Case Report


Factors influencing the parent’s attendance to regular physiotherapy follow-up intervention for their children with cerebral palsy at a specialized rehabilitation center in Bangladesh: A descriptive survey

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1 Senior Consultant, Physiotherapy, Bela Rehabilitation Solution Point (BRSP), Dhaka, Bangladesh

2 Senior Consultant, Occupational Therapy, Bela Rehabilitation Solution Point (BRSP), Dhaka, Bangladesh

3 Chief Consultant, Physiotherapy, Bela Rehabilitation Solution Point (BRSP), Dhaka, Bangladesh

4 Clinical Physiotherapist, Centre for the Rehabilitation of the Paralysed (CRP), Chapain Savar, Dhaka 1343, Bangladesh

5 Chief Physiotherapist, Firoza Bari Disabled Children Hospital, 22 Topkhana Road, Dhaka 1000, Bangladesh

6 Physiotherapist, Proyash Institute of Special Education, Dhaka Cantonment, Dhaka, Bangladesh

Address correspondence to:

Ruksana Akter

Bela Rehabilitation Solution Point (BRSP), Dhaka,

Bangladesh

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Article ID: 100014P05RA2022

doi: 10.5348/100014P05RA2022CR

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How to cite this article

Akter R, Ahammad S, Hasan R, Rahman ZM, Doly EA, Tawhid AKMM, Gani MS. Factors influencing the parent’s attendance to regular physiotherapy follow-up intervention for their children with cerebral palsy at a specialized rehabilitation center in Bangladesh: A descriptive survey. Edorium J Pediatr 2022;6:100014P05RA2022.

ABSTRACT


Aims: The aim of the study was to find out the factors that influencing parents’ attendance to physiotherapy follow-up intervention for their children with Caring a child with cerebral palsy (CP) at a rehabilitation center in Bangladesh. Caring a child with CP requires the parents to be more responsible than the typical children. Routine physiotherapy and follow-up sessions are also considered as the major duties for them. As the rehabilitation takes time, not all parents can maintain the continuity. As a result, the child becomes vulnerable to be permanently disabled for the rest of his/her lives.

Methods: This was a quantitative cross-sectional survey where data were collected through face-to-face interview. By convenience sampling 105 data were collected from Centre for the Rehabilitation of the Paralysed (CRP) and deposited for analysis.

Results: Age categories show most prominent child’s age is 6–10 years which comprises 68.6% (n=72). Male shows 9.5% (n=10) and female shows 90.5% (n=95). Parents completed masters as their highest education, where father 9.6% (n=10) and mother 5.7% (n=6). Among four categories of factor analysis we found in category one where attitude seems strong association with education (p=70.37, x=0.000), physiotherapy (PT) co-operation (p=36.46, x=0.006), improvement from initial treatment (Rx) (p=59.36, x=0.000), PT experience (p=44.05, x=0.001), equipment uses for Rx (p=41.83, x=0.001). Environment of the organization (p=42.26, x=0.001), service delivery system of the organization (p=45.45, x=0.005), Rx fees of the organization (p=49.43, x=0.002), home exercise log book form organization does not seem correlation (p=17.62, x=0.481). Mothers’ education strongly associated with every category. Fathers’ occupation seemed poorly correlate with the categories two and three; however, there are strong correlation with category one of physiotherapist interpersonal skill (p=33.56, x=0.004), category three seemed treatment fees of the organization (p=31.90, x=0.044). Mothers’ occupation found poorly correlate with categories one, three, and four, however, category two found strong correlation with physiotherapy co-operation (p=14.97, x=0.020), improvement from initial treatment (p=22.81, x=0.004), physiotherapy experience (p=20.15, x=0.003), equipment used for treatment (p=16.10, x=0.013). We did not find any strong association with marital status.

Conclusion: This study helps us to explore the real influencing factor that is responsible for CP child’s parents to come to CRP for physiotherapy follow-up which is helpful to comply with the organizational policy or physiotherapist patient follow-up policy.

Keywords: Cerebral palsy, Factor influencing parents, Follow-up, Physiotherapy

SUPPORTING INFORMATION


Author Contributions

Ruksana Akter - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Shameem Ahammad - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Rajib Hasan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Ziniya Mustary Rahman - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Easmin Ara Doly - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

A K M Minarul Tawhid - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Md. Shujayt Gani - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Ruksana Akter et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.