Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina

The rehabilitation processes of children with cerebral palsy (CP) should be directed to improve motor skills, to develop skills for activities of daily life and for healthy lifestyles. These processes are recommended to be plan in the framework of the international classification of functioning and...

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Detalles Bibliográficos
Autores principales: Ruíz, M, Escobar, J, Cieri, E, Cuestas, E
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
cerebral palsy
child
rehabilitation centers
rehabilitation
health
parálisis cerebral
niño
centros de rehabilitación
rehabilitación
salud
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25821
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-25821
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic cerebral palsy
child
rehabilitation centers
rehabilitation
health
parálisis cerebral
niño
centros de rehabilitación
rehabilitación
salud
spellingShingle cerebral palsy
child
rehabilitation centers
rehabilitation
health
parálisis cerebral
niño
centros de rehabilitación
rehabilitación
salud
Ruíz, M
Escobar, J
Cieri, E
Cuestas, E
Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina
topic_facet cerebral palsy
child
rehabilitation centers
rehabilitation
health
parálisis cerebral
niño
centros de rehabilitación
rehabilitación
salud
author Ruíz, M
Escobar, J
Cieri, E
Cuestas, E
author_facet Ruíz, M
Escobar, J
Cieri, E
Cuestas, E
author_sort Ruíz, M
title Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina
title_short Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina
title_full Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina
title_fullStr Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina
title_full_unstemmed Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina
title_sort motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern argentina
description The rehabilitation processes of children with cerebral palsy (CP) should be directed to improve motor skills, to develop skills for activities of daily life and for healthy lifestyles. These processes are recommended to be plan in the framework of the international classification of functioning and health (ICF). In Argentina it is unknown how rehabilitation processes occur. The aim of this study was to analyze access to health and rehabilitation in children and adolescents from 2 to 19 years with PC, and to characterize their diagnosis and nutritional status, in four provinces of Argentina (Cordoba, Catamarca, Santiago del Estero and Jujuy) in the year 2018-2019. A descriptive and cross-sectional study was carried out. Data were collected from children in six rehabilitation centers from surveys and medical records. Also, interviews were carried out with coordinators of thirteen rehabilitation centers. Nutritional status was assessed with WHO Anthro Plus. The severity level was assessed with the international classification of gross motor function(GMFCS). The discrete data were described in percentage with 95%CI, and the normal continuous in means ±SD, and not normal in medians with IQR. Multicentre study funded by the Ministry of Health and Social Development of the Nation. This study was approved by the CIEIS of the HNC. Data was obtained from 236 children with CP. 105 children had a GMFCS I-III (45% 95%CI 38.5,51.6) and 131 GMFCS IV-V (55% 95%CI 48.4,61.5), with similar prevalence of severe levels in each province. 46 children presented moderate undernutrition (21% 95%CI15.8.27) and 84 severe undernutrition (38.35% 95%CI31.8,45.1) according to WHO standards (2007). Despite the differences in GMFCS, the average number of weekly sessions and duration that children receive were similar. Coordinators from 13 centers were interviewed. Although 84.6% know the CIF, only one of the centers responded that it was used in rehabilitation processes. According to rehabilitation centers the model of rehabilitation was linked to the interdisciplinary model, with a focus on the team of professionals. It can be concluded that in Argentina there are high prevalence of CP with severe gross motor compromise and undernutrition. The international classifications and ICF are not yet systematically applied. It is necessary to review the treatments, strategies and policies in rehabilitation
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25821
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spelling I10-R327-article-258212024-08-27T18:26:23Z Motor severity, growth and rehabilitation models accessed by children and adolescents with cerebral palsy in four provinces of central and northwestern Argentina Severidad motora, crecimiento y modelos de rehabilitación a las que acceden niños/as y adolescentes con parálisis cerebral en cuatro provincias del centro y noroeste de Argentina Ruíz, M Escobar, J Cieri, E Cuestas, E cerebral palsy child rehabilitation centers rehabilitation health parálisis cerebral niño centros de rehabilitación rehabilitación salud The rehabilitation processes of children with cerebral palsy (CP) should be directed to improve motor skills, to develop skills for activities of daily life and for healthy lifestyles. These processes are recommended to be plan in the framework of the international classification of functioning and health (ICF). In Argentina it is unknown how rehabilitation processes occur. The aim of this study was to analyze access to health and rehabilitation in children and adolescents from 2 to 19 years with PC, and to characterize their diagnosis and nutritional status, in four provinces of Argentina (Cordoba, Catamarca, Santiago del Estero and Jujuy) in the year 2018-2019. A descriptive and cross-sectional study was carried out. Data were collected from children in six rehabilitation centers from surveys and medical records. Also, interviews were carried out with coordinators of thirteen rehabilitation centers. Nutritional status was assessed with WHO Anthro Plus. The severity level was assessed with the international classification of gross motor function(GMFCS). The discrete data were described in percentage with 95%CI, and the normal continuous in means ±SD, and not normal in medians with IQR. Multicentre study funded by the Ministry of Health and Social Development of the Nation. This study was approved by the CIEIS of the HNC. Data was obtained from 236 children with CP. 105 children had a GMFCS I-III (45% 95%CI 38.5,51.6) and 131 GMFCS IV-V (55% 95%CI 48.4,61.5), with similar prevalence of severe levels in each province. 46 children presented moderate undernutrition (21% 95%CI15.8.27) and 84 severe undernutrition (38.35% 95%CI31.8,45.1) according to WHO standards (2007). Despite the differences in GMFCS, the average number of weekly sessions and duration that children receive were similar. Coordinators from 13 centers were interviewed. Although 84.6% know the CIF, only one of the centers responded that it was used in rehabilitation processes. According to rehabilitation centers the model of rehabilitation was linked to the interdisciplinary model, with a focus on the team of professionals. It can be concluded that in Argentina there are high prevalence of CP with severe gross motor compromise and undernutrition. The international classifications and ICF are not yet systematically applied. It is necessary to review the treatments, strategies and policies in rehabilitation Los procesos de rehabilitación de los niños/as con parálisis cerebral (PC) deberían estar planteados desde la clasificación internacional de funcionamiento y salud(CIF) para que los tratamientos estén vinculados a mejoras en la motricidad, al desarrollo de habilidades para actividades de la vida diaria y su salud. En Argentina se desconoce cómo se dan estos procesos. El objetivo de este estudio fue analizar el acceso a la salud y rehabilitación de niños/as y adolescentes de 2 a 19 años con PC, y caracterizar su diagnóstico y estado nutricional, en cuatro provincias de Argentina (Córdoba, Catamarca, Santiago del Estero y Jujuy) en el año 2018-2019. Se llevó a cabo un análisis descriptivo y transversal. Se recolectaron datos de niños/as en 6 centros de rehabilitación a partir de encuestas e historias clínicas. Además, se hicieron entrevistas a coordinadores de 13 centros de rehabilitación. El estado nutricional se valoró con WHO Anthro Plus. El nivel de severidad se evaluó con la clasificación internacional de la función motora gruesa(GMFCS). Los datos discretos se describieron en porcentaje con IC95%, y los continuos normales en medias ±DE, y no normales en medianas con ICC. Estudio multicéntrico financiado por el Ministerio de salud y desarrollo social de la Nación. Este estudio tuvo la aprobación del CIEIS del HNC. Se obtuvieron datos de 236 niños/as con PC 105(44,5%IC95%38,3-50,9) presentaron un GMFCS I-III(45%IC95%38.5,51.6) y 131 GMFCS IV-V(55%IC95%48.4,61.5), predominando niveles severos en cada provincia. 46 niños/as(21%IC95%15.8,27) presentaron desnutrición moderada y 84(38,35%IC95%31.8,45.1) desnutrición severa según patrones OMS (2007). A pesar de las diferencias en el compromiso motor, el promedio de la cantidad de sesiones semanales y duración que reciben los niños/as se asemejan. Se entrevistaron a coordinadores de 13 centros.  Si bien el 84,6% conoce la CIF, solo uno de los centros respondió que usa esta clasificación en los procesos de rehabilitación. Según los centros el modelo de rehabilitación presente se vincularía al intredisciplinario, con el foco en el equipo profesional. Es posible concluir que, en Argentina se observan elevadas prevalencias de PC con compromiso motor grueso severo y desnutrición. Las clasificaciones internacionales y CIF aún no se aplican sistemáticamente. Es necesario hacer una revisión de los tratamientos, estrategias y políticas en rehabilitación Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25821 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25821/27605 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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