Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali

Maty Diagne Camara; Cheikh Tacko Diop; Oumar Bassoum; Jean Augustin Diégane Tine; Mohamed Ibrahim Mahmoud; Mamadou Makhtar Mbacké Leye; Mayacine Ndiongue; Kadim Niang; Adama Faye

doi:doi:10.11648/j.ajp.20200601.12

Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali

Maty Diagne Camara, Cheikh Tacko Diop, Oumar Bassoum, Jean Augustin Diégane Tine, Mohamed Ibrahim Mahmoud, Mamadou Makhtar Mbacké Leye, Mayacine Ndiongue, Kadim Niang, Adama Faye

Published in American Journal of Pediatrics (Volume 6, Issue 1)

Received: 7 January 2020 Accepted: 21 January 2020 Published: 31 January 2020

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Abstract

The main objective of this study is to analyse the effects of stimulation kinesitherapy on psychomotor and cognitive development in these children followed by Severe Acute Malnutrition, aged 6 months to 59 months in the intensive nutritional educational recovery units. Prospective cohort study with 2 groups: one group subjected to stimulation Kinesitherapy and the other group without stimulation Kinesitherapy in six INERU in the District of Bamako. The population is represented by the children followed for Severe Acute Malnutrition, aged 6 months to 59 months in 6 of the 8 Bamako intensive nutritional educational recovery units of the "Strengthening Project intensive nutritional educational recovery units". The sampling is exhaustive, all children, aged 6 to 59 months, admitted to phase 2 of nutritional recovery between April 1, 2014 and July 15, 2017. The data collected includes socio-demographic, medical, psychomotor and anthropometric characteristics and physiotherapy sessions. Child development was measured using a child development assessment grid. An age-specific child development score was calculated. A bivariate analysis and a logistic regression were performed. The analysis covered 126 subjects in the group with kinesitherapy and 131 subjects in the group without Kinesitherapy. The psychomotor development score, weight/height ratio and developmental delay of the children after treatment were significantly improved in the group with stimulation Kinesitherapy compared to the group without stimulation Kinesitherapy (p<0.001). The children in the group without stimulation Kinesitherapy had 20.59 times more risk (OR=20.59 CI 6.05; 70.09) of having a developmental delay on Day 35 compared to the group with stimulation Kinesitherapy, after adjusting for age, developmental delay on Day 1, and the number of psychosocial stimulation sessions. Children with developmental delay on Day 1 were 4.16 times more likely (OR=4.16 CI 1.34; 12.90) to have a developmental delay on Day 35 compared to children without developmental delay on Day 1, after adjusting for age, physical stimulation therapy, and the number of psychosocial stimulation sessions. The anthropometric and psychomotor characteristics of the children after treatment were better in the Stimulation Kinesitherapy group, hence the need to reinforce stimulation and stimulation activities in the management of malnutrition in children aged 6-59 months.

Published in	American Journal of Pediatrics (Volume 6, Issue 1)
DOI	10.11648/j.ajp.20200601.12
Page(s)	12-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Malnutrition, Stimulation Kinesitherapy, Bamako

References

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[3]	Robert E Black, et al. 2013. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013/Published Online June 6, 2013 http://dx.doi.org/10.1016/ S0140-6736(13)60937-X.
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[5]	Black, Robert E., et al.: ‘Maternal and Child Undernutrition: Global and regional exposures and health consequences’, The Lancet, vol. 371 no. 9608, 19 January 2008, pp. 243–26.
[6]	Grantham-McGregor S, Schofield W, and Harris L.: Effect of psychosocial stimulation on mental development of severely malnourished children: an interim report. Pediatrics. 1983; 72: 239-43.
[7]	Unicef. The State of the World's Children 2005: children under threat. New York: Unicef, 2004.
[8]	Walker SP, Chang SM, Powell CA, Grantham-McGregor SM. Effects of early childhood psychosocial stimulation and nutritional supplementation on cognition and education in growth-stunted Jamaican children: prospective cohort study. Lancet 2005; 366 (9499): 1804-7.
[9]	Chang SM, Walker SP, Grantham-McGregor S, Powell CA. Early childhood stunting and later behaviour and school achievement. J Child Psychol Psychiatry 2002; 43 (6): 775-83, 21.
[10]	Pollitt E, Schurch B. Developmental pathways of the malnourished child. Results of a supplementation trial in Indonesia. Eur J Clin Nutr 2000; 54 (suppl 2): 2-113.).
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[14]	Powell C, Baker-Henningham H, Walker S, Gernay J, Grantham-McGregor S, 1994. Feasibility of integrating early stimulation into primary care for undernourished Jamaican children: cluster randomised controlled trial. British Medical Journal, 329, p 89.
[15]	DIARRA S. Les facteurs de risques de la malnutrition au mali, [Mémoire de Master 2 Santé Publique], Bamako 2014; p 46.
[16]	Testa J, Sinnaeve O, Ibrahim Y, Ayibi V. Evaluation de la qualité du dépistage et de la prise en charge de la malnutrition infantile à Cotonou, Bénin. Med Trop 2008, p 45.
[17]	ARAMA E: La malnutrition infanto-juvénile: aspects épidémiologiques et prise en charge dans le district sanitaire de Koutiala (mali), [Mémoire de Master 2 Santé Publique], ISPED Bordeaux 2009. P 54.
[18]	SALL MG, DANKOKO B, BADIANE M, EHUA E et KUAKUWI N. Résultats d'un essai de réhabilitation nutritionnelle avec la spiruline a Dakar (A propos de 59 cas). Médecine d'Afrique Noire: 1999, 46 (3).
[19]	Sonde I. Analyse de la prise en charge des enfants en malnutrition au centre de récupération nutritionnelle (CREN) de Tenghin [memoire: santé publique]. Louvain: Université Catholique de Louvain 2009, disponible sur http://www.memoireoneline.com./10/10/4055/m_Analyse-de-la-prise-en-charge-denfants-en-malnutritionau-centre-de-recuperation-nutritionnelle-0.html. Consulté le 6 juillet 2015 à 11h02mn.
[20]	VAN ROOSMALEN-WIEBENGA MW., KUSIN J. A., DE WITH C. Nutrition rehabilitation in hospital, a waste of time and money ? Evaluation of nutrition rehabilitation in a rural district hospital in southwest Tanzania. II. Long term results. J, Trop, Ped, 1987, 33, 24-8.
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[22]	Organisation Mondiale de la Santé: prise en charge communautaire de la malnutrition aiguë sévère 2007 disponible sur http://www.who.int/maternal_child_adolescent/documents/pdfs/severe_acute_malnutrition_fr.pd (Consulté le 06/07/2015).
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Maty Diagne Camara, Cheikh Tacko Diop, Oumar Bassoum, Jean Augustin Diégane Tine, Mohamed Ibrahim Mahmoud, et al. (2020). Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali. American Journal of Pediatrics, 6(1), 12-21. https://doi.org/10.11648/j.ajp.20200601.12

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ACS Style

Maty Diagne Camara; Cheikh Tacko Diop; Oumar Bassoum; Jean Augustin Diégane Tine; Mohamed Ibrahim Mahmoud, et al. Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali. Am. J. Pediatr. 2020, 6(1), 12-21. doi: 10.11648/j.ajp.20200601.12

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AMA Style

Maty Diagne Camara, Cheikh Tacko Diop, Oumar Bassoum, Jean Augustin Diégane Tine, Mohamed Ibrahim Mahmoud, et al. Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali. Am J Pediatr. 2020;6(1):12-21. doi: 10.11648/j.ajp.20200601.12

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@article{10.11648/j.ajp.20200601.12,
  author = {Maty Diagne Camara and Cheikh Tacko Diop and Oumar Bassoum and Jean Augustin Diégane Tine and Mohamed Ibrahim Mahmoud and Mamadou Makhtar Mbacké Leye and Mayacine Ndiongue and Kadim Niang and Adama Faye},
  title = {Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali},
  journal = {American Journal of Pediatrics},
  volume = {6},
  number = {1},
  pages = {12-21},
  doi = {10.11648/j.ajp.20200601.12},
  url = {https://doi.org/10.11648/j.ajp.20200601.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200601.12},
  abstract = {The main objective of this study is to analyse the effects of stimulation kinesitherapy on psychomotor and cognitive development in these children followed by Severe Acute Malnutrition, aged 6 months to 59 months in the intensive nutritional educational recovery units. Prospective cohort study with 2 groups: one group subjected to stimulation Kinesitherapy and the other group without stimulation Kinesitherapy in six INERU in the District of Bamako. The population is represented by the children followed for Severe Acute Malnutrition, aged 6 months to 59 months in 6 of the 8 Bamako intensive nutritional educational recovery units of the "Strengthening Project intensive nutritional educational recovery units". The sampling is exhaustive, all children, aged 6 to 59 months, admitted to phase 2 of nutritional recovery between April 1, 2014 and July 15, 2017. The data collected includes socio-demographic, medical, psychomotor and anthropometric characteristics and physiotherapy sessions. Child development was measured using a child development assessment grid. An age-specific child development score was calculated. A bivariate analysis and a logistic regression were performed. The analysis covered 126 subjects in the group with kinesitherapy and 131 subjects in the group without Kinesitherapy. The psychomotor development score, weight/height ratio and developmental delay of the children after treatment were significantly improved in the group with stimulation Kinesitherapy compared to the group without stimulation Kinesitherapy (p<0.001). The children in the group without stimulation Kinesitherapy had 20.59 times more risk (OR=20.59 CI 6.05; 70.09) of having a developmental delay on Day 35 compared to the group with stimulation Kinesitherapy, after adjusting for age, developmental delay on Day 1, and the number of psychosocial stimulation sessions. Children with developmental delay on Day 1 were 4.16 times more likely (OR=4.16 CI 1.34; 12.90) to have a developmental delay on Day 35 compared to children without developmental delay on Day 1, after adjusting for age, physical stimulation therapy, and the number of psychosocial stimulation sessions. The anthropometric and psychomotor characteristics of the children after treatment were better in the Stimulation Kinesitherapy group, hence the need to reinforce stimulation and stimulation activities in the management of malnutrition in children aged 6-59 months.},
 year = {2020}
}

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TY  - JOUR
T1  - Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali
AU  - Maty Diagne Camara
AU  - Cheikh Tacko Diop
AU  - Oumar Bassoum
AU  - Jean Augustin Diégane Tine
AU  - Mohamed Ibrahim Mahmoud
AU  - Mamadou Makhtar Mbacké Leye
AU  - Mayacine Ndiongue
AU  - Kadim Niang
AU  - Adama Faye
Y1  - 2020/01/31
PY  - 2020
N1  - https://doi.org/10.11648/j.ajp.20200601.12
DO  - 10.11648/j.ajp.20200601.12
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 12
EP  - 21
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20200601.12
AB  - The main objective of this study is to analyse the effects of stimulation kinesitherapy on psychomotor and cognitive development in these children followed by Severe Acute Malnutrition, aged 6 months to 59 months in the intensive nutritional educational recovery units. Prospective cohort study with 2 groups: one group subjected to stimulation Kinesitherapy and the other group without stimulation Kinesitherapy in six INERU in the District of Bamako. The population is represented by the children followed for Severe Acute Malnutrition, aged 6 months to 59 months in 6 of the 8 Bamako intensive nutritional educational recovery units of the "Strengthening Project intensive nutritional educational recovery units". The sampling is exhaustive, all children, aged 6 to 59 months, admitted to phase 2 of nutritional recovery between April 1, 2014 and July 15, 2017. The data collected includes socio-demographic, medical, psychomotor and anthropometric characteristics and physiotherapy sessions. Child development was measured using a child development assessment grid. An age-specific child development score was calculated. A bivariate analysis and a logistic regression were performed. The analysis covered 126 subjects in the group with kinesitherapy and 131 subjects in the group without Kinesitherapy. The psychomotor development score, weight/height ratio and developmental delay of the children after treatment were significantly improved in the group with stimulation Kinesitherapy compared to the group without stimulation Kinesitherapy (p<0.001). The children in the group without stimulation Kinesitherapy had 20.59 times more risk (OR=20.59 CI 6.05; 70.09) of having a developmental delay on Day 35 compared to the group with stimulation Kinesitherapy, after adjusting for age, developmental delay on Day 1, and the number of psychosocial stimulation sessions. Children with developmental delay on Day 1 were 4.16 times more likely (OR=4.16 CI 1.34; 12.90) to have a developmental delay on Day 35 compared to children without developmental delay on Day 1, after adjusting for age, physical stimulation therapy, and the number of psychosocial stimulation sessions. The anthropometric and psychomotor characteristics of the children after treatment were better in the Stimulation Kinesitherapy group, hence the need to reinforce stimulation and stimulation activities in the management of malnutrition in children aged 6-59 months.
VL  - 6
IS  - 1
ER  -

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Author Information

Maty Diagne Camara

Faculty of Medicine, Pharmacy and Dentistry, Institute of Health and Development, Dakar, Senegal
Cheikh Tacko Diop

Department of Community Health, Bambey University, Diourbel, Senegal
Oumar Bassoum

Faculty of Medicine, Pharmacy and Dentistry, Service of Preventive Medicine and Public Health, Dakar, Senegal
Jean Augustin Diégane Tine

Faculty of Medicine, Pharmacy and Dentistry, Service of Preventive Medicine and Public Health, Dakar, Senegal
Mohamed Ibrahim Mahmoud

Direction of Nutrition, Ministry of Health, Bamako, Mali
Mamadou Makhtar Mbacké Leye

Faculty of Medicine, Pharmacy and Dentistry, Service of Preventive Medicine and Public Health, Dakar, Senegal
Mayacine Ndiongue

Faculty of Medicine, Pharmacy and Dentistry, Service of Preventive Medicine and Public Health, Dakar, Senegal
Kadim Niang

Faculty of Medicine, Pharmacy and Dentistry, Service of Preventive Medicine and Public Health, Dakar, Senegal
Adama Faye

Faculty of Medicine, Pharmacy and Dentistry, Service of Preventive Medicine and Public Health, Dakar, Senegal

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APA Style

Maty Diagne Camara, Cheikh Tacko Diop, Oumar Bassoum, Jean Augustin Diégane Tine, Mohamed Ibrahim Mahmoud, et al. (2020). Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali. American Journal of Pediatrics, 6(1), 12-21. https://doi.org/10.11648/j.ajp.20200601.12

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ACS Style

Maty Diagne Camara; Cheikh Tacko Diop; Oumar Bassoum; Jean Augustin Diégane Tine; Mohamed Ibrahim Mahmoud, et al. Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali. Am. J. Pediatr. 2020, 6(1), 12-21. doi: 10.11648/j.ajp.20200601.12

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AMA Style

Maty Diagne Camara, Cheikh Tacko Diop, Oumar Bassoum, Jean Augustin Diégane Tine, Mohamed Ibrahim Mahmoud, et al. Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali. Am J Pediatr. 2020;6(1):12-21. doi: 10.11648/j.ajp.20200601.12

Copy | Download

@article{10.11648/j.ajp.20200601.12,
  author = {Maty Diagne Camara and Cheikh Tacko Diop and Oumar Bassoum and Jean Augustin Diégane Tine and Mohamed Ibrahim Mahmoud and Mamadou Makhtar Mbacké Leye and Mayacine Ndiongue and Kadim Niang and Adama Faye},
  title = {Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali},
  journal = {American Journal of Pediatrics},
  volume = {6},
  number = {1},
  pages = {12-21},
  doi = {10.11648/j.ajp.20200601.12},
  url = {https://doi.org/10.11648/j.ajp.20200601.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200601.12},
  abstract = {The main objective of this study is to analyse the effects of stimulation kinesitherapy on psychomotor and cognitive development in these children followed by Severe Acute Malnutrition, aged 6 months to 59 months in the intensive nutritional educational recovery units. Prospective cohort study with 2 groups: one group subjected to stimulation Kinesitherapy and the other group without stimulation Kinesitherapy in six INERU in the District of Bamako. The population is represented by the children followed for Severe Acute Malnutrition, aged 6 months to 59 months in 6 of the 8 Bamako intensive nutritional educational recovery units of the "Strengthening Project intensive nutritional educational recovery units". The sampling is exhaustive, all children, aged 6 to 59 months, admitted to phase 2 of nutritional recovery between April 1, 2014 and July 15, 2017. The data collected includes socio-demographic, medical, psychomotor and anthropometric characteristics and physiotherapy sessions. Child development was measured using a child development assessment grid. An age-specific child development score was calculated. A bivariate analysis and a logistic regression were performed. The analysis covered 126 subjects in the group with kinesitherapy and 131 subjects in the group without Kinesitherapy. The psychomotor development score, weight/height ratio and developmental delay of the children after treatment were significantly improved in the group with stimulation Kinesitherapy compared to the group without stimulation Kinesitherapy (p<0.001). The children in the group without stimulation Kinesitherapy had 20.59 times more risk (OR=20.59 CI 6.05; 70.09) of having a developmental delay on Day 35 compared to the group with stimulation Kinesitherapy, after adjusting for age, developmental delay on Day 1, and the number of psychosocial stimulation sessions. Children with developmental delay on Day 1 were 4.16 times more likely (OR=4.16 CI 1.34; 12.90) to have a developmental delay on Day 35 compared to children without developmental delay on Day 1, after adjusting for age, physical stimulation therapy, and the number of psychosocial stimulation sessions. The anthropometric and psychomotor characteristics of the children after treatment were better in the Stimulation Kinesitherapy group, hence the need to reinforce stimulation and stimulation activities in the management of malnutrition in children aged 6-59 months.},
 year = {2020}
}

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TY  - JOUR
T1  - Study of the Efficacy of Stimulation Physiotherapy in the Management of Severe Acute Malnutrition in Children Aged 6-59 Months in Bamako, Mali
AU  - Maty Diagne Camara
AU  - Cheikh Tacko Diop
AU  - Oumar Bassoum
AU  - Jean Augustin Diégane Tine
AU  - Mohamed Ibrahim Mahmoud
AU  - Mamadou Makhtar Mbacké Leye
AU  - Mayacine Ndiongue
AU  - Kadim Niang
AU  - Adama Faye
Y1  - 2020/01/31
PY  - 2020
N1  - https://doi.org/10.11648/j.ajp.20200601.12
DO  - 10.11648/j.ajp.20200601.12
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 12
EP  - 21
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20200601.12
AB  - The main objective of this study is to analyse the effects of stimulation kinesitherapy on psychomotor and cognitive development in these children followed by Severe Acute Malnutrition, aged 6 months to 59 months in the intensive nutritional educational recovery units. Prospective cohort study with 2 groups: one group subjected to stimulation Kinesitherapy and the other group without stimulation Kinesitherapy in six INERU in the District of Bamako. The population is represented by the children followed for Severe Acute Malnutrition, aged 6 months to 59 months in 6 of the 8 Bamako intensive nutritional educational recovery units of the "Strengthening Project intensive nutritional educational recovery units". The sampling is exhaustive, all children, aged 6 to 59 months, admitted to phase 2 of nutritional recovery between April 1, 2014 and July 15, 2017. The data collected includes socio-demographic, medical, psychomotor and anthropometric characteristics and physiotherapy sessions. Child development was measured using a child development assessment grid. An age-specific child development score was calculated. A bivariate analysis and a logistic regression were performed. The analysis covered 126 subjects in the group with kinesitherapy and 131 subjects in the group without Kinesitherapy. The psychomotor development score, weight/height ratio and developmental delay of the children after treatment were significantly improved in the group with stimulation Kinesitherapy compared to the group without stimulation Kinesitherapy (p<0.001). The children in the group without stimulation Kinesitherapy had 20.59 times more risk (OR=20.59 CI 6.05; 70.09) of having a developmental delay on Day 35 compared to the group with stimulation Kinesitherapy, after adjusting for age, developmental delay on Day 1, and the number of psychosocial stimulation sessions. Children with developmental delay on Day 1 were 4.16 times more likely (OR=4.16 CI 1.34; 12.90) to have a developmental delay on Day 35 compared to children without developmental delay on Day 1, after adjusting for age, physical stimulation therapy, and the number of psychosocial stimulation sessions. The anthropometric and psychomotor characteristics of the children after treatment were better in the Stimulation Kinesitherapy group, hence the need to reinforce stimulation and stimulation activities in the management of malnutrition in children aged 6-59 months.
VL  - 6
IS  - 1
ER  -

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