2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia
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| country | Malaysia |
| date | 2022-11-11 |
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| id | 15855 |
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| internalnotes | Sila masukkan subject wajib Dissertations, Academic. Terima kasih... |
| originalfilename | THE EFFECT OF POSTURAL MANAGEMENT USING PROPER WHEELCHAIRS IN CHILDREN WITH SPASTIC CEREBRAL PALSY IN SAUDI ARABIA (PHD_2022).pdf |
| person | Majdeddin M. I. Ashqar |
| recordtype | oai_dc |
| resourceurl | https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15855 |
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| spelling | 15855 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15855 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 General Document Malaysia Library Staff (Top Management) Library Staff (Management) Library Staff (Support) Terengganu Faculty of Health Sciences English application/pdf 1.5 Server storage Scanned document Universiti Sultan Zainal Abidin UniSZA Private Access UNIVERSITI SULTAN ZAINAL ABIDIN SAMBox 2.4.24; modified using iTextSharp™ 5.5.10 ©2000-2016 iText Group NV (AGPL-version) Copyright©PWB2025 143 THE EFFECT OF POSTURAL MANAGEMENT USING PROPER WHEELCHAIRS IN CHILDREN WITH SPASTIC CEREBRAL PALSY IN SAUDI ARABIA (PHD_2022).pdf 2022-11-11 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia Majdeddin M. I. Ashqar Cerebral palsy—Rehabilitation Cerebral Palsy is the most common childhood disability with an estimated global prevalence of 2.1 per one thousand live births. Postural management and rehabilitation services play a major role in the management of CP cases, especially in cases with severe disabilities. Studies on postural management cases are scarce in the Middle Eastern region and developing countries. Most of previous studies focused on the physical aspect of postural management and largely ignored the effect on the quality of life of cerebral palsy patients and their families. The objectives of the current study are to measure the effect of proper wheelchair selection on spasticity of children with spastic cerebral palsy, quality of life, and on gross motor function. The current study was done In Sultan Bin Abdul-Aziz Humanitarian City, it is an experimental research. Data collection was performed through a self-administered electronic questionnaire. Spastic cerebral palsy cases, aged between 4 and 12 years, from both genders were eligible to be included in this study if they were admitted as an inpatient. 35 children participated in this study. The Gross Motor Functional Measurement score of the included cases was between three and five, the modified Ashworth scale assessment used for the spasticity in all the joint and cerebral palsy quality of life assessment to measure the quality of live Each included case was surveyed at three estimation interims: on day one, after two weeks and after four weeks from the beginning postural management intervention utilizing proper wheelchair according to the World Health Organization protocol. Repeated measures ANOVA were utilized to compare the scores. The mean age of the subjects was 8.0 ± 2.7 years. Around half of the study subjects were provided with World Health Organization standard wheelchair type after proper assessment of their postural management needs, 34.3% were provided with active wheelchair type and 20.0% with pushchairs type. Postural management using a proper wheelchair was associated with a statistically significant bilateral reduction in Modified Ashworth scale score between the baseline, after two weeks and after 4 weeks of intervention in the shoulder, elbow, wrist and hip joints (p-value <0.001). The Gross Motor Functional Measurement score decreased significantly between the baseline, after two weeks and after four weeks of postural management using proper wheelchairs (p-value <0.001). The overall mean Quality of Life score increased from 3083.9 ±206.6 on the baseline to 3355.3±197.9 after two weeks to 3538.6 ±186.9 after four weeks of postural management (p-value <0.001). Postural management using a proper wheelchair has led to statistically significant improvement in the spasticity score, motor functional score and the total score of quality of life of spastic cerebral palsy children and this improvement was more prominent in the social wellbeing, function, physical health, emotional wellbeing and access to services. The results of this study can be used to highlight the benefits of proper selection of wheelchairs for this extremely vulnerable group. They can be used to increase awareness regarding the postural management and paediatric rehabilitation services, as well as increasing the visibility of physiotherapy and occupational therapy potential benefits. Dissertations, Academic Sila masukkan subject wajib Dissertations, Academic. Terima kasih... Postural Management in Cerebral Palsy Wheelchair Intervention For Spastic CP Assistive Technology in Pediatric Rehabilitation Thesis |
| spellingShingle | 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia |
| state | Terengganu |
| subject | Cerebral palsy—Rehabilitation Dissertations, Academic |
| summary | Cerebral Palsy is the most common childhood disability with an estimated global prevalence of 2.1 per one thousand live births. Postural management and rehabilitation services play a major role in the management of CP cases, especially in cases with severe disabilities. Studies on postural management cases are scarce in the Middle Eastern region and developing countries. Most of previous studies focused on the physical aspect of postural management and largely ignored the effect on the quality of life of cerebral palsy patients and their families. The objectives of the current study are to measure the effect of proper wheelchair selection on spasticity of children with spastic cerebral palsy, quality of life, and on gross motor function. The current study was done In Sultan Bin Abdul-Aziz Humanitarian City, it is an experimental research. Data collection was performed through a self-administered electronic questionnaire. Spastic cerebral palsy cases, aged between 4 and 12 years, from both genders were eligible to be included in this study if they were admitted as an inpatient. 35 children participated in this study. The Gross Motor Functional Measurement score of the included cases was between three and five, the modified Ashworth scale assessment used for the spasticity in all the joint and cerebral palsy quality of life assessment to measure the quality of live Each included case was surveyed at three estimation interims: on day one, after two weeks and after four weeks from the beginning postural management intervention utilizing proper wheelchair according to the World Health Organization protocol. Repeated measures ANOVA were utilized to compare the scores. The mean age of the subjects was 8.0 ± 2.7 years. Around half of the study subjects were provided with World Health Organization standard wheelchair type after proper assessment of their postural management needs, 34.3% were provided with active wheelchair type and 20.0% with pushchairs type. Postural management using a proper wheelchair was associated with a statistically significant bilateral reduction in Modified Ashworth scale score between the baseline, after two weeks and after 4 weeks of intervention in the shoulder, elbow, wrist and hip joints (p-value <0.001). The Gross Motor Functional Measurement score decreased significantly between the baseline, after two weeks and after four weeks of postural management using proper wheelchairs (p-value <0.001). The overall mean Quality of Life score increased from 3083.9 ±206.6 on the baseline to 3355.3±197.9 after two weeks to 3538.6 ±186.9 after four weeks of postural management (p-value <0.001). Postural management using a proper wheelchair has led to statistically significant improvement in the spasticity score, motor functional score and the total score of quality of life of spastic cerebral palsy children and this improvement was more prominent in the social wellbeing, function, physical health, emotional wellbeing and access to services. The results of this study can be used to highlight the benefits of proper selection of wheelchairs for this extremely vulnerable group. They can be used to increase awareness regarding the postural management and paediatric rehabilitation services, as well as increasing the visibility of physiotherapy and occupational therapy potential benefits. |
| title | 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia |
| title_full | 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia |
| title_fullStr | 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia |
| title_full_unstemmed | 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia |
| title_short | 2022_The Effect of Postural Management Using Proper Wheelchairs in Children with Spastic Cerebral Palsy in Saudi Arabia |
| title_sort | 2022_the effect of postural management using proper wheelchairs in children with spastic cerebral palsy in saudi arabia |