Study of Gross Motor Functions in Cerebral Palsy Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: The term Cerebral Palsy (CP) was originally coined more than a century ago and loosely translates as “brain paralysis”. Cerebral Palsy is the leading cause of childhood disability affecting function and development. The hallmark of CP is a disorder in the development of gross motor functions. This prospective study was performed in the Department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, during a period of six months from April 2009 to September 2009 to assess different presentations, risk factors and gross motor function improvement in cerebral palsy (CP) patients. Methods: Data were collected by direct interviewing the patient’s mother using a formulated data sheet with the particulars of the patients, chief complains, risk factor, physical examination, types of CP, management and follow up scale with Gross Motor Functional Classification System by the principal investigator. Rehabilitation management were done by counseling, comprehensive physical therapy, occupational therapy, orthosis, assistive and adaptive devices by skill personals. Patients were follow up monthly for 6 months. Main outcome measure (s) Risk factors and gross motor function improvement Results: The mean age was found 2.99±1.41 years and male to female ratio was 1.2:1. Nearly. a half (48.3%) of the patients had speech disorder and (47.2%) had convulsion. More than one disability was present (44.9%) and single disability was present in (25.8%) patient. Majority (63.0%) patients had prematurity, 16.4% had abnormal fetal presentation, 11.0% had twin gestation and 9.6% had fetal growth retardation. Among the pyramidal (spastic) type of CP, quadriplegia was found 41.6%, hemiplegia 27.0% and diplegia 5.6%. In extra pyramidal group, choreoathetosis was found 5.6% and dystonia was 3.4%. The mean gross motor function level during baseline was 4.17±0.67 with ranged from 3 to 5 and 2.8±1.01 with ranged from 1 to 5 in 6th visit. \ Conclusion: This study was done to assess different presentation of cerebral Paisy (CP), risk factors and gross motor function improvement. Early diagnosis, proper assessment of the functional capacity and needs of the child and providing early intervention are important, a multidisciplinary approach to management with active parental involvement helps the child achieve his potential.
Authors and Affiliations
Dr. Mohammad Amanul Hoque, Dr. Md. Zahirul Hoque Bhuiyan, Dr. Sumit Roy Chowdhury, Dr Mohammad Abdur Rahim, Dr. Md. Saiful Alam, Dr. Khaled Bin Islam
Keywords
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