The aim of the study was to find out the knowledge of parents on rehabilitation with their children with cerebral palsy admitted into CRP from January to April. It is not possible to know the total number of patient of cerebral palsy in Bangladesh. Currently there is lack of survey information on cerebral palsy in CRP.
In the study we found that there were 68% male and 42% female children with cerebral palsy. On the other hand, one study showed that there was 54.9% male and 45.1% female in total population in Australia (Davis et al., 2009). In America, another study showed from total population that, there was 60% male and 40% female. In Bangladesh, only male was 69% in living area (Mobarak et al., 2000). In India, 55.3% were male and 44.7% were female leaving the residential area (Souza et al., 2005). So from the above discussion, it is clear that there is already a similar relationship between our country and other countries. About 109 samples were taken.
The study showed that majority mothers were not highly educated because of their poor financial condition. Mother’s educational level was 18.3% under primary level, 20% primary completed, 15.6% J.S.C completed, 24.8% S.S.C completed, 23.7% H.S.C completed, 7.3% bachelor or above and 11.0% others. Another way father’s educational level were completed 4.7% under primary, 27% primary, 13.7% J.S.C, 13% S.S.C, 11% H.S.C, 13% bachelor or above and 17.7% others. In Australia, one study found in mothers were completed 1.5% primary level,37.2% high school level,22.1% trade certification and 29% university. And father’s education was 0.5% primary school, 39.2% high school, 29.4% trade certification, 23% university level completed (Davis et al., 2009). In Bangladesh, mother was not educated 38% found one study (Mobarak et al., 2000).
In our study findings are that the knowledge about rehabilitation services among the parents was good because majority of parents knew about the condition. One study showed that the appropriateness of the rehabilitation programs was needed for the children. For families with a disabled child, it is quite difficult to accept the disability and rearrange lifestyles to adapt to the child’s condition. Mothers who are the primary caregivers of disabled children face many difficulties, so they need a rehabilitation program (Kavlak et al., 2014).
In our study it is shown that assistive devices are very important for the rehabilitation of the CP children. Most of the parents among the participants were aware about that and they also used these assistive devices. Most of them use the standing table and sitting device. One study mentioned that the physiotherapist focuses on gross motor skills and functional mobility in the management of motor deficits in CP. Positioning, sitting, walking with or without assistive devices and orthosis; wheelchair use and transfers are areas that the physiotherapist works on. The physiotherapist performs and plans physiotherapy and home programs and provides the interphase with the school and recommends equipment and orthosis (Damiano, 2006).It has been emphasized that early application of physiotherapy for a child with CP is important for motor development of the child and that the mother perceives the condition of the child. Considering that all rehabilitation processes such as assistive devices should be realized in the natural environment of the child, involving the family in this process is inevitable. Informing the family about the care and rehabilitation of the child and providing help are as effective as directly educating the child (Kavlak et al., 2014).
In our study, we see that most of the parents knew about physiotherapy, occupational therapy & speech and language therapy. One study showed that, health providers, especially physiotherapists (PTs), should talk with the parents of a disabled child before planning a specific treatment or intervention in order to establish the most suitable program for the child. The parents of disabled children seek to learn all details, both positive and negative aspects, about a physiotherapy and rehabilitation program that will be applied to them. This is necessary for the parents to understand the mission and goal of the program. Moreover, the PTs and mother (M) or father of a disabled child should evaluate the child together so that they can define the needs of the child. For this reason, the parents of children with CP should also be included in making decisions in the rehabilitation process. The purposes of this research were to understand perceptions of Mothers and PTs regarding the rehabilitation programs their children receive and to report the current knowledge of mothers and PTs, highlighting consensus and disagreement (Kavlak et al., 2014).
In this study, 9.4% of the participants suffered birth asphyxia where 95.4% did not. At the same time in India, showed the study birth asphyxia was present 26.3% (Souza et al., 2005). In Netherlands study showed that 17.3% child had birth asphyxia present (Toorn et al., 2007). The study showed that after birth various complication in participants. There were pneumonia 10.5%,seizure 17.7%, jaundice 11.6%, others 11.0%.Anotyher study showed that dehydration & seizure 3%,jaundice & seizure 11%,jaundice, pneumonia & seizure 6.7%,pneumonia & seizure 10.3%,jaundice &pneumonia 4% and last jaundice dehydration & pneumonia 0.3%. In India, the study presented that presence of neonatal seizure 7.9% (Souza et al., 2005).
So, from the above discussion we can say that there is a relation between the mother’s education level and knowledge about rehabilitation services.