Perceived impact of lockdown on daily life in children with physical disabilities and their families during the COVID-19 pandemic
Roxane Varengue
Department of Pediatric Neurology, CHU Angers, Angers, France
Search for more papers by this authorSylvain Brochard
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorSandra Bouvier
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorRodolphe Bailly
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorLaetitia Houx
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorMathieu Lempereur
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorJacky Vagnoni
French Federation of Associations of Cerebral Palsy (FFAIMC), Paris, France
Search for more papers by this authorCarole Vuillerot
Department of Pediatric Physical Medicine and Rehabilitation, CHU Lyon, Hospital Woman Mother Child, Bron, France
Neuromyogène Institute CNRS UMR 5310 INSERM U1217, University of Lyon, Lyon, France
Search for more papers by this authorVincent Gautheron
Department of Pediatric Physical Medicine and Rehabilitation, CHU Saint-Etienne, Saint-Etienne, France
UJM Saint-Etienne, Interuniversity Laboratory of Motricity Biology, EA7424, University of Lyon, Saint-Etienne, France
Search for more papers by this authorElea Dheilly
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorChristelle Pons
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorMickael Dinomais
Department of Physical Medicine and Rehabilitation, CHU Angers-Les Capucins, Angers, France
Angevin Systems Engineering Research Laboratory (LARIS) EA7315, University of Angers, Angers, France
Search for more papers by this authorCorresponding Author
Marine Cacioppo
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Correspondence
Marine Cacioppo, MD, MSc, Physical Medicine and Rehabilitation Pediatric Physician, Department of Pediatric Physical Medicine and Rehabilitation, CHRU Morvan, 2 Avenue Foch, 29200 BREST, France.
Email: [email protected]
Search for more papers by this authorRoxane Varengue
Department of Pediatric Neurology, CHU Angers, Angers, France
Search for more papers by this authorSylvain Brochard
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorSandra Bouvier
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorRodolphe Bailly
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorLaetitia Houx
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorMathieu Lempereur
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorJacky Vagnoni
French Federation of Associations of Cerebral Palsy (FFAIMC), Paris, France
Search for more papers by this authorCarole Vuillerot
Department of Pediatric Physical Medicine and Rehabilitation, CHU Lyon, Hospital Woman Mother Child, Bron, France
Neuromyogène Institute CNRS UMR 5310 INSERM U1217, University of Lyon, Lyon, France
Search for more papers by this authorVincent Gautheron
Department of Pediatric Physical Medicine and Rehabilitation, CHU Saint-Etienne, Saint-Etienne, France
UJM Saint-Etienne, Interuniversity Laboratory of Motricity Biology, EA7424, University of Lyon, Saint-Etienne, France
Search for more papers by this authorElea Dheilly
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorChristelle Pons
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Search for more papers by this authorMickael Dinomais
Department of Physical Medicine and Rehabilitation, CHU Angers-Les Capucins, Angers, France
Angevin Systems Engineering Research Laboratory (LARIS) EA7315, University of Angers, Angers, France
Search for more papers by this authorCorresponding Author
Marine Cacioppo
Department of Physical Medicine and Rehabilitation, CHRU Brest, Brest, France
Departement of Pediatric Physical Medicine and Rehabilitation, Fondation Ildys, Brest, France
Laboratory of Medical Information Processing (LaTIM), Inserm U1101, University of Western Brittany, Brest, France
Correspondence
Marine Cacioppo, MD, MSc, Physical Medicine and Rehabilitation Pediatric Physician, Department of Pediatric Physical Medicine and Rehabilitation, CHRU Morvan, 2 Avenue Foch, 29200 BREST, France.
Email: [email protected]
Search for more papers by this authorFunding information: IFRH
Abstract
Background
The first lockdown during COVID-19 pandemic in France led to an abrupt change in children's daily lives. For children with physical disabilities and their families, activities were limited, access to healthcare and therapy was disrupted, and family organization was altered. The objective was to report the impact of the lockdown on daily life activities and well-being of children with physical disabilities as perceived by caregivers.
Methods
Two online national surveys were addressed to the parents of children with physical disabilities (ECHO survey: 6 April to 11 May 2020) and without disabilities (E-COPAIN survey: 24 April to 11 May 2020), confined at home during the lockdown. A lockdown impact score was calculated from difficulties related to children's well-being (morale, behaviour and social interaction) and daily life activities (schooling and physical activity) and compared between groups. Data on family environment, parental stress and concerns were collected.
Results
One thousand three hundred seventy-six children (9.45 ± 4.78 years, 54% girls) in ECHO survey and 367 children (7.3 ± 4.4 years, 48% girls) in E-COPAIN survey were included. A negative impact of lockdown was found on 81% of children with physical disabilities. Behavioural problems were significantly more frequent (59.5% vs. 47.4%, P < .005) and parental stress was higher (6.1 ± 3.33 vs. 5.3 ± 3.01, P = .005) in the ECHO group. Associated impairments (odds ratio [OR] = 1.45 [1.30–1.62], P < .001), parental stress (OR = 1.09 [1.06–1.12], P < .001) and continuation of rehabilitation (OR = 0.80 [0.72–0.89], P < .001) were determinants of the level of difficulty experienced.
Conclusions
The lockdown had a considerable, negative impact on the daily life of children with disabilities and their families. Guiding policymakers with the essential daily life activities and the services to provide for children with physical disabilities would offer valuable insights to manage such a sanitary crisis and allow to identify the most vulnerable population.
CONFLICT OF INTEREST
The authors have no conflicts of interest relevant to this article to disclose.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
Supporting Information
| Filename | Description |
|---|---|
| cch12952-sup-0001-Appendices v2.docxWord 2007 document , 36.6 KB |
Appendix S1 Lockdown Impact Score (LIS) |
| cch12952-sup-0001-Appendices v2.docxWord 2007 document , 36.6 KB |
Appendix S2 Perceived Stress Scale 4 (PSS4) |
| cch12952-sup-0001-Appendices v2.docxWord 2007 document , 36.6 KB |
Appendix S3 Parents' perception of child's health scale |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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