Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia

Abstract Background Although, there is no population-level data in Ethiopia, a previous retrospective hospital-based study identified CP as the most common developmental disability in children. The overall aim of this study is to describe the clinical spectrum of CP in Tikur Anbessa Specialized Hosp...

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Autores principales:	Selamenesh Tsige, Ayalew Moges, Amha Mekasha, Workeabeba Abebe, Hans Forssberg
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Cerebral palsy Children Subtypes Impairments Motor function Ethiopia Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/5a3990323c75476aa45e1283441bba85
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spelling	oai:doaj.org-article:5a3990323c75476aa45e1283441bba852021-12-05T12:21:08ZCerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia10.1186/s12887-021-03026-y1471-2431https://doaj.org/article/5a3990323c75476aa45e1283441bba852021-12-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-03026-yhttps://doaj.org/toc/1471-2431Abstract Background Although, there is no population-level data in Ethiopia, a previous retrospective hospital-based study identified CP as the most common developmental disability in children. The overall aim of this study is to describe the clinical spectrum of CP in Tikur Anbessa Specialized Hospital in Addis Ababa, including CP subtype, gross and fine motor function, presence and pattern of associated impairments, and possible risk factors in children aged 2 to 18 years. Methods A hospital-based descriptive cross-sectional study conducted- July – September of 2018 among 207 children with suspected motor symptoms. The Surveillance of CP in Europe (SCPE) decision tree was used as a guideline for inclusion and evaluation was by standardized questionnaire and clinical examination. Descriptive, bivariate and multivariate statistical analyses, Chi-square test, crudes association and adjusted odds ratio with 95% confidence interval employed. Result One hundred seventy four children who fulfilled the clinical criteria were included. Half (50.6%) were under the age of 5 years with a mean age of 5.6 (SD 3.6) years; 55.2 were male. The majority had bilateral spastic CP (60.4%) followed by unilateral spastic CP 21.8%, dyskinetic CP 10.4%, and ataxic CP 3.4%; 4% were unclassifiable. Of the children, 95.4% had speech difficulty, 87.4% learning disabilities, 60.9% epilepsy, 24.7% visual impairment and 8.6% hearing impairment. On gross motor function (GMFCS) and manual ability (MACS) classification systems, 75.3% of the children had level IV and V functional impairment. More than 80% of the mothers had complications during delivery Half of the neonates did not cry immediately after birth,44% were resuscitated with bag mask ventilation at birth and 64% immediately admitted to NICU. During the first month of life, 50% had infection, 62% had trouble feeding, 49.4% had difficulty breathing, 35% had seizure and 13.8% had jaundice. Conclusion The severe forms of CP predominate; most children are dependent on their parents for routine activities of daily living and cannot communicate well. Multidisciplinary care approaches and focused functional habilitation services are needed. Causal relationships cannot be drawn from these data but findings make a strong argument for improving maternal and child health care.Selamenesh TsigeAyalew MogesAmha MekashaWorkeabeba AbebeHans ForssbergBMCarticleCerebral palsyChildrenSubtypesImpairmentsMotor functionEthiopiaPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cerebral palsy Children Subtypes Impairments Motor function Ethiopia Pediatrics RJ1-570
spellingShingle	Cerebral palsy Children Subtypes Impairments Motor function Ethiopia Pediatrics RJ1-570 Selamenesh Tsige Ayalew Moges Amha Mekasha Workeabeba Abebe Hans Forssberg Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia
description	Abstract Background Although, there is no population-level data in Ethiopia, a previous retrospective hospital-based study identified CP as the most common developmental disability in children. The overall aim of this study is to describe the clinical spectrum of CP in Tikur Anbessa Specialized Hospital in Addis Ababa, including CP subtype, gross and fine motor function, presence and pattern of associated impairments, and possible risk factors in children aged 2 to 18 years. Methods A hospital-based descriptive cross-sectional study conducted- July – September of 2018 among 207 children with suspected motor symptoms. The Surveillance of CP in Europe (SCPE) decision tree was used as a guideline for inclusion and evaluation was by standardized questionnaire and clinical examination. Descriptive, bivariate and multivariate statistical analyses, Chi-square test, crudes association and adjusted odds ratio with 95% confidence interval employed. Result One hundred seventy four children who fulfilled the clinical criteria were included. Half (50.6%) were under the age of 5 years with a mean age of 5.6 (SD 3.6) years; 55.2 were male. The majority had bilateral spastic CP (60.4%) followed by unilateral spastic CP 21.8%, dyskinetic CP 10.4%, and ataxic CP 3.4%; 4% were unclassifiable. Of the children, 95.4% had speech difficulty, 87.4% learning disabilities, 60.9% epilepsy, 24.7% visual impairment and 8.6% hearing impairment. On gross motor function (GMFCS) and manual ability (MACS) classification systems, 75.3% of the children had level IV and V functional impairment. More than 80% of the mothers had complications during delivery Half of the neonates did not cry immediately after birth,44% were resuscitated with bag mask ventilation at birth and 64% immediately admitted to NICU. During the first month of life, 50% had infection, 62% had trouble feeding, 49.4% had difficulty breathing, 35% had seizure and 13.8% had jaundice. Conclusion The severe forms of CP predominate; most children are dependent on their parents for routine activities of daily living and cannot communicate well. Multidisciplinary care approaches and focused functional habilitation services are needed. Causal relationships cannot be drawn from these data but findings make a strong argument for improving maternal and child health care.
format	article
author	Selamenesh Tsige Ayalew Moges Amha Mekasha Workeabeba Abebe Hans Forssberg
author_facet	Selamenesh Tsige Ayalew Moges Amha Mekasha Workeabeba Abebe Hans Forssberg
author_sort	Selamenesh Tsige
title	Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia
title_short	Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia
title_full	Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia
title_fullStr	Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia
title_full_unstemmed	Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia
title_sort	cerebral palsy in children: subtypes, motor function and associated impairments in addis ababa, ethiopia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5a3990323c75476aa45e1283441bba85
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Cerebral palsy in children: subtypes, motor function and associated impairments in Addis Ababa, Ethiopia

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