THE INFLUENCE OF PHYSICAL THERAPIST APPROACH IN THE PARENT’S COMPLIANCE OF INFANTILE CEREBRAL PALSY DIAGNOSED CHILDREN. A RANDOMIZED CONTROLLED TRIAL

Abstract

Abstract. Many methods of approaching the parents or guardians of neuromuscular diagnosed 0-4 years old children have been investigated, and the most efficient on the long period of time, as the diagnose needs a long-term medical program, has been found to be the clearly, detailed and constructive information. The lack of discernment and reason of a 0-4 year old child make his family role essential after the medical diagnose, especially the parents or guardians (P/G). The study’s objective is to demonstrate that the physical therapist relationship with P/G determines his treatment compliance. The research is based on the data collected from 2 groups, representative sample and a control group. Both groups followed the instructions of the medical rehabilitation program DinaCord which had a 4 months duration, being designed the same but having other approach from the physical therapist side, depending on which group the subjects belonged. The specialist’s participation must be active in both ways of transmitter and receiver. Thereby, the transmitted information is received then processed by the parent or guardian depending on the reception and empathize of the physical therapist by the paraverbal, nonverbal and verbal parent or guardian feedback. As results, the rehabilitation program has better output when the physical therapist’s P/G approach is optimized, compared to a passive information transmitter physical therapist. The conclusions underline the parent or guardian (P/G) compliance potential in the physical therapy program as he is let know about all the information consisting of the diagnosis, the approach (the therapy, the consequences, the result projection in an estimated period of time) and the influence of an active participation from his part.