AIMS Medical Science, 2019, 6(2): 158-169. doi: 10.3934/medsci.2019.2.158.

Research article

Export file:


  • RIS(for EndNote,Reference Manager,ProCite)
  • BibTex
  • Text


  • Citation Only
  • Citation and Abstract

Psychosocial problems among mothers of children with cerebral palsy attending physiotherapy outpatient department of two selected tertiary health centres in Ogun state: A pilot study

1 Physiotherapy Department, Federal Medical Centre Abeokuta, Ogun State, Nigeria
2 Physiotherapy Department, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria

Background: Caring for a child with cerebral palsy (CP) can be exhausting and stressful. There is paucity of information on the consequence of having a child with CP on mothers of these children. This study explored psychosocial problems encountered by mothers of children with CP receiving physiotherapy care in two selected tertiary health centres in Ogun State, Nigeria. Methods: A qualitative study was conducted through focus group discussion (FGD) utilizing 17 questions identified in the literature as a FGD guide. Participants were seven mothers of children with CP. The framework approach was used for thematic analysis of data. Results: The psychosocial challenges encountered by the mothers were associated with nine common sub-themes. These are: (i) stress of caring for over dependent child; (ii) mothers’ restricted participation in the society; (iii) financial constraint experienced by the mothers of children with CP; (iv) health problems experienced by mothers of children with CP; (v) feelings of uncertainty about the child’s future; (vi) society’s negative perception of child’s problems; (vii) support obtained by the caregivers from others; (viii) availability of support from healthcare facilities; and (ix) Personal belief about condition. Conclusion: Mothers of children with cerebral palsy experience substantial psychological and social problems that are often ignored by the general populace.
  Article Metrics

Keywords psychosocial; cerebral palsy; children; physiotherapy

Citation: Ogunlana Michael, Oyewole Olufemi, Falola Jasola, Davis Abigail, Lateef Adetutu, Adepoju Modinat. Psychosocial problems among mothers of children with cerebral palsy attending physiotherapy outpatient department of two selected tertiary health centres in Ogun state: A pilot study. AIMS Medical Science, 2019, 6(2): 158-169. doi: 10.3934/medsci.2019.2.158


  • 1. Arneson CL, Durkin MS, Benedict RE, et al. (2009) Prevalence of cerebral palsy: Autism and Developmental Disabilities Monitoring Network, three sites, United States, 2004. Disabil Health J 2: 45–48.    
  • 2. Christensen D, Van Naarden Braun K, Doernberg NS, et al. (2014) Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning-Autism and Developmental Disabilities Monitoring Network, USA, 2008. Dev Med Child Neurol 56: 59–65.
  • 3. Odding E, Roebroeck ME, Stam HJ (2006) The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil 28: 183–191.    
  • 4. Basaran A, Karadavut KI, Uneri SO, et al. (2013) The effect of having a children with cerebral palsy on quality of life, burn-out, depression and anxiety scores: a comparative study. Eur J Phys Rehabil Med 49: 815–822.
  • 5. Olawale OA, Deih AN, Yaadar RK (2013) Psychological impact of cerebral palsy on families: The African perspective. J Neurosci Rural Pract 4: 159.    
  • 6. Surender, S, Gowda VK, Sanjay KS, et al. (2016) Caregiver-reported health-related quality of life of children with cerebral palsy and their families and its association with gross motor function: A South Indian study. J Neurosci Rural Pract 7: 223–227.    
  • 7. Parkes J, McCullough N, Madden A, et al. (2009) The health of children with cerebral palsy and stress in their parents. J Adv Nurs 65: 2311–2323.    
  • 8. Davis E, Shelly A, Waters E, et al. (2010) The impact of caring for a child with cerebral palsy: quality of life for mothers and fathers. Child Care Health Dev 36: 63–73.    
  • 9. Parkes J, Caravale B, Marcelli M, et al. (2011) Parenting stress and children with cerebral palsy: a European cross-sectional survey. Dev Med Child Neurol 53: 815–821.    
  • 10. Bhatia M, Joseph B (2000) Rehabilitation of cerebral palsy in a developing country: the need for comprehensive assessment. Pediatr Rehabil 4: 83–86.
  • 11. Ketelaar M, Volman MJ, Gorter JW, et al. (2008) Stress in parents of children with cerebral palsy: what sources of stress are we talking about? Child Care Health Dev 34: 825–829.    
  • 12. Adogu PO, Ubajaka CF, Egenti NB, et al. (2016) Evaluation of risk factors of cerebral palsy in a tertiary health facility, Nnewi, Nigeria: a case–control study. Int J Med Sci Public Health 5: 109–114.    
  • 13. Frank-Briggs AI, Alikor EAD (2011) Sociocultural issues and causes of cerebral palsy in Port Harcourt, Nigeria. Niger J Paediatr 38: 115–119.
  • 14. Ogunlesi T, Ogundeyi M, Ogunfowora O, et al. (2008) Socio-clinical issues in cerebral palsy in Sagamu, Nigeria. South Afr J Child Health 2.
  • 15. Gale NK, Heath G, Cameron E, et al. (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol 13: 117.    
  • 16. Ansari NJ, Dhongade RK, Lad PS, et al. (2016) Study of Parental Perceptions on Health & Social Needs of Children with Neuro-Developmental Disability and It's Impact on the Family. J Clin Diagn Res 10: 16–20.
  • 17. Chiluba BC, Moyo G (2017) Caring for a cerebral palsy child: a caregivers perspective at the University Teaching Hospital, Zambia. BMC Res Notes 10: 724.    
  • 18. Gona JK, Mung'ala-Odera V, Newton CR, et al. (2011) Caring for children with disabilities in Kilifi, Kenya: what is the carer's experience? Child 37 175–183.
  • 19. Gallagher S, Phillips AC, Carroll D (2010) Parental stress is associated with poor sleep quality in parents caring for children with developmental disabilities. J Pediatr Psychol 35: 728–737.    
  • 20. Mohammed FMS, Ali SM, Mustafa MAA (2016) Quality of life of cerebral palsy patients and their caregivers: A cross sectional study in a rehabilitation center Khartoum-Sudan (2014–2015). J Neurosci Rural Pract 7: 355–361.    
  • 21. Dambi JM, Jelsma J, Mlambo T (2015) Caring for a child with Cerebral Palsy: The experience of Zimbabwean mothers. Afr J Disabil 4: 168.
  • 22. Michelsen SI, Flachs EM, Madsen M, et al. (2015) Parental social consequences of having a child with cerebral palsy in Denmark. Dev Med Child Neurol 57: 768–775.    
  • 23. Nimbalkar S, Raithatha S, Shah R (2014) A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India. ISRN Fam Med 2014: 769619.
  • 24. Paget A, Mallewa M, Chinguo D, et al. (2016) "It means you are grounded"-caregivers' perspectives on the rehabilitation of children with neurodisability in Malawi. Disabil Rehabil 38: 223–234.    
  • 25. Yamaoka Y, Tamiya N, Moriyama Y, et al. (2015) Mental Health of Parents as Caregivers of Children with Disabilities: Based on Japanese Nationwide Survey. PLoS ONE 10: e0145200.    
  • 26. Al-Gamal E, Long T (2013) Psychological distress and perceived support among Jordanian parents living with a child with cerebral palsy: a cross-sectional study. Scand J Caring Sci 27: 624–631.    
  • 27. Jeong YG, Jeong YJ, Bang JA (2013) Effect of social support on parenting stress of Korean mothers of children with cerebral palsy. J Phys Ther Sci 25: 1339–1342.    


Reader Comments

your name: *   your email: *  

© 2019 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (

Download full text in PDF

Export Citation

Copyright © AIMS Press All Rights Reserved