The effect of constraint-induced movement therapy for children with hemiplegic cerebral palsy in Vietnam.

PURPOSE: Pediatric constraint-induced movement therapy (CIMT) is an evidence-based treatment that has a long history of demonstrating efficacy for children with hemiparesis. The purpose of this study is to determine the effectiveness of a culturally responsive CIMT program for children with hemiplegic cerebral palsy (CP) developed for the Vietnam healthcare system. METHODS: Thirty children with hemiplegic CP (mean age = 2.88 years, age range: 1 to 8 yrs, 60% male) were recruited to a CIMT program (7.5 h/week, 4 weeks) developed for the cultural context of Vietnam. Motor abilities of the affected arm and participation in daily activities were evaluated at 3 time points (one-week prior to CIMT (baseline), one-week before (pre) and after (post) CIMT) using the Quality of Upper Extremity Skill Test (QUEST) and Pediatric Motor Activity Log-Revised (PMAL-R). Individual goals were measured using the Goal Attainment Scale (GAS). RESULTS: There were significant increases in the "How often scale" and "How Well" scales of the PMAL-R (0.75 and 0.75, p < 0.00)). Score of Grasp and Dissociated Movement items on the QUEST increased significantly (6.47 and 7.63, p < 0.001). Group GAS T-Scores were 52.19 indicating that children met individual goals. CONCLUSIONS: A model of CIMT was successfully developed and delivered within the Vietnamese healthcare system. Future studies should explore the optimal model for CIMT in various regions of world where the delivery of rehabilitation services may vary.

This is the first study to investigate the effectiveness of a pediatric constraint-induced movement therapy (PCIMT), which was specially designed to be contextually and culturally relevant for Vietnam.The program was delivered by trained therapists and parents educated about the essential elements of PCIMT.The results provide important guidance on how to adapt current evidence-based components of PCIMT models to meet the needs of children globally in settings where culture, values, and models of healthcare may differ.Future global studies on PCIMT should continue to explore the optimal implementation model for CIMT to support all children with unilateral motor weakness in various regions of the world where the delivery of rehabilitation services may vary.

The sterility of OPV produced by Poliovac from 1994 to 2003

A study was conducted to test the sterility of 416 final lots of OPV produced by POLIOVAC, Vietnam from 1994 to 2003 in thioglycolate and soybean casein digest media under the standard operating procedure. The study results showed that all the tested lots (461/461 = 100%) had met the requirements for sterility

Study on situation some of factor that effect to malnutrition at children under 5 years old

Study on 400 babies under 5 years old and their mothers at Thua Thien Hue province, Huong Thuy district, Thuy Phu commune. Results: rate of malnutrition was 39,75%, in which malnutrition of moderate and serious degree was 97.5% and 2,5% ……… Rate of stunted malnutrition was 38,25%, scraggy malnutrition rate was 19,75%. Children in poor families had higher risk of malnutrition than in prosperpous families (50% vs 37,22%). Malnutrition in under 2500 gr low weight newborns was 49,40%, in having more 2 children family was 46,56%, in children who didn’t feeded by mother’s milk was 75%, In stop suck under 12 months children was 64%. In addition still have pathology factors as diarrhoea malnutrition 49.05%, pneumonia malnutrition 47,97%