Rehabilitation of 190 non-ambulatory children with cerebral palsy in structures of care or in liberal sector

2013 
Abstract 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 10 years 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 6 years 10 months (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 = 4.25 h/week, liberal sector: median = 2.00 h/week) ( P P 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.
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