Factors Influencing the Utilization of Physiotherapy Services Among the Children with Cerebral Palsy at Protibondhi Seba-O-Sahajjo Kendro in Bangladesh

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Background: Cerebral palsy (CP) is a non-progressive irreversible lesion either single or multiple areas of the immature brain due to a developmental abnormality of brain or injury of the brain during labor, at the time of birth or during delivery. The prevalence of cerebral palsy is 2.5% per one thousand live births. Children with cerebral palsy required rehabilitation care both at home and rehabilitation center. The study aims to find out the factors affecting adherence to physiotherapy appointment for caregivers of children with cerebral palsy in Bangladesh. Methods: A cross-sectional study designed to conduct the research a total of 225 cerebral palsy child from the 14 Protibondhi Seba-O-Sahajjo Kendro (PSOSK) at the different district of the Bangladesh were selected through random sampling techniques by face-to-face interviews. This data collection procedure was completed within one month. Chi square test were used for statistical analysis of data and the significant level set at p<0.05. Results: Study shows that among the 225 CP child only 33.8% maintain adherence and 66.2% was non-adherence. Different variables such as numbers of siblings, doctors’ consultation, parents’ level of education and their awareness, mother health condition and having any savings have a significant association with adherence (P < 0.005). Conclusion: Adherence of the cerebral palsy child with physiotherapy appointment is out most important for better management. In this study, it is suggested that the quality of life of the CP child is significantly changed by physiotherapy as well as rehabilitation.