Translate this page into:
Elementary school enrolment and its determinants among children with cerebral palsy in Thiruvananthapuram district, Kerala, India
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.
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
- Dev Med Child Neurol. 2005;47:571-6.Proposed definition and classification of cerebral palsy, April 2005.
- [Google Scholar]
- (2 nd ed). In: editors Cambridge: Cambridge University Press; 2004. p. 147-60.Physiotherapy management in cerebral palsy: An update on treatment approaches.Management of the motor disorders of children with cerebral palsy.
- [Google Scholar]
- Disabil Rehabil. 2006;28:183-91.The epidemiology of cerebral palsy: Incidence, impairments and risk factors.
- [Google Scholar]
- (3 rd ed). In: Oxford: Butterworth-Heinemann; 1995. p. p. 110-44.Cerebral palsy.Physiotherapy in paediatrics.
- [Google Scholar]
- Arch Phys Med Rehabil. 2007;88:1080-2.Perspectives on transitions: Rethinking services for children and youth with developmental disabilities.
- [Google Scholar]
- Dev Med Child Neurol. 2005;47:511-7.Education and employment prospects in cerebral palsy.
- [Google Scholar]
- Arch Phys Med Rehabil. 2010;91:143-8.The health and quality of life outcomes among youth and young adults with cerebral palsy.
- [Google Scholar]
- Phys Occup Ther Pediatr. 2003;23:31-50.The effect of conductive education, intensive therapy, and special education services on motor skills in children with cerebral palsy.
- [Google Scholar]
- Bull World Health Organ. 2001;79:1047-55.Prevalence of impairments, disabilities, handicaps and quality of life in the general population: A review of recent literature.
- [Google Scholar]
- Pediatr Rehabil. 1997;1:199-206.Intellectual status of children with cerebral palsy after elementary education.
- [Google Scholar]
- Mymensingh Med J. 2006;15:142-5.Clinical profile and predisposing factors of cerebral palsy.
- [Google Scholar]
- J Speech Hear Disord. 1980;45:59-75.Speech performance, dysphagia and oral reflexes in cerebral palsy.
- [Google Scholar]
- Indian J Pediatr. 2005;72:865-8.Cerebral palsy-definition, classification, etiology and early diagnosis.
- [Google Scholar]
- No To Hattatsu. 2009;41:289-93.Epidemiological study of cerebral palsy in Shiga prefecture, Japan, during 1977-2000. Part 3: Clinical features of cerebral palsy at six years of age.
- [Google Scholar]
- No To Hattatsu. 1999;31:343-7.A clinical study of cerebral palsy in Shiga; 1977-1986-III. Diagnosis and treatment of various types of cerebral palsy.
- [Google Scholar]
- Available from [Last accessed on 3 rd Jan 2013]Integrated Child Development Scheme. Ministry of Women and Child Development, Government of India.
- [Publisher] [Google Scholar]
- Dev Med Child Neurol. 2005;47:808-14.Neuroimpairments, activity performance, and participation in children with cerebral palsy mainstreamed in elementary schools.
- [Google Scholar]