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Elementary school enrolment and its determinants among children with cerebral palsy in Thiruvananthapuram district, Kerala, India
Assist. Prof. Thekkumkara Surendran Nair Anish Department of Community Medicine, Government Medical College, Thiruvananthapuram Kerala . 695 011 India doctrinets@gmail.com
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.
Abstract
ABSTRACT
Context: There is enough documented evidence to prove the benefits of early and appropriate initiation of education among children with cerebral palsy (CP). Aim: To find out the proportion of children with CP who are enrolled for some kind of formal education and to study the determinants of the same. Setting and Design: This cross sectional study was done among children, attending the special clinics at government medical college, Thiruvananthapuram. Materials and Methods: Children between 3 and 12 years of age diagnosed with CP were subjects for the study. Statistical Analysis Used: Enrollment for any form of formal education was the major outcome variable. The factors associated with initiation of formal education were tested using Chi-square test or Fischer′s exact test. Independent association of each factor was evaluated through binary logistic Regression analysis. Results and Conclusions: The mean (SD) age of the children (n = 86) was 5.7 (2.3) years with forty-six (53.5%) of them being girls. Diplegia was the commonest limb abnormality found. Fifty-two (60.5%) children were undergoing some kind of schooling. Those children who were less dependent physically and those who had achieved better language development were regular school goers. After binary logistic regression the ability of a child to speak in sentences (P = 0.008) and ambulatory level of the child (P = 0.019) were factors which favored, whereas delay in attaining the adaptive developmental milestone of transferring objects from one hand to another (P = 0.014) was found to be detrimental for school enrollment.
Keywords
Cerebral Palsy
cerebral palsy and school enrollment
education and disability
Conflict of Interest
None declared
References
- Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005;47:571-6.
- [Google Scholar]
- Physiotherapy management in cerebral palsy: An update on treatment approaches.Management of the motor disorders of children with cerebral palsy. (2 nd ed). Cambridge: Cambridge University Press; 2004. p. :147-60. In: editors
- [Google Scholar]
- The epidemiology of cerebral palsy: Incidence, impairments and risk factors. Disabil Rehabil. 2006;28:183-91.
- [Google Scholar]
- Cerebral palsy.Physiotherapy in paediatrics. (3 rd ed). Oxford: Butterworth-Heinemann; 1995. p. :p. 110-44. In:
- [Google Scholar]
- Perspectives on transitions: Rethinking services for children and youth with developmental disabilities. Arch Phys Med Rehabil. 2007;88:1080-2.
- [Google Scholar]
- Education and employment prospects in cerebral palsy. Dev Med Child Neurol. 2005;47:511-7.
- [Google Scholar]
- The health and quality of life outcomes among youth and young adults with cerebral palsy. Arch Phys Med Rehabil. 2010;91:143-8.
- [Google Scholar]
- The effect of conductive education, intensive therapy, and special education services on motor skills in children with cerebral palsy. Phys Occup Ther Pediatr. 2003;23:31-50.
- [Google Scholar]
- Prevalence of impairments, disabilities, handicaps and quality of life in the general population: A review of recent literature. Bull World Health Organ. 2001;79:1047-55.
- [Google Scholar]
- Intellectual status of children with cerebral palsy after elementary education. Pediatr Rehabil. 1997;1:199-206.
- [Google Scholar]
- Clinical profile and predisposing factors of cerebral palsy. Mymensingh Med J. 2006;15:142-5.
- [Google Scholar]
- Speech performance, dysphagia and oral reflexes in cerebral palsy. J Speech Hear Disord. 1980;45:59-75.
- [Google Scholar]
- Cerebral palsy-definition, classification, etiology and early diagnosis. Indian J Pediatr. 2005;72:865-8.
- [Google Scholar]
- Epidemiological study of cerebral palsy in Shiga prefecture, Japan, during 1977-2000. Part 3: Clinical features of cerebral palsy at six years of age. No To Hattatsu. 2009;41:289-93.
- [Google Scholar]
- A clinical study of cerebral palsy in Shiga; 1977-1986-III. Diagnosis and treatment of various types of cerebral palsy. No To Hattatsu. 1999;31:343-7.
- [Google Scholar]
- Integrated Child Development Scheme. Ministry of Women and Child Development, Government of India. Available from [Last accessed on 3 rd Jan 2013]
- [Publisher] [Google Scholar]
- Neuroimpairments, activity performance, and participation in children with cerebral palsy mainstreamed in elementary schools. Dev Med Child Neurol. 2005;47:808-14.
- [Google Scholar]
