Impact of aggressions from early childhood on the development of Kinshasa infants of preschool age in the community

Abstract

Context and objective: Motor impairment is the main characteristic of many neurodevelopmental disabilities and contributes greatly to its morbidity. The general objective of this study is to determine the impact of aggression from early childhood on the occurrence of disability in the Congolese community of Kinshasa. Methods: Prospective study including 92 children with disabilities at the children’s pool in the city of Kinshasa. The collection lasted 3 months and lasted from March 1 to May 31, 2016. The criterion for judgment was the fact of being a child aged 6 months to 9 years then having a motor or mental handicap. Variables of interest included age, gender, history of hospitalizations or conditions, anthropometric parameters, GMFCS E&R, EDACS and MACS. Results: of 92 children included in the study, 57.8% were women, their average age was 5.9 ± 2.5 years. 80% of these children had motor disabilities and 20% intellectual disabilities. The factors associated with this motor disability were perpartal asphyxia and delayed treatment. Epilepsy had the disorder most associated with disability (43.8%). Conclusion: The study in the community of Kinshasa shows that the children are older, they have severe disorders and could not be assessed by specific psychomotor assessment tests such as the Bayley scale for children with disabilities.