Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand

© 2017, Medical Association of Thailand. All rights reserved. Background: Chemodenervation (CD) involves injecting drugs such as phenol, botulinum toxin, or alcohol to reduce muscle spasticity. However, they interfere with daily activities of children with cerebral palsy (CP). Rehabilitation residen...

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Main Authors: Buntragulpoontawee M., O’Brien T., Kovindha A.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85018747262&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/40687
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-406872017-09-28T04:10:54Z Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand Buntragulpoontawee M. O’Brien T. Kovindha A. © 2017, Medical Association of Thailand. All rights reserved. Background: Chemodenervation (CD) involves injecting drugs such as phenol, botulinum toxin, or alcohol to reduce muscle spasticity. However, they interfere with daily activities of children with cerebral palsy (CP). Rehabilitation residency training in Thailand currently requires performing a minimum of five CD procedures. However, the effect of this policy on post-training practice is unknown. Objective: To explore the influence of CD training during residency on post-training clinical practice and their current use of it in treating CP patients. Material and Method: The questionnaires were sent to 431 Thai physiatrists nationwide by both electronic and postal mails. The responses were collected within a three-month period. Results: Of 116 (27%) respondents with usable questionnaires, 85 (73%) were trained during their residency to perform CD and 46 (40%) performed it in their practice. Those trained to perform CD were more likely in their subsequent practice to do so (p = 0.0140), and younger age was associated with performing it (p = 0.0055). The number of CD procedures performed during residency correlated directly with reported confidence in performing the procedure in later practice (p < 0.0001). The most common reasons for not performing CD were few CP cases in their care, and unavailable equipment or injection agent. Conclusion: Although only a cross-sectional study, the findings suggest that increasing the number of CD procedures required in rehabilitation residency may increase the use of CD to benefit CP patients in future clinical practice. 2017-09-28T04:10:54Z 2017-09-28T04:10:54Z 3 Journal 01252208 2-s2.0-85018747262 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85018747262&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/40687
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2017, Medical Association of Thailand. All rights reserved. Background: Chemodenervation (CD) involves injecting drugs such as phenol, botulinum toxin, or alcohol to reduce muscle spasticity. However, they interfere with daily activities of children with cerebral palsy (CP). Rehabilitation residency training in Thailand currently requires performing a minimum of five CD procedures. However, the effect of this policy on post-training practice is unknown. Objective: To explore the influence of CD training during residency on post-training clinical practice and their current use of it in treating CP patients. Material and Method: The questionnaires were sent to 431 Thai physiatrists nationwide by both electronic and postal mails. The responses were collected within a three-month period. Results: Of 116 (27%) respondents with usable questionnaires, 85 (73%) were trained during their residency to perform CD and 46 (40%) performed it in their practice. Those trained to perform CD were more likely in their subsequent practice to do so (p = 0.0140), and younger age was associated with performing it (p = 0.0055). The number of CD procedures performed during residency correlated directly with reported confidence in performing the procedure in later practice (p < 0.0001). The most common reasons for not performing CD were few CP cases in their care, and unavailable equipment or injection agent. Conclusion: Although only a cross-sectional study, the findings suggest that increasing the number of CD procedures required in rehabilitation residency may increase the use of CD to benefit CP patients in future clinical practice.
format Journal
author Buntragulpoontawee M.
O’Brien T.
Kovindha A.
spellingShingle Buntragulpoontawee M.
O’Brien T.
Kovindha A.
Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand
author_facet Buntragulpoontawee M.
O’Brien T.
Kovindha A.
author_sort Buntragulpoontawee M.
title Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand
title_short Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand
title_full Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand
title_fullStr Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand
title_full_unstemmed Influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in Thailand
title_sort influence of rehabilitation medicine residency training in performing chemodenervation in children with cerebral palsy in thailand
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85018747262&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/40687
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