Factors associated with low adherence to physiotherapy treatment for the children with cerebral palsy

Abstract

Purpose: The purpose of the study is to find out the factors associated with low adherence to physiotherapy treatment for the children with cerebral palsy. Objectives: The objectives of the study were to find out the prevalence of patient adherent to physiotherapy treatment for cerebral palsy, identify the sociodemography of the participants, to explore the common causes of non- adherence, to observe the association between level of adherence and several sociodemographic information like (age, gender, living area, education , comorbidities) and physical parameter related information. Methodology: The study design was cross- sectional. Total 105 samples were selected conveniently for this study from Centre for the rehabilitation of the paralyzed (CRP), Pediatric unit, at Savar. Data was collected by using of questionnaire, adherence level was measured by The Adherence in Chronic Diseases Scale (ACDS). The study was conducted by descriptive and inferential analysis through using SPSS software 20 version. Results: This study found the prevalence of high adherence people which was 9.5%, medium adherence people was 60% and low adherence people was 30.5%, a weak association found between adherence category and level of motivation Not found any association between adherence category with gender, living area, occupation of mother, feeding problem, epileptic sign, level of adaptation , Level of motivation, Emotional states, Distance of residence, Transport hazard, Family support, family member with disability. Conclusion: Adherence to physiotherapy treatment is very important to improve the functional ability, physical condition and also to improve the quality of life for the cerebral palsy patients. I found in this study that the percentage of medium adherent people is high. This findings means, awareness about the importance of physiotherapy treatment is increasing gradually than before. Key word: Adherence, cerebral palsy, physiotherapy treatment, ACDS scale. Abstract