Background: Cerebral palsy (CP) is a non-progressive irreversible lesion either single or multiple areas of the immature brain due to a developmental abnormality of brain or injury of the brain during labor, at the time of birth or during delivery. The prevalence of cerebral palsy is 2.5% per one thousand live births. Children with cerebral palsy required rehabilitation care both at home and rehabilitation center. The study aims to find out the factors affecting adherence to physiotherapy appointment for caregivers of children with cerebral palsy in Bangladesh. Methods: A cross-sectional study designed to conduct the research a total of 225 cerebral palsy child from the 14 Protibondhi Seba-O-Sahajjo Kendro (PSOSK) at the different district of the Bangladesh were selected through random sampling techniques by face-to-face interviews. This data collection procedure was completed within one month. Chi square test were used for statistical analysis of data and the significant level set at p<0.05. Results: Study shows that among the 225 CP child only 33.8% maintain adherence and 66.2% was non-adherence. Different variables such as numbers of siblings, doctors' consultation, parents' level of education and their awareness, mother health condition and having any savings have a significant association with adherence (P < 0.005). Conclusion: Adherence of the cerebral palsy child with physiotherapy appointment is out most important for better management. In this study, it is suggested that the quality of life of the CP child is significantly changed by physiotherapy as well as rehabilitation.
Introduction: Persons with SCI experience limitations of activity and inabilities in their early age in comparison with non-injured individual and also experience difficulties in participation in personal and social life. The participation has significant relationship with environment that's why improving participation in the socio-cultural context can advance their personal satisfaction adequately for people with spinal cord injury. Disability, individual and environmental factors are considered as indicators of participation. Objectives: To explore the perceive impact of environmental barriers on participation of community dwelling individuals with spinal cord injury in Bangladesh. Methodology: A qualitative study design was selected by the researcher to carry out the research. All dimensions of each individual were completed at one theme in time. Data were collected within a short period of time. The target population was the persons with spinal cord injury discharged from a rehabilitation center and living in the community and data collected by purposive sampling. Results: From the transcriptions, researcher identified 15 environmental factors that influenced participation among individuals with SCI. Approximately there are some causes which straightly influence the participation and some causes through others. Conclusion: Participation have to ensure throw ensure accessibility and removing barrier. The participation of persons with disabilities in the formulation and application of public strategy is perceived as indispensable in dropping poverty and confirming their rights. Exclusionary guidelines not only put burden on the country socio-economically, but also create psychological barricades for people with disabilities to explore full potential.
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