Factors Influencing Utilization of Physiotherapy Service among Children with Cerebral Palsy in Jalandhar District of Punjab

Sinha, Akhoury; Sharma, Raju

doi:10.4103/0976-3147.203852

Cited by 12 publications

(20 citation statements)

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“…Study by Sinha and Sharma found that advice for rehabilitation by treating primary physician is an important influencer for service utilization and a poor referral system, not fully utilizing expertise available within system, adversely affects it. [ 3 ] Previous studies done by Kaminker et al . and Chiarello et al .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have mentioned environmental factors including transportation and area of residence as one of the significant barriers for rehab utilization, though none of them have specifically looked at distance as a measure. [ 3 7 16 ] Studies in South African areas have found distance as one of the prime reasons for nonutilization in disabled. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…Childhood disability impacts healthcare significantly as these children experience a wide spectrum of issues ranging from medical complications (such as seizures, spasticity, contractures) to functional impairments (such as mobility issues, dependency for daily living activities, poor cognition, behavioral issues, and poor social interaction). [ 1 2 3 ] A comprehensive rehabilitation started as soon as diagnosed with an impairment helps in maximizing functionality and reducing caregiver burden in long run. [ 1 3 ] Literature suggests that in India, one in every tenth child is either born with or subsequently acquires a physical, mental, or sensory disability.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 2 3 ] A comprehensive rehabilitation started as soon as diagnosed with an impairment helps in maximizing functionality and reducing caregiver burden in long run. [ 1 3 ] Literature suggests that in India, one in every tenth child is either born with or subsequently acquires a physical, mental, or sensory disability. [ 2 ] With a large percentage of disabled pediatric patients, rehabilitation has become an essential aspect of country's healthcare.…”

Section: Introductionmentioning

confidence: 99%

“…[ 7 ] Sinha and Sharma studied the utilization pattern in cerebral palsy children in Jalandhar district, Punjab and found only 55% had received some form of therapy. [ 3 ] Of the available literature about unmet rehabilitation needs of disabled, only limited evidence is present regarding rehab utilization pattern in disabled children per se . More so, most of studies have reported primarily those individuals who have never received any exposure to rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Utilization of institutional rehabilitation service in pediatric patients with disability in Southwest Rajasthan

Mishra¹,

Siddharth²

2018

J Family Med Prim Care

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Background:Rehabilitating disabled child maximizes functional independence, thereby, enhancing the quality of life and better community participation. Utilization of rehabilitation services is a significant issue in developing countries like India. This study aims to observe the pattern of utilization of institutional rehabilitation services by pediatric patients with disability.Methods:This was an observational study (descriptive cross-sectional study) conducted at Department of Physical Medicine and Rehabilitation in a tertiary care set-up. Descriptive data from an ongoing study involving children with and without developmental delay (DD) over 1 year were collected in terms of age, gender, distance from the institute, diagnosis, and frequency of visit. Utilization pattern for rehabilitation services among pediatric patients was analyzed with respect to diagnosis and frequency of visit under each diagnosed category. The demographic variable of age, gender, and distance from the institute was further correlated to frequency of visit. IBM SPSS statistics 22 was used for descriptive statistical analysis and correlation of variables.Results:Of 464 disabled children using rehabilitation service, data for 399 (M: 255, F: 144) children were complete with age ranging from 3 months to 18 years and distance from 1 km to 600 km from institute. There were 330 children with DD and 69 in non-DD category. Two hundred and sixty-eight cases used one-time consultancy, 86 preferred intermittent services, and 45 patients were regular. Negligible correlation with a trend toward negative values was observed between frequency of service utilization and distance (Rho = −0.139 Sig. = 0.006, at 0.01 level) and between age and utilization frequency (Rho = −0.074, Sig = 0.140).Conclusions:The study showed that children with DD were main utilizers of rehabilitation services. Nearly 67% of disabled children utilized services only once with a trend toward younger age group and those nearer to institute were noted.

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Section: Discussionmentioning

confidence: 99%