housewifes (%97) and attendance to therapy realized by 91% of the mothers.
Conclusion: Many factors are related to physiotherapy attendance of the paediatric neurological conditions. Parents low educational level, intermarriage, high percentage of house- wifes, free- worker position of fathers and high percentage of mothers who attend to children care may reflect socioeconomic level of this population.
Keywords
- Michaud LD Prescribing Therapy Services for Children with Motor Disabilities, Pediatrics 2004; 113 (6): 1836-1838.
- Sanger T D, Delgado M R, Spira D G , Hallett M, Mink J W Classification and Definition of Disorders Causing Hypertonia in Childhood, Pediatrics 2003; 111 (1): 89-97.
- Bower E, Michell D, Burnett M, Campbell MJ, McLellan DL Randomized Controlled Trial of Physiotherapy in 56 Children with Cerebral Palsy Followed for 18 Months, Dev Med Child Neurol 2001;43 (1): 4–15.
- Kolobe H A, Palisano R J, Stratford PW Comparison of Two Outcome Measures for Infants With Cerebral Palsy and Infants with Motor Delays, Physical Therapy 1998; 78 (10): 1062-1072.
- Bower E, McLellan DL, Arney J, Campbell MJ A randomised Controlled Trial of Different Intensities of Physiotherapy and Different Goal-Setting Procedures in 44 Children with Cerebral palsy, Dev Med Child Neurol 1996; 38 (3): 226–237.
- Hayes M S, Mc Ewen I R, Lovett D Next step: Survey of Pediatric Physical Therapists Educational Needs and Perceptions of Motor Control, Motor Development and Motor Learning as They Relate to Services for Children with Developmental Disabilities, Pediatric Physical Therapy 1999; 11(4): 164 – 182.
- Hurand J, Cochrane R Academic Performance of Children with Cerebral Palsy: A Comarative Study of Conductive Education and British Special Education Programmes, The British Journal of Developmental Disabilities 1995; 41 (80): 33-41.
- Peters G.O., Adetola A.,Fatudimu M.B Review of Paediatric Neurological Conditions Seen in the Physiotherapy Department of a Children’s Hospital in Ibadan, Nigeria, African Journal of Biomedical Research 2008; 11 (3): 281 – 284.
- Nelson K B, Grether J K Causes of Cerebral palsy, Current Opinion in Pediatrics 1999; 11 (6): 487-491.
- Kerem M M, LivanelÝoðlu A, Aysun S Importance of Eearly Diagnosis and Rehabilitation of Cerebral Palsy, Turkiye Klinikleri J Pediatr 2000; 9 (1): 23-7.
- EL Ö, Peker Ö, Bozan Ö, Berk H, Koþay C General Features of Cerebral Palsied Patients, DEÜ Týp Fakültesi Dergisi 2007; 21 (2): 75 – 80.
- Reddihough D S, Collins K J The epidemiology and causes of cerebral palsy, Australian Journal of Physiotherapy 2003; 49 (1): 7-12.
- Boureau F, Eymard B., Laforet P, Cottrel F Clinical Study of Chronic Pain in Hereditary Myopathies, Eur J Pain 2004; 8 (1): 55-61.
- McDonnell G V, McCann J P Issues of Medical Management in Adults with Spina bifida, Child’s Nerv Syst 2000 16 (4): 222–227.
- Lauteglager PEM, Vermeer A, Helders PSM Disturbances in the Motor Behavior of Children with Down’s syndrome: The Need for a Theoretical Framework, Physiotherapy 1998; 84 (1): 5-13.
- Sundrum R, Logan S, Wallace A, Spencer N Cerebral palsy and socioeconomic status: a retrospective cohort study, Arch Dis Child 2005; 90 (1):15–18 doi:10.1136/adc.2002.018937
- Gyan S, Peter C, Subesinghe D, Wild J, Levene M I Prevalence and Type of Cerebral Palsy in a British Ethnic Community: The Sole of Consanguinity, Developmental Medicine & Child Neurology 1997; 39 (4): 259-262.
Abstract Views: 443
PDF Views: 0