Cerebral palsy of the child in rehabilitation environment: epidemiologic and clinical profile and therapeutic modalities

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Published Oct 29, 2023
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Vol. 101 No. 7 (2023): Tunis med jul 2023

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Rim Maaoui
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Souad Karoui
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Meriem Hfaidh
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Najla Mouhli
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Zied Ezzine
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Imène Ksibi
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Hajer Rahali
Department of Physical medicine and rehabilitation , Military hospital of Tunis, Tunisie
Hajer Barakizou
Department of Pediatric , Military hospital of Tunis, Tunisia
Khouloud Hamdi
Department of Pediatric , Military hospital of Tunis, Tunisia

Abstract

Introduction:


Cerebral palsy (CP) is a group of permanent disorders of the development of movement and posture causing activity limitation.


Aim: To evaluate the epidemiological, clinical, and radiological profile of children with CP and to study the therapeutic modalities in daily clinical practice.


Method: This was a retrospective, descriptive study, carried out in a physical medicine and rehabilitation department, including all the patients referred with the diagnosis of cerebral palsy between January 2000 and December 2016.


To classify cerebral palsy, we used a motor impairment classification, topographic classification according to the affected limb and the GMFCS – ER.


Results: Fifty patients were included with a gender ratio of 1.23. The mean age of patients was 7.8 years old. The risk factors for CP were mainly represented by perinatal asphyxia(55%) and prematurity(37%). The spastic form was predominant(74%). Quadriplegia was the most severe clinical form(61%). Neuro-orthopedic deformations were found in 78% of cases. Half of the children had GMFCS score between 1 and 2. Brain MRI lesions were dominated by anoxic-ischemic sequelae(34%). Physical therapy was prescribed for all patients. The most prescribed devices were the dynamic ankle foot orthosis(60%). Baclofen was prescribed in 5% of casess and botulinum toxin injection was performed in 30% of children.


Conclusion: The cerebral palsy defines the clinical and functional disorders caused by non-progressive developmental damage to the brain of the infant which requires a multidisciplinary management.

Keywords:

Cerebral palsy, GMFCS-ER, rehabilitation, epidemiology, clinical forms, risk factors, spasticity

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