Factors Associated with Low Adherence to Physiotherapy Treatment for Children with Cerebral Palsy
Sraboni Biswas, Faruq Ahmed*, Minarul Tawhid AKM, Kamrun Naher Irin, Syeda Nasrin Begum, Moeidu Bhuian Priti, Shammy Akter Eti and Tasjide Tayeba Ratri
ABSTRACT
Background: Cerebral palsy (CP) is a non-progressive irreversible lesion of the brain or injury of the brain during labor, at the time of birth, or during delivery. Children with cerebral palsy required regular-based rehabilitation care.
Objectives: The study aimed to identify the factors related with low adherence to physiotherapy intervention for children with CP in Bangladesh.
Methods: A convenience sampling technique was used to carry out the cross-sectional study. The samples were collected from the 9 Centre for the Rehabilitation of the Paralysed (CRP) at the different divisions of Bangladesh. A total of 280 CP children were selected through face-to-face interviews. The study was carried out between July 2022 and June 2023. The Adherence in Chronic Diseases Scale (ACDS) was used to measure the level of adherence. The Chi square test was used for analysis through the Statistical Package for Social Sciences (SPSS) version 25.0.
Results: The maximum of respondents (61.4%) were males, while the majorities (58.6%) were from rural areas. The majority of respondents (60.4%) adherence category was medium, and multiple co-morbidities were 6.8%. The level of motivation and level of adaptation of the participants were 67.1% and 53.6%, respectively. The study results found association between adherence category with level of motivation (p = 0.02) and feeding problem (p = 0.05).
Conclusion: Adherence to physiotherapy treatment is very important to improve the functional ability, physical activity, and quality of life for the children with CP. The awareness about the importance of physiotherapy treatment should increase gradually among the mass people.
