Environmental factors of children and adolescents with Cerebral Palsy attended at an outpatient clinic in the Interior of Amazonas from the perspective of the International Classification of Functioning, Disability and Health
DOI:
https://doi.org/10.62827/fb.v26i2.1051Keywords:
International Classification of Functioning, Disability and Health; Social Environment, Rehabilitation Services; Cerebral Palsy; Children; Adolescent.Abstract
Introduction: Cerebral palsy refers to a group of motor and postural disorders resulting from a non-progressive lesion in the developing central nervous system. Environmental factors may act as either barriers or facilitators to development. Objective: The environmental factors of children and adolescents with Cerebral Palsy receiving care at a University Outpatient Clinic in the interior of Amazonas were characterized. Methods: A cross-sectional, retrospective study. A total of 17 medical records of children and adolescents with Cerebral Palsy, aged 0 to 18 years, from a university physiotherapy outpatient clinic, evaluated in 2022 and 2023. The characteristics of personal factors were described - factors sociodemographic; characteristics clinical and functional; and characteristics of environmental factors: family, housing conditions, use of products and technology, social support and access to services were assessed. Descriptive analysis was performed using mean, standard deviation, percentage, and frequency. Results: Most patients were male (64,3%, n= 11), and 47,1% (n= 8) had bilateral spastic Cerebral Palsy, classified as Level V on the Gross Motor Function Classification System. Levels I and IV were the most frequent in the Manual Ability Classification System (both with 29,4%, n= 5). Numerous environmental barriers have been identified as lack of walking and mobility assistive devices up to 70,6% (n= 12), difficulty accessing pediatricians and neurologists 70,6% (n= 12), lack of access to school or daycare (64,7%, n= 11), were low family income (47,1%, n= 8) and not receiving social assistance and/or benefits (52.9%, n= 9). Conclusion: There are numerous environmental barriers to health services, educational, and social services, as well as in the consumption and use of personal products and technologies that affect the functionality and development of these children and adolescents.
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