Quality of life and its predicting factors for Tunisian children with cerebral palsy

Background: Cerebral palsy (CP) can cause motor, sensory, perceptual, cognitive, communication and behavioural disorders. The complexity of this condition justifies measuring the quality of life (QOL) of children with CP. This measurement depends on personal and socio-economic factors, hence the rel...

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Main Authors: Ghanmi Marwa, Sahbi Mtawaa, Emna Toulgui, Rihab Moncer, Walid Wannes, Khaled Maaref, Sonia Jemni
Format: Article
Language:English
Published: AOSIS 2022-12-01
Series:African Journal of Disability
Subjects:
Online Access:https://ajod.org/index.php/ajod/article/view/1046
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author Ghanmi Marwa
Sahbi Mtawaa
Emna Toulgui
Rihab Moncer
Walid Wannes
Khaled Maaref
Sonia Jemni
author_facet Ghanmi Marwa
Sahbi Mtawaa
Emna Toulgui
Rihab Moncer
Walid Wannes
Khaled Maaref
Sonia Jemni
author_sort Ghanmi Marwa
collection DOAJ
description Background: Cerebral palsy (CP) can cause motor, sensory, perceptual, cognitive, communication and behavioural disorders. The complexity of this condition justifies measuring the quality of life (QOL) of children with CP. This measurement depends on personal and socio-economic factors, hence the relevance of performing it in our cultural context of Tunisia. Objectives: The objectives of this study were to assess the QOL of Tunisian children with CP and to identify predictive factors for QOL. Method: A cross-sectional study using a self-administered questionnaire (the CP QOL-Child) was employed. It included 68 children with CP and their parents who consulted the outpatient clinics of Physical Medicine and Rehabilitation of the University Hospital of Sahloul Sousse. Results: The QOL of children with CP was altered, and the mean total score for the CP QOL-Child was 59.3 (± 14). All domains were affected by this alteration. Six predictive factors for lowered QOL in children with CP were identified, namely age older than 6 years, swallowing disorders, more intense chronic pain, greater level of motor impairment, the use of botulinum toxin injection and the absence of verbal communication. Conclusion: Intervention with children with CP must be mindful of their altered QOL. Five out of the six predictive factors of QOL are modifiable through a multidisciplinary approach within the framework of the International Classification of Functioning, Disability and Health (ICF). Contribution: The multiplicity of the factors associated with QOL revealed by this study incites clinicians to adopt the ICF approach by displaying its practical implications on the efficiency of the medical intervention.
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spelling doaj.art-12567ce162f84aaabdf4aa0e880bc0bd2022-12-22T10:15:23ZengAOSISAfrican Journal of Disability2223-91702226-72202022-12-01110e1e910.4102/ajod.v11i0.1046327Quality of life and its predicting factors for Tunisian children with cerebral palsyGhanmi Marwa0Sahbi Mtawaa1Emna Toulgui2Rihab Moncer3Walid Wannes4Khaled Maaref5Sonia Jemni6Department of Physical Medicine and Rehabilitation, Faculty of Medicine of Monastir, University Hospital Sahlou, SousseDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine of Sousse, University Hospital of Kairouan, KairouanDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine of Sousse, University Hospital of Sahloul, SousseDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine of Sousse, University Hospital of Sahloul, SousseDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine of Sousse, University Hospital of Sahloul, SousseDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine of Sousse, University Hospital of Sahloul, SousseDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine of Sousse, University Hospital of Sahloul, SousseBackground: Cerebral palsy (CP) can cause motor, sensory, perceptual, cognitive, communication and behavioural disorders. The complexity of this condition justifies measuring the quality of life (QOL) of children with CP. This measurement depends on personal and socio-economic factors, hence the relevance of performing it in our cultural context of Tunisia. Objectives: The objectives of this study were to assess the QOL of Tunisian children with CP and to identify predictive factors for QOL. Method: A cross-sectional study using a self-administered questionnaire (the CP QOL-Child) was employed. It included 68 children with CP and their parents who consulted the outpatient clinics of Physical Medicine and Rehabilitation of the University Hospital of Sahloul Sousse. Results: The QOL of children with CP was altered, and the mean total score for the CP QOL-Child was 59.3 (± 14). All domains were affected by this alteration. Six predictive factors for lowered QOL in children with CP were identified, namely age older than 6 years, swallowing disorders, more intense chronic pain, greater level of motor impairment, the use of botulinum toxin injection and the absence of verbal communication. Conclusion: Intervention with children with CP must be mindful of their altered QOL. Five out of the six predictive factors of QOL are modifiable through a multidisciplinary approach within the framework of the International Classification of Functioning, Disability and Health (ICF). Contribution: The multiplicity of the factors associated with QOL revealed by this study incites clinicians to adopt the ICF approach by displaying its practical implications on the efficiency of the medical intervention.https://ajod.org/index.php/ajod/article/view/1046cerebral palsyquality of lifecp qol-child questionnairechildicf.
spellingShingle Ghanmi Marwa
Sahbi Mtawaa
Emna Toulgui
Rihab Moncer
Walid Wannes
Khaled Maaref
Sonia Jemni
Quality of life and its predicting factors for Tunisian children with cerebral palsy
African Journal of Disability
cerebral palsy
quality of life
cp qol-child questionnaire
child
icf.
title Quality of life and its predicting factors for Tunisian children with cerebral palsy
title_full Quality of life and its predicting factors for Tunisian children with cerebral palsy
title_fullStr Quality of life and its predicting factors for Tunisian children with cerebral palsy
title_full_unstemmed Quality of life and its predicting factors for Tunisian children with cerebral palsy
title_short Quality of life and its predicting factors for Tunisian children with cerebral palsy
title_sort quality of life and its predicting factors for tunisian children with cerebral palsy
topic cerebral palsy
quality of life
cp qol-child questionnaire
child
icf.
url https://ajod.org/index.php/ajod/article/view/1046
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