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Measuring global activity performance in children with cerebral palsy in West Africa : validation of an adapted version of the ACTIVLIM-CP questionnaire / Emmanuel Segnon Sogbossi in Disability and Rehabilitation [périodique éléctronique], 2022 (Décembre 2022)
[article]
Titre : Measuring global activity performance in children with cerebral palsy in West Africa : validation of an adapted version of the ACTIVLIM-CP questionnaire Type de document : document électronique Auteurs : Emmanuel Segnon Sogbossi ; Carlyne Arnould ; G.-T. Kpadonou ; Sèbiyo Charles Batcho ; Yannick Bleyenheuft Année de publication : 2022 Langues : Français (fre) Mots-clés : Cerebral palsy activities of daily living patient reported outcome measures psychometrics Africa Résumé : 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.En ligne : https://www.tandfonline.com/doi/abs/10.1080/09638288.2022.2154083 Permalink : ./index.php?lvl=notice_display&id=112685
in Disability and Rehabilitation [périodique éléctronique] > 2022 (Décembre 2022)[article] Measuring global activity performance in children with cerebral palsy in West Africa : validation of an adapted version of the ACTIVLIM-CP questionnaire [document électronique] / Emmanuel Segnon Sogbossi ; Carlyne Arnould ; G.-T. Kpadonou ; Sèbiyo Charles Batcho ; Yannick Bleyenheuft . - 2022.
Langues : Français (fre)
in Disability and Rehabilitation [périodique éléctronique] > 2022 (Décembre 2022)
Mots-clés : Cerebral palsy activities of daily living patient reported outcome measures psychometrics Africa Résumé : 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.En ligne : https://www.tandfonline.com/doi/abs/10.1080/09638288.2022.2154083 Permalink : ./index.php?lvl=notice_display&id=112685 Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Treatment of open tibia fractures in Sub-Saharan African countries : a systematic review / Kouamé Jean-Eric Kouassi in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Treatment of open tibia fractures in Sub-Saharan African countries : a systematic review Type de document : texte imprimé Auteurs : Kouamé Jean-Eric Kouassi ; Julie Manon ; Loïc Fonkoue ; Christine Detrembler ; Olivier Cornu Année de publication : 2021 Article en page(s) : p. 85-92 Note générale : https://doi.org/10.52628/87.1.11 Langues : Anglais (eng) Mots-clés : Africa cast immobilization developing countries open fracture tibia Résumé : Open tibia fracture (OTF) treatment is well documented in developed countries. Yet, this fracture pattern remains challenging because it is associated with an increased risk of infection and delayed union, particularly in case of Gustilo III B and C open fractures. Since access to healthcare is limited in Sub- Saharan African countries, this paper explores the results of OTF management in this setting.
A systematic review of the literature was conducted using current databases such as MEDLINE, Cochrane, EMBASE, PubMed, ScienceDirect, Scopus, and Google Scholar in order to identify prospective studies with cohorts of patients treated for OTF. Studies were included based on predefined inclusion and exclusion criteria. The quality of studies was analyzed by the Coleman Methodology Score (CMS).
Eight papers met the inclusion criteria and had an average CMS of 70 (range 54-73). The most common treatment was non-operative management of the fracture with cast immobilization (67%). Gustilo Type II and III fractures were associated with a higher risk of complications. The infection rate was 30%. Malunion, chronic osteomyelitis and nonunion were observed in 14.5%, 12.3%, and 7% of the cases, respectively. More complications were observed with non-operative treatment (cast immobilization) than with surgical fixation.
Although the surgical environment does not allow for internal fixation, poor results of non-operative management of open fractures should lead to the introduction of trainings on the proper use of external fixators. It is also advisable to support the development of locally produced external devices that utilize local source materials, which would make external fixation available at a reasonable cost.Permalink : ./index.php?lvl=notice_display&id=96590
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 85-92[article] Treatment of open tibia fractures in Sub-Saharan African countries : a systematic review [texte imprimé] / Kouamé Jean-Eric Kouassi ; Julie Manon ; Loïc Fonkoue ; Christine Detrembler ; Olivier Cornu . - 2021 . - p. 85-92.
https://doi.org/10.52628/87.1.11
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 85-92
Mots-clés : Africa cast immobilization developing countries open fracture tibia Résumé : Open tibia fracture (OTF) treatment is well documented in developed countries. Yet, this fracture pattern remains challenging because it is associated with an increased risk of infection and delayed union, particularly in case of Gustilo III B and C open fractures. Since access to healthcare is limited in Sub- Saharan African countries, this paper explores the results of OTF management in this setting.
A systematic review of the literature was conducted using current databases such as MEDLINE, Cochrane, EMBASE, PubMed, ScienceDirect, Scopus, and Google Scholar in order to identify prospective studies with cohorts of patients treated for OTF. Studies were included based on predefined inclusion and exclusion criteria. The quality of studies was analyzed by the Coleman Methodology Score (CMS).
Eight papers met the inclusion criteria and had an average CMS of 70 (range 54-73). The most common treatment was non-operative management of the fracture with cast immobilization (67%). Gustilo Type II and III fractures were associated with a higher risk of complications. The infection rate was 30%. Malunion, chronic osteomyelitis and nonunion were observed in 14.5%, 12.3%, and 7% of the cases, respectively. More complications were observed with non-operative treatment (cast immobilization) than with surgical fixation.
Although the surgical environment does not allow for internal fixation, poor results of non-operative management of open fractures should lead to the introduction of trainings on the proper use of external fixators. It is also advisable to support the development of locally produced external devices that utilize local source materials, which would make external fixation available at a reasonable cost.Permalink : ./index.php?lvl=notice_display&id=96590 Exemplaires (1)
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