Establish registry of cerebral palsy in minia governorate

Author: 
Dr. Gehan Hassan ELmaniawy, Dr. Mona Nabil Mohamed Ayad and Asmaa Salah Ali Ahmed

Background: The current study was conducted to establish registry for physical therapy database of cerebral palsy patients in Mina city and its surrounding cities including (Maghagha, Matty, Mallawi, Samallott, Abu-Qurqase and Deirmawas). Children with CP were recruited from hospitals of health ministry (general hospitals), insurance hospitals, pt centers, private hospitals and units of family medicine in Minia governorate. Children were of both genders and their age ranged from birth to 18 years old. Materials: The outcome measures were Gross Motor Function Classification System (GMFCS), Gross motor function measure (GMFM) from birth to 18 years, Manual Ability Classification System (MACS) and Viking Speech Scale. Results: The results revealed that the children with CP who received physical therapy services were 221 and children who did not receive physical therapy services were32, children49% were from relative parents, 63.2% were living in rural and 76.3% Presented by obstruction. classification of CP based on GMFCS were 4.7% for level I, 31.6% for level ll, 37.2% for level lll, 25.7% for level IV and 8% for level V. Viking Speech scale declared 32.8% for level I, 33.6% for level II, 19.8 % for level III and 13.8 % for level IV. Our results revealed that there were significant relation between GMFM, MACS, GMFCS, VIKING scales and CP. Conclusion: The current study revealed that prevalence of CP in Minia governorate was 253 children representing 0.088 per 1000 live births. The spastic type 57.3% was the most common while dystonic type was the least 7.9%. Demography revealed that 60.5% of children were males and 38.5% were females, 36.8% of the cases were from urban and 63.2% were rural High incidences of children with CP were level III using GMFCS, MACS and level II using Viking speech scale.

Paper No: 
2061