How are children with cerebral palsy managed in public hospitals of KwaZulu-Natal, South Africa?

ABSTRACT

Background: Medical advances have resulted in the survival of infants who are born prematurely. This makes them at risk of developing neurological manifestations and increases the incidence of children diagnosed with cerebral palsy (CP). Physiotherapy plays an important role in the management of children with CP. However, in KwaZulu-Natal (KZN) there are challenges for rehabilitation of children presenting with CP due to limited equipment, assistive devices and shortage of health care professionals. The aim of this study was to determine the current physiotherapy management for children presenting with CP in public hospitals of KZN

Methods: One hundred and fifty-two physiotherapists were recruited using convenience sampling from different levels of public hospitals in KZN. The design was a cross-sectional study using a survey with a self-designed questionnaire to review current physiotherapy management of CP. The data was analyzed and presented by means of descriptive statistics

Results: Seventy-two participants completed the study indicating a 47.4% response rate with an age range of 31 to 40 years. Thirty-five (48.6%) of participants treated one to ten children with CP each month. Twenty-five (34.7%) used outcome measures to evaluate their CP management. This study showed the most common treatment techniques used by physiotherapists were: postural stabilizing activities – 68 (94.4%); respiratory care – 67 (92.9%); and positioning – 67 (92.9%)

Conclusion: Despite challenges by physiotherapists in KZN, the overall management of children with CP was holistic and favorable. The most common treatment approach was postural stabilizing activities with children with CP receiving treatment once a month for 30 minutes.

KEYWORDS:

• Cerebral palsy
• physiotherapy management
• public health KwaZulu-Natal

Acknowledgments

The researchers are grateful to the physiotherapists who participated in this study. We also thank the district managers and heads of the departments who assisted with the distribution of information and questionnaires during the study.

Declaration of Interest

The authors report no conflict of interest.