Characterization of environmental factors in children and adolescents with cerebral palsy in Minas Gerais: Participa Minas.
Rev Paul Pediatr
; 42: e2023043, 2024.
Article
en En
| MEDLINE
| ID: mdl-38359317
ABSTRACT
OBJECTIVE:
To characterize the environmental factors of children and adolescents with Cerebral Palsy (CP) in the state of Minas Gerais (MG), Brazil.METHODS:
This is a cross-sectional study involving 164 caregivers of children/adolescents with CP, aged 1-14 years. The Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS) were used to classify the participants' functioning, and environmental factors were evaluated by an on-line questionnaire that examined products and technologies, physical environment, services, and systems. A descriptive analysis was performed using percentage and frequency.RESULTS:
Most participants had bilateral CP (66.9%) and 45% of them were spastic. Levels II and V of the GMFCS and MACS were the most frequent. About half (49.4%) used anticonvulsants, 27.4% underwent botulinum toxin application, and 29% went through orthopedic surgery in the lower limbs. Among the participants, 71.3% used orthoses in the lower limbs, and 51.8% used the public health care system. Most had access to physiotherapy (91.5%), but found difficulties to access interventions with other professionals, such as psychologists (28%) and nutritionists (37.8%). The school was the most frequently adapted environment (78%), and had the highest level of structural adaptation (42.7%).CONCLUSIONS:
The results of this study suggest that the barriers to access health services and barriers to the physical environment may impact participation and social inclusion.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Parálisis Cerebral
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Child
/
Humans
País/Región como asunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Rev Paul Pediatr
Año:
2024
Tipo del documento:
Article
País de afiliación:
Brasil