Review of paediatric neurological conditions seen in the physiotherapy department of a children’s hospital in ibadan, nigeria

Peters, Grace O; Adetola, A; Fatudimu, Margaret Bukola

doi:10.4314/ajbr.v11i3.50735

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…The most observed type of CP, based on motor function classification approach of assessing muscle tone, was the spastic type (91.1%) which is similar to that reported by other studies (Odding et al, 2006;Hamzat and Fatudimu, 2008;Ogunlesi et al, 2008;Frank-Briggs and Alikor, 2011), but with quadriplegic (62.9%) affectation dominating based on topography classification (pattern of paralysis) which is consistent with findings in some previous studies (Brigas-Grande et al, 2002, Singhi et al, 2002Hamzat et al, 2008;Peters et al, 2008;FrankBriggs and Alikor, 2011). This finding was however at variance with those of other researchers who reported a predominance of diplegic affectation among children with CP (Suzuki et al, 1999;el-Rifai et al, 1984).…”

Section: Types Of Cerebral Palsysupporting

confidence: 89%

“…Cerebral palsy is recognized as a common childhood problem in Nigeria; however, most of the available data on CP in Nigeria are those generated from the limited area of practice of clinicians from various parts of Nigeria: Ibadan (Nottidge and Okogbo, 1991;Lagunju et al, 2006;Peters et al, 2008), Sagamu (Ogunlesi et al 2008), Port Harcourt (Frank-Brigges andAlikor, 2011). The main focus of the present study is to investigate the profile of children with CP referred for physiotherapy within wider practice settings embracing twelve selected secondary and tertiary hospitals in Southwest Nigeria.…”

Section: Introductionmentioning

confidence: 99%

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Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Ayanniyi¹,

Abdulsalam²

2016

Af Jrl. Phys Rehab Sci

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SUMMARYCerebral palsy (CP) is a major cause of childhood disability. The objective of this study was to investigate the causes, types, severity, history of pregnancy, delivery, maternal care, demographic and clinical characteristics of children with CP and their parents as seen in outpatient physiotherapy clinics of the selected hospitals in Southwest Nigeria.A cross-sectional survey of children with CP and their parents was conducted in twelve hospitals in Southwest Nigeria. Information about the participants was obtained from hospital case records, physical examination and interviews. Data were summarized using descriptive and Chi-square tests with Alpha level put at 0. 05.Two hundred and thirteen children with CP were seen, aged 18 months to 12 years, and most of them were male (59.2%). The majority (41.0%) of the mothers were in the age range of 28 to 33 years. Jaundice (39.9%), asphyxia (26.8%) and infection (17.4%) were the leading causes of CP and spastic CP was the most common type (81.7%). Quadriplegic CP presentation was predominant (67.1%), and leading co-morbidities were mental retardation (31%) and speech impairment (26.3%). About 50% of the children severely affected by CP fell within Levels 4 and 5 of the Gross Motor Function Classification System (GMFCS) of CP severity.It was concluded that cerebral palsy in Southwest Nigeria is mainly associated with jaundice, asphyxia and infections. Spastic cerebral palsy was most common and quadriplegic affectation was predominant. It is recommended that factors promoting perinatal problems should be curtailed.

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Section: Types Of Cerebral Palsysupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Ayanniyi¹,

Abdulsalam²

2016

Af Jrl. Phys Rehab Sci

View full text Add to dashboard Cite

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“…The most observed type of CP was the spastic type (56.7%) which is similar to that reported by other studies (Odding et al, 2006;Hamzat and Fatudimu, 2008;Ogunlesi et al, 2008;Frank-Briggs and Alikor, 2011), with motor disorders (67.0%) dominating as the most common clinical presentation and is consistent with findings in some previous studies (Singhi et al, 2002;Hamzat et al, 2008;Peters et al, 2008;Frank-Briggs and Alikor, 2011).…”

Section: Types Of Cerebral Palsy and Clinical Presentationssupporting

confidence: 91%

Review of Cerebral Palsy Cases in the University Of Nigeria Teaching Hospital Ituku-Ozalla, Enugu

Atuh

Otti-Agha²,

Eneje³

et al. 2019

Nig J Med Rehab

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Background: Cerebral palsy (CP) is a major cause of childhood disability. The objective of this study was to review the causes, types, complications, demographic and clinical characteristics of children with CP over a period of ten years as seen in the physiotherapy (PT) department of the University of Nigeria Teaching Hospital, Ituku-Ozalla Enugu, Nigeria.Methods: A retrospective study that reviewed a total of 497 case folders of children with CP. Ethical clearance was obtained from the Health Research Ethics Committee of the University of Nigeria Teaching Hospital, Enugu. The case records were randomly selected, a data retrieval form developed through a two-stage process was used to obtain the required information. Data was analyzed using descriptive statistics and Chi-square tests. Level of significance was set at 0.05.Results: Four hundred and ninety-seven cases of children with CP were reviewed. Birth asphyxia (29.9%) and jaundice (28.7%) were the leading causes of CP while spastic CP (56.7%) was the most common type. Motor disorder (67.0%) was the predominant clinical presentation. There was a significant association between type of CP and each of cause (X2 =28.303, p = 0.001), and duration of PT treatment (X2 =31.784, p < 0.0001).Conclusion: It was concluded that Birth asphyxia and jaundice are the major cause of CP in this environment. There is a significant association between type of CP and the cause of CP as well as the duration of PT treatment received.Keywords: Review; Cerebral Palsy; Hospital

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“…It is also supported by a study conducted in Nigeria which showed that CP was accounted (43.7%) for the majority of the cases visiting the physical therapy department. 28 In general, through an interdisciplinary inpatient rehabilitation approach, children made significant changes from admission to discharge, which is supported by the previous studies that reported an overall change in outcomes after rehabilitation. 2,5,14,17,18,[29][30][31] Functional gains, as measured by the Wee-FIM instrument, vary depending on diagnoses, time from injury/diagnosis to rehabilitation admission, age, and LOS.…”

Section: Discussionsupporting

confidence: 64%

Association Between Pediatric Inpatient Rehabilitation Services and Children’s Functional Outcomes: King Fahad Medical City Experience

Alraddadi

2020

Rehabilitation Process and Outcome

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Background: Disability may affect children’s performance of functional activities. This may translate to difficulties in returning to home and/or school. It has been documented that intensive rehabilitation programs for children with disabilities lead to an improvement in their functional abilities. Wee-FIM is a valid and reliable outcome measure that is used commonly with children undergoing rehabilitation. Objectives: To study changes in the functional status of children admitted to a specialized pediatric inpatient rehabilitation unit. Design: A retrospective cohort study. Setting: King Fahad Medical City—Rehabilitation Hospital, Riyadh, Saudi Arabia. Methods: Investigators reviewed records of children admitted to a pediatric rehabilitation unit between January 1, 2012, and December 31, 2017. The outcome measures used were rehabilitation length of stay (LOS), Wee-FIM gain, and Wee-FIM efficiency. Results: The total number of records included in this study was 361 records. Sixty percent of the children were boys. The mean age was 8.7 ± 3.8 years (range, 3-17 years). Children with cerebral palsy accounted for 45.2% of the children. The mean LOS was 43 days. Children with brain tumors had the shortest LOS compared with children with other diagnoses. Mean (SD) Wee-FIM efficiency was 0.58 (±0.6). Highest Wee-FIM efficiency was observed in children with brain tumors. Average Wee-FIM gain was 20 (±15). The highest functional gain was 27 in children with brain tumors while the lowest was 16 in children with cerebral palsy. Conclusions: Intensive inpatient rehabilitation program is associated with improvement in functional performance in children with a variety of impairments and disabilities.

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Review of paediatric neurological conditions seen in the physiotherapy department of a children’s hospital in ibadan, nigeria

Cited by 7 publications

References 10 publications

Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Review of Cerebral Palsy Cases in the University Of Nigeria Teaching Hospital Ituku-Ozalla, Enugu

Association Between Pediatric Inpatient Rehabilitation Services and Children’s Functional Outcomes: King Fahad Medical City Experience

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