Article

AIMS: To describe the rehabilitation of non-ambulatory children with cerebral
palsy and to explore adjustability on their individual needs. MATERIAL AND
METHOD: Data described are extracted from an on-going national cohort study,
following during 10years 385 children with cerebral palsy, aged from 4 to 10,
Gross Motor Function Classification System IV and V. We analysed data from the
first 190 patients (mean age 6years 10months (SD 2.0), 111 boys), focusing on
physiotherapy, ergotherapy, psychomotility and speech therapy in medico-social
and liberal sectors. RESULTS: In medico-social sector, duration of paramedical
care is significantly more important than in liberal sector (structure of care:
median=4.25h/week, liberal sector: median=2.00h/week) (P<0.0001). More than 4
different types of care per week are given in medico-social sector, while in
liberal sector children benefit from only 2 different types of care a week. In
investigators opinion, rehabilitation in structures of care is 71.65% adapted as
opposed to 18.75% in the liberal sector (P<0.001). Children level V have less
time of rehabilitation than the others (P=0.0424). INTERPRETATION: Rehabilitation
of children with cerebral palsy who are not able to walk, with an objective to
improve quality of life, is truly multidisciplinary and suitable in medico-social
sector.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS