Profil épidémiologique, clinique et thérapeutique des troubles psychomoteurs des enfants suivis au centre pour handicapés physiques « Shirika La Umoja » de Goma au Nord-Kivu du 1er janvier 2010 au 31 juillet 2018

Abstract

Objective

The objective is to highlight the epidemiological, clinical and therapeutic profile of children with cerebral palsy followed in rehabilitation.

Methodology

This is a descriptive and retrospective study conducted on 1135 children with cerebral palsy followed in rehabilitation at the center “Shirika la Umoja” in Goma from 2010 to 2018. Information was collected from medical records and completed by parents.

Results

The predominance was male (57.4%), age 7–12 months was predominant. The deliveries were in 90% by vaginal delivery. The etiologies were perinatal asphyxia (41.9%), neonatal infections (13.7%), and neonatal jaundice (11.6%). They all consulted for a psychomotor development disorder associated with axial hypotonia (59.6%), seizures (27.4%), and limb spasticity (25.7%). The diagnosis was made by assessing the motor progression level. BMI children were spastic (47.8%), dyskinetic (24.4%), quadriplegic (55.8%), and hemiplegic (12.8%). The treatment consisted of neuromotor education, perceptive-motor facilitation, Le Métayer's “Niveau d’évolution mortice” (N.E.M), Bobath's method, respiratory physiotherapy, psychomotricity, parental awareness, and mobilisation. The evolution was marked by 53% abandonment of the treatment and 9.4% acquired or improved their walking.

Conclusion

Although the re-education and rehabilitation treatment was well administered, the therapeutic outcome was not favourable with a predominance of treatment abandonment.