Douleurs et confort chez l'enfant en situation de handicap SOFMER / SFERHE 2

Le 16/10/2021 de 09:00 à 11:00

Retour Session


Impact du confinement sur le suivi rééducatif et médical des enfants en situation de handicap moteur

Clémence LUCAS (Brest, France), Marine CACIOPPO (Brest, France), Christelle PONS (Brest, France), Sylvain BROCHARD (Brest, France), ECHO Groupe (Brest, France)

Objectif : During the first lockdown in France, rehabilitation services for children with disabilities were abruptly interrupted. This study aimed  to describe medical and rehabilitation follow-up of children with physical disabilities during the first lockdown, to report parent’s satisfaction regarding the care provided and to identify its determinants. 

Matériel/Patients et méthodes : This study was part of ECHO, a French national survey, which was addressed to the parents of children with physical disabilities and was developed to report the experiences, difficulties and needs of these children and their families during the first lockdown. Data on medical and rehabilitation follow up, parent’s satisfaction regarding this follow-up and using the client satisfaction questionnaire (CSQ8) and determinants of satisfaction were collected. 

Résultats : Between April 6th and May 11th 2020, 1377 eligible participants responded to the survey.

23% of the medical appointments were maintained, mostly by teleconsultations. Rehabilitation sessions during lockdown was maintained for less than 50% of the children, and by the parents in more than 62.5% of the cases. The mean CSQ-8 was 18/32. On multivariate analysis, having a child with a high level of dependence (p=0.03), and usual care in private practice (p<0.001) was associated to less decreased satisfaction. The continuation of medical follow-up (p=0.033) and a multidisciplinary rehabilitation (p<0.001) increased satisfaction.


Discussion - Conclusion : This study showed that parents have massively taken over the care of their children and that they were not satisfied with the medical and rehabilitation services provided during the first lockdown. Consequences for usual rehabilitation practice will be discussed.

Mots clés : Covid-19, children with physical disabilities, lockdown, satisfaction

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