Requirements for tele-health in children with obstetric brachial plexus palsy during Covid-19-like situations

K Delioğlu1, C Ozal1, K Seyhan Bıyık1

  • 1Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230, Ankara, Turkey.

Insights

Families of children with obstetric brachial plexus palsy need remote services during pandemics. Tele-consultation eased parental worries, especially for those with children under three, highlighting its value in managing lockdown situations.

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Public Health

Background:

  • The COVID-19 pandemic necessitated rapid adoption of remote healthcare services.
  • Understanding family needs and service requirements during public health crises is crucial for pediatric care.
  • Obstetric brachial plexus palsy (OBPP) requires ongoing management, potentially disrupted by lockdowns.

Purpose of the Study:

  • To investigate concerns and service needs of families with OBPP patients during COVID-19 lockdown.
  • To assess the impact of tele-consultation on parental coping and worries.
  • To evaluate the age-specific usefulness of tele-consultation in managing lockdown challenges.

Main Methods:

  • A questionnaire was emailed to parents of 67 OBPP patients (0-10 years) post-lockdown.
  • Data were collected from families who received tele-consultation (n=42) and those who did not (n=25).
  • Responses were analyzed across four age groups to identify variations in concerns and service utility.

Main Results:

  • Parental concerns regarding OBPP varied significantly by child's age group (p=0.001).
  • All families expressed a need for remote services during pandemic-like situations.
  • Tele-consultation alleviated parental worries across all age groups (p=0.160), with greatest usefulness reported for families with children under three (p=0.002).

Conclusions:

  • Remote services, particularly tele-consultation, are essential for families managing pediatric conditions like OBPP during lockdowns.
  • Tele-consultation effectively reduces parental anxiety and supports coping mechanisms.
  • Service delivery models should consider age-specific needs, prioritizing younger children (under 3) for enhanced tele-consultation support during crises.

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