Factors Affecting the Outcomes of Activities of Daily Living (ADLs) Based Intervention on Spastic Hemiplegic Cerebral Palsy

Abstract

ABSTRACT

 Objective: To observe the effects of different factors on ADLs-based intervention in spastic hemiplegic cerebral palsy.

Place and Duration of the Study: This observational study was conducted at the Department of Developmental and Behavioral Pediatrics; Children Hospital Lahore, PSRD (Pakistan Society of Rehabilitation for Disabled), and Private Clinical Setups. This study was completed in 6 months.

Materials and Methods: A total of 37 were taken into observation to fill out the questionnaire. The patients taken in this study were all spastic hemiplegic cerebral palsy, with under-going interventions based on ADLs technique.

Results: The result shows that the Education and financial status of the parents, availability of tools, and time to travel to the therapy center have an almost insignificant impact on the undergoing therapy. While the working status of mothers, level of impairment, and family history of the disease has a moderate effect. Vaccination course, time per session, number of sessions per week, Regularity of sessions, involvement and compliance of the patient, comorbidities, and observation of the parents have a significant impact on ADLs-based intervention.

 Conclusions: Patients with more educated parents, better financial status, non-working status of the mother, complete vaccination, more duration of session, more number and regular session, complete involvement of patient with good compliance, having no other comorbidities and family history of disease, low level of impairment, availability of tools, observation of professional and less time to travel shows better results during ADLs based intervention.

Keywords: ADLs (Activities of daily living), sessions, Cerebral palsy.