Management of paediatric neurological conditions involves a multidisciplinary team approach with Physiotherapy being an important member of the team. This study investigated the proportion that neurological conditions accounted for of the total number of paediatric conditions managed at the Physiotherapy Department of the Oni Memorial Children Hospital, Ibadan between January 2004 and December 2006 and also reviewed the specific neurological conditions. Records of all the patients managed during the study period reviewed were identified from which the neurological cases were sorted out and data on specific diagnosis, age and gender were collated. A total of 546 paediatric cases were reviewed out of which 471 (86.3%) were neurological cases with mean age of 25.3± 25.2 months and a 1.3: 1.0 male to female ratio. Cerebral palsy {CP}, predominantly the spastic quadriplegic type, accounted for majority (43.7%) of cases. Traumatic sciatic nerve palsy was the cause of physiotherapy attendance in 35.5% of cases while Obstetric brachial plexus injury accounted [10.8%) of cases. Other conditions were Central Nervous System Infections, Down's syndrome and Paralysis of unspecified diagnosis, Radial and Facial nerve palsies and Gullian Barre syndrome. A case is made for the deployment of more resources (funds, facilities and health personnels) for the care of neurological paediatric conditions.(Afr. J. Biomed. Res. 11: 281 -284)
Background: Information on how caring for children with cerebral palsy (CP) affects Nigerian caregivers' quality of life (QoL) is scarce. The QoL of Nigerian caregivers for children with cerebral palsy (CGCP) was compared with that of their age-matched counterparts with similar socioeconomic backgrounds who were caring for normally developing children, who made up the control group (CG). Motor function of the children with CP was also correlated with the QoL of their caregivers. Methods: Participants in this longitudinal study were 312 people comprising 107 CCP, 107 CGCP and 98 CG. The QoL was assessed at baseline and at the second, fifth and eighth month using the 26–item World Health Organization Quality of Life-Bref (WHOQoL-Bref) questionnaire. Motor function performance of the children with CP was assessed at the same intervals using the Gross Motor Function Measure (GMFM). Findings: Most of the CGCP and CG (82.3% and 93.8% respectively) were mothers of the children. At every point of assessment, the CGCP recorded significantly lower WHOQoL-Bref scores. Significant improvement in the GMFM score of the children with CP was observed during the study. The WHOQoL-Bref scores in CGCP correlated significantly with the GMFM scores of children with CP (P<0.05) at the fifth and eighth month. Conclusion: People caring for children with CP have a lower quality of life than their counterparts caring for normally developing children.
Background and Purpose of Study: Prescription of home exercise programme is a common component of physiotherapy intervention in managing children with Cerebral Palsy (CP). Home programme has been shown to accelerate the success of rehabilitation intervention and improve motor functions in the patient. Many factors related to the caregiver are thought to influence their compliance with home programmes. Such factors have however not been studied among Nigerian informal caregivers of children with cerebral palsy. Identification of such factors may help clinicians’ spot patients at risk of non-compliance and suggest methods to reduce the impact of these limiting factors thereby improving compliance with prescribed home programmes. This study was carried out to highlight clinical and demographic factors associated with compliance with home programme among informal caregivers of Nigerian children with cerebral palsy. Methods: Forty-seven consecutively recruited informal caregivers that had been bringing their children/wards consistently for physiotherapy at selected hospitals in Ibadan for at least 6 months preceding this study constituted the study sample. A validated questionnaire was used to obtain information on the selected clinico-demographic variables and assess compliance with home programme. Compliance was rated as one of the following: “1-2 times per week”, “3-4 times per week”, “5-6 times per week” and “Greater than 6 times per week”. These figures were then interpreted as “Sometimes”, “When time permits”, “Always” and “Regularly” respectively. Data were summarised using descriptive statistics while Chi-square test at 0.05 alpha level was used for the inferential statistic. Results: 51.1% of the caregivers carried out prescribed home programme regularly. There was no significant association between any of the selected clinico-demographic variables and the level of compliance of the caregivers. Conclusions: About half of the informal caregivers of children with cerebral palsy carried out home programme regularly. This has clinical significance in physiotherapy practice with respect to total management of children with cerebral palsy. It is worthy of note that no clinic-demographic variable of the caregivers determined their compliance. The study sample size calls for cautious generalisation of the findings from this study.
Background: Children with Cerebral Palsy (CP) often require assistance from their informal caregivers to perform age-expected functions. These caregivers require sufficient knowledge of CP to effectively perform their roles. Effects of a structured education programme to improve CP knowledge among caregivers have been separately studied using single-module and multi-module educational programmes Information is however scarce on their differential effects. Objective: To compare the effects of single and multi-module educational programme interventions on the knowledge of CP among their informal caregivers. Methods: A quasi-experimental design involving 40 consecutively sampled informal caregivers of children with CP. They were assigned into either the single-module or the multi-module educational intervention groups. Baseline and post-intervention knowledge of CP were assessed using the Knowledge of Cerebral Palsy Questionnaire and compared using Wilcoxon signed- rank test and Mann-Whitney U test at p=0.05. Results: There was a significant within-group increase in the knowledge of CP in each of the two groups (p=0.001). Between-groups comparison revealed no statistically significant difference in the effects of either models (p= 0.26). Conclusion: The single-module and multiple module educational programme are equally effective in improving knowledge of CP and should be incorporated into the total management of CP.
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