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Sogbossi ES, Arnould C, Kpadonou TG, Batcho CS, Bleyenheuft Y. Measuring global activity performance in children with cerebral palsy in West Africa: validation of an adapted version of the ACTIVLIM-CP questionnaire. Disabil Rehabil 2024; 46:170-179. [PMID: 36495153 DOI: 10.1080/09638288.2022.2154083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 11/26/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE To calibrate a West-African version of the ACTIVLIM-CP questionnaire (ACTIVLIM-CP-WA) for children with cerebral palsy (CP). MATERIALS AND METHODS We recruited 287 children with CP of various age range: 2-6 years (n = 117, preschoolers), 6-12 years (n = 96, children) and 12-19 years (n = 74, adolescents). Caregivers of children of each age range completed the experimental version of the ACTIVLIM-CP-WA including 76 (preschoolers), 78 (children) and 76 (adolescents) global daily life activities. Responses were analyzed using the Rasch RUMM2030 software. RESULTS The final West-African version of ACTIVLIM-CP including 31 items (both common and age-specific items) defined a unidimensional, linear scale with well-discriminated response categories. It presented a high internal consistency (R = 0.94). Moreover, all items were locally independent and the item difficulty hierarchy was invariant regarding caregivers' education, children's age and gender, MACS and GMFCS levels. The ACTIVLIM-CP-WA measures were significantly correlated (p < 0.05) with Gross Motor Function Classification System (ρ = -0.77), Manual Ability Classification System (ρ = -0.75), Box and Block test (dominant hand r = 0.51; non-dominant hand r = 0.49), One-minute walking test (r = 0.28), and Timed up and Go test (r = -0.40). CONCLUSIONS The ACTIVLIM-CP-WA questionnaire provides a valid and reliable tool that has the potential to follow children's evolution and quantify changes consecutive to neurorehabilitation in Sub-Saharan Africa.IMPLICATIONS FOR REHABILITATIONThe West-African version of the ACTIVLIM-CP questionnaire (ACTIVLIM-CP-WA) measures global activities requiring a combination of lower and upper extremities in children with cerebral palsy.As a Rasch-built scale, measures are unidimensional and linear to document changes in children with cerebral palsy from 2 to 19 years in Sub-Saharan Africa.Rehabilitation professionals are encouraged to use the ACTIVLIM-CP-WA questionnaire as a psychometrically robust assessment tool measuring the global performance in daily life activities in children with cerebral palsy in Sub-Saharan Africa.
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Affiliation(s)
- Emmanuel Segnon Sogbossi
- Motor Skill Learning and Intensive Neurorehabilitation Lab, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
- School of Physical Therapy, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
| | - Carlyne Arnould
- Forme & Fonctionnement Humain Lab, Physical and Occupational Therapy Departments, Haute Ecole Louvain en Hainaut, Montignies-sur-Sambre, Belgium
| | - Toussaint G Kpadonou
- School of Physical Therapy, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
- Clinique Universitaire de Médecine Physique et Réadaptation, Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA (CNHU-HKM) de Cotonou, Cotonou, Benin
| | - Charles Sebiyo Batcho
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Laval University, Quebec, Canada
- Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec, Canada
| | - Yannick Bleyenheuft
- Motor Skill Learning and Intensive Neurorehabilitation Lab, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
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Sogbossi ES, Sotindjo Adon S, Adjagodo L, Dossou S, Dakè H, Ebner-Karestinos D, Araneda R, Saussez G, Paradis J, Kpadonou TG, Bleyenheuft Y. Efficacy of hand-arm bimanual intensive therapy including lower extremities (HABIT-ILE) in young children with bilateral cerebral palsy (GMFCS III-IV) in a low and middle-income country: protocol of a randomised controlled trial. BMJ Open 2021; 11:e050958. [PMID: 34610941 PMCID: PMC8493925 DOI: 10.1136/bmjopen-2021-050958] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Cerebral palsy (CP) is highly prevalent in sub-Saharan Africa, where clinically-based studies have shown a considerable over-representation of the severe bilateral subtype. However, children's access to rehabilitation care is limited by many local factors, notably the lacking of rehabilitation services, insufficient knowledge of caregivers and financial constraints. In such a context there is an urgent need for studies of the evidence-based rehabilitation approach. Here, we describe the protocol of a randomised controlled study to investigate the efficacy of Hand-Arm Bimanual Intensive Therapy Including the Lower Extremities (HABIT-ILE) in young children with bilateral CP in Benin Republic, a representative low and middle-income country of western Africa. METHODS AND ANALYSIS Forty children with bilateral CP aged between 24 and 59 months and with level III-IV in the gross motor function classification will be randomised to either a high intensity conventional therapy or HABIT-ILE therapy. Both therapies will be delivered as a day-camp model over 2 weeks to a total of 50 hours (5 hours per day). The assessor-blinded primary outcomes will include the gross motor function measure and both hands assessment. Secondary outcomes will be the adapted version of the ACTIVLIM-CP questionnaire, the Canadian Occupational Performance Measure, and a perception of CP interview form. Children will be assessed at baseline, after intervention and at 6-week follow-up. A 2 (group)×3 (test sessions) repeated analysis of variance will evaluate changes after the interventions. ETHICS AND DISSEMINATION This study has been approved by the ethics committee of the rehabilitation department of the National Teaching Hospital Hubert Koutoukou Maga of Cotonou, Benin (approval decision: N°01-2019/MS/CNHU-HKM/CEI/CUMPR). All participants' parents/caregivers will provide their written informed consent. Data will be managed with confidentiality. TRIAL REGISTRATION NUMBER PACTR201911894444879.
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Affiliation(s)
- Emmanuel Segnon Sogbossi
- Institute of Neuroscience, Université catholique de Louvain, Bruxelles, Belgium
- School of Physiotherapy, Université d'Abomey-Calavi, Faculté des Sciences de la Santé, Cotonou, Benin
| | - Solange Sotindjo Adon
- Service de Kinésithérapie et d'Appareillage Orthopédique, Centre Hospitalier Universitaire Départemental de Borgou/Alibori, Parakou, Benin
| | | | - Solange Dossou
- Centre Medico-social Sainte Elisabeth de la Trinité, Calavi, Benin
| | - Hyppolite Dakè
- Clinique universitaire de médecine physique et réadaptation, Centre National Hospitalier Universitaire Hubert Koutoukou Maga de Cotonou, Cotonou, Benin
| | | | - Rodrigo Araneda
- Institute of Neuroscience, Université catholique de Louvain, Bruxelles, Belgium
| | - Geoffroy Saussez
- Physical and Occupational Therapy, Haute Ecole Louvain en Hainaut - Montignies-sur-Sambre, Montignies-sur-Sambre, Belgium
| | - Julie Paradis
- Département Ergothérapie, HE Vinci, Italia, Vinci, Italy
| | - Toussaint G Kpadonou
- School of Physiotherapy, Université d'Abomey-Calavi, Faculté des Sciences de la Santé, Cotonou, Benin
- Clinique universitaire de médecine physique et réadaptation, Centre National Hospitalier Universitaire Hubert Koutoukou Maga de Cotonou, Cotonou, Benin
| | - Yannick Bleyenheuft
- Institute of Neuroscience, Université catholique de Louvain, Bruxelles, Belgium
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Sogbossi ES, Houekpetodji D, Kpadonou TG, Bleyenheuft Y. Mothers' perception of cerebral palsy in a low-income country of West Africa: a cross-sectional study. Disabil Rehabil 2021; 44:4767-4774. [PMID: 33993806 DOI: 10.1080/09638288.2021.1919765] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
PURPOSE Investigating mothers' perceptions of Cerebral Palsy (CP) and the impact of caregiving on family life in Benin, a west-African low to middle-income country (LMIC). METHODS In this cross-sectional study we interviewed at their homes 88 mothers of children with CP about their perception of the cause of CP and stigmatization issues. Additionally, they completed the Impact on Family Scale and the Family Support Scale questionnaires. Multinomial and ordinal regressions analyses were used (p < 0.05). RESULTS Most mothers (78%) referred to non-biomedical causes of CP (God's will or curse). Caregivers with a limited education level were more likely to report non-biomedical beliefs. Only 28% reported having received from physicians an explanation of the causes of CP. Around 38% endorsed neighbors considered their children as cursed, which is a source of stigmatization. Mothers perceived a high impact of caregiving on their family life that correlated with non-biomedical beliefs, low education level, and the severity of CP. CONCLUSION There is a need in Benin, and probably in West-African LMICs generally, to shift to a family-centered care system and to inform the public about the root causes of CP to improve social integration of children with CP and decrease the negative impact on their families.Implication for rehabilitationMothers with a limited education level are more likely to report non-biomedical causes of CP in this LMIC;mothers' level of education and non-biomedical beliefs of causes of CP are associated to a high impact of caregiving on family life in this LMIC;mothers of children with CP in this LMIC do not perceive health-workers helpful.
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Affiliation(s)
- Emmanuel Segnon Sogbossi
- Motor Skill Learning and Intensive Neurorehabilitation Lab, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium.,Faculty of Health Sciences, School of Physical Therapy, University of Abomey-Calavi, Cotonou, Benin
| | - Damienne Houekpetodji
- Faculty of Health Sciences, School of Physical Therapy, University of Abomey-Calavi, Cotonou, Benin
| | - Toussaint G Kpadonou
- Faculty of Health Sciences, School of Physical Therapy, University of Abomey-Calavi, Cotonou, Benin.,Clinique Universitaire de Médecine Physique et Réadaptation du Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA (CNHU-HKM) de Cotonou, Cotonou, Benin
| | - Yannick Bleyenheuft
- Motor Skill Learning and Intensive Neurorehabilitation Lab, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
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Assogba TF, Niama-Natta DD, Kpadonou TG, Lawson T, Mahaudens P, Detrembleur C. Disability and functioning in primary and secondary hip osteoarthritis in Benin. Afr J Disabil 2020; 9:675. [PMID: 33354532 PMCID: PMC7736690 DOI: 10.4102/ajod.v9i0.675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Accepted: 08/27/2020] [Indexed: 11/23/2022] Open
Abstract
Background In Africa, primary hip osteoarthritis seems to be less frequent than in Europe. Sickle cell disease is responsible for aseptic osteonecrosis of the femoral head associated with secondary hip osteoarthritis. Very little evidence is available on the influence of aetiology (primary and secondary) and radiographic status on pain and disability in a Beninese population with hip osteoarthritis. Objectives The aim of this study was to compare the impacts of aetiology and radiographic status on pain, disability and quality of life in a Beninese population with hip osteoarthritis. Method This was a descriptive cross-sectional study, including participants recruited in the Clinic of Physical Medicine and Rehabilitation at the National Teaching Hospital in Cotonou. Assessment was based on the International Classification of Functioning, Disability and Health model. The main outcomes were severity of osteoarthritis, pain, range of motion, muscle strength, gait speed and quality of life. Statistical comparisons between the aetiologies were performed using a t-test or rank sum test. One-way analysis of variance was used to test the effect of radiographic status. Results Forty-nine participants (26 women and 23 men; mean age [standard deviation] 40.5 [17.9] years) were recruited. According to the aetiology (59.2% and 40.8% of primary and secondary osteoarthritis, respectively), there were no significant differences for any of the outcomes. Grades I, II, III and IV osteoarthritis were observed in 22.4%, 14.3%, 26.5% and 36.7% of the participants, respectively. Participants with grade IV osteoarthritis were more affected than those with grades I, II and III based on the Kellgren and Lawrence classification. Conclusion Aetiology did not influence pain, gait speed or quality of life. Participants with grade IV osteoarthritis had more pain, were more limited in walking and had a more impaired quality of life.
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Affiliation(s)
- Todègnon F Assogba
- Neuro Musculo Skeletal Lab (NMSK), Faculté des Sciences de la Motricité, Université Catholique de Louvain, Brussels, Belgium.,Clinique Universitaire de Médecine Physique et de Réadaptation, Centre National Hospitalier et Universitaire Hubert K. Maga, Cotonou, Benin
| | - Didier D Niama-Natta
- Clinique Universitaire de Médecine Physique et de Réadaptation, Centre National Hospitalier et Universitaire Hubert K. Maga, Cotonou, Benin
| | - Toussaint G Kpadonou
- Clinique Universitaire de Médecine Physique et de Réadaptation, Centre National Hospitalier et Universitaire Hubert K. Maga, Cotonou, Benin
| | - Teefany Lawson
- Clinique Universitaire de Médecine Physique et de Réadaptation, Centre National Hospitalier et Universitaire Hubert K. Maga, Cotonou, Benin
| | - Philippe Mahaudens
- Neuro Musculo Skeletal Lab (NMSK), Faculté des Sciences de la Motricité, Université Catholique de Louvain, Brussels, Belgium.,Service d'Orthopédie et de Traumatologie de l'Appareil Locomoteur, Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Christine Detrembleur
- Neuro Musculo Skeletal Lab (NMSK), Faculté des Sciences de la Motricité, Université Catholique de Louvain, Brussels, Belgium
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Sogbossi ES, Houekpetodji D, Kpadonou TG, Bleyenheuft Y. A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country. J Child Neurol 2019; 34:842-850. [PMID: 31339409 DOI: 10.1177/0883073819864516] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children's mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.
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Affiliation(s)
- Emmanuel Segnon Sogbossi
- Motor Skill Learning and Intensive Neurorehabilitation lab, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium.,School of Physical Therapy, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
| | - Damienne Houekpetodji
- School of Physical Therapy, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
| | - Toussaint G Kpadonou
- School of Physical Therapy, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin.,Clinique Universitaire de Médecine Physique et Réadaptation du Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA (CNHU-HKM) de Cotonou, Benin
| | - Yannick Bleyenheuft
- Motor Skill Learning and Intensive Neurorehabilitation lab, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
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Azanmasso H, Gloria JH, Nada K, Yvette M, Alagnidé E, Kpadonou TG. Prévalence de la dépression et de l’anxiété chez les victimes d’accident vasculaire cérébral à Cotonou. Rev Neurol (Paris) 2017. [DOI: 10.1016/j.neurol.2017.01.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Azanmasso H, Lahrabli S, Alagnidé E, Moigny Y, Lmidmani F, Kpadonou TG, Fatimi AE, Carra B, Boivin J. Neuro-urology followed of spinal cord injury patients: Recommendations to the common practice. Ann Phys Rehabil Med 2016. [DOI: 10.1016/j.rehab.2016.07.285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kpadonou TG, Alagnidé E, Azanmasso H, Fiossi-Kpadonou E, Hans Moevi AA, Niama D, Houngbédji G. Psychosocioprofessional and familial becoming of formers Buruli ulcer patients in Benin. Ann Phys Rehabil Med 2013; 56:515-26. [PMID: 24090999 DOI: 10.1016/j.rehab.2013.07.785] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2012] [Revised: 07/21/2013] [Accepted: 07/23/2013] [Indexed: 11/26/2022]
Abstract
UNLABELLED Buruli ulcer (BU), an emerging disease caused by Mycobacterium ulcerans, causes severe impairments. In literature, no survey has been devoted to the cured patients returned back home. OBJECTIVE To analyze the long-term psychosocial, professional and family repercussions of BU on former patients. METHOD Cross-sectional descriptive and analytic study on 244 formers patients seen at the Screening and Treatment BU Center of Allada from 2005 to 2009 and followed at home from January to July 2010. RESULTS On the psychosocial level, 50.8% cured patients attributed the disease to witchcraft (mostly adults and teenagers); 90. 2% did not feel guilty (mostly children), 48.9% of the adults felt diminished, 31.7% are depressed and 19.5% anxious. On professional level, 81.0% of workers had gotten back to work, in the same job for 75.0% of them while 25.0% had changed jobs; 90.1% of children went back school, 29.4% followed a normal schooling but 70% did experience academic delay. On family level, 2.5% of patients were rejected by their families. CONCLUSION After returning home, former UB patients suffered of severe psychosocioprofessional and familial repercussions that suggested an organization of their home monitoring.
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Affiliation(s)
- T G Kpadonou
- Service de rééducation et réadaptation fonctionnelle, CNHU de Cotonou, 04 BP, Cotonou, Benin; Unité de médecine physique et de réadaptation, faculté des sciences de la santé de Cotonou, Cotonou, Benin.
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