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CLINICAL ARTICLE
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 9-20

Physical profile of children with cerebral palsy in Jalandhar district of Punjab India


1 Department of Physiotherapy, Lyallpur Khalsa College, Jalandhar, Punjab, India
2 Department of Physiotherapy, Punjabi University, Patiala, Punjab, India

Correspondence Address:
Raju Sharma
Department of Physiotherapy, Lyallpur Khalsa College, Jalandhar, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-4264.153557

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Introduction: Cerebral palsy (CP) has emerged as one of the major causes of childhood disability in India. Physical and functional status of children with CP and their relation with various sociodemographic variables in the Indian context are not widely reported. Objective: This report describes the physical and functional status of children with CP in Jalandhar district of Punjab and examines its association with biological and social factors. Methodology: A survey using physical examination of child and schedule interview of parents has been conducted on 248 children with CP of age group 3-13 years. Descriptive analysis has been conducted with probability level set at 0.05. Results: Spastic CP (83.46%) has been observed the most prevalent type of motor impairment. In spastic type diplegia has been major presentation (43.5%), followed by quadriplegia (34.3%), majority of children fall in level V (57.7%,) of Gross Motor Function Classification System (GMFCS). Mental retardation (MR) is (42.3%) the most frequent associated disability and epilepsy are the most prevalent co-morbidity. About 69% subjects have been found nonambulatory and dependent in their -self-care domains. More than 70% of children have been observed with deformities of more than four joints. GMFCS levels were significantly associated with topography, MR, age of diagnosis, time constraint of parent, difficulty in arranging physiotherapy, ignorance of parents about condition and rehab services required, poor belief in rehabilitation methods. Conclusion: Lack of comprehensive rehabilitation facilities for children with CP was reflected in the poor physical and functional status of the children. Beside the primary impairments, social factors have played an important role in determining the functional status of these children.


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