Title: Impact of Comprehensive Intervention in Children with Cerebral Palsy

Authors: Dr P.G. Hariprasad, Dr S. Geeta 

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.175

Abstract

Introduction: Cerebral palsy (CP) refers to a spectrum of disorders causing physical and intellectual morbidity among large number of children across the globe. Management of these children has to be done by a multidisciplinary team.

Objectives: To assess the physical and   functional disabilities of these children using  accepted scales of GMFM and FIM  and to determine their response to intervention.

Materials And Methods: The study was conducted at a Tertiary Care Centre as a follow up study, during the period July-December 2016. Follow up period was one year. The study participants were diagnosed cases of CP in the age group 1-16 years of age.  The children registered were graded based on GMFM and FIM scales. {GMFM: Gross Motor Function Measure} and {FIM: Functional Independent Measurement}. Comprehensive intervention were given by the rehabilitation team   and re-evaluation were done at the end of one year. The data was analyzed using SPSS version 16 and paired t test.

Results: Out of the 41 children enrolled, 30 had quadriplegia, 3 had hemiplegia and 8 had spastic diplegia. The gross motor score and functional score were suboptimum in the majority of patients. However they showed significant improvement following intervention

Conclusion: Comprehensive multidisciplinary rehabilitation can play a major role in the management of CP.

Keywords: Cerebral Palsy, GMFM,  FIM,  Intervention.

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Corresponding Author

Dr PG Hariprasad

Phone: 0471-2329974, Mobile: 91-9447411510

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