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The Prevalence and Characteristics of Patients Diagnosed with Osteogenesis Imperfecta at the Zambia Italian Orthopedics Hospital Community Based Rehabilitation Project

Received: 04 September 2015    Accepted: 25 September 2015    Published: 19 October 2015
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Abstract

Introduction: Osteogenesis Imperfecta is a rare condition that can be very disabling. It is an inherited disease of the bones, which is characterized by fragility that causes affected individuals to have recurrent fractures that subsequently lead to pain, deformity and disability. The aim of the study was to determine the prevalence of Osteogenesis Imperfecta and identify the common deformities and treatment methods used in managing affected individuals at the Zambia Italian Orthopedics Hospital. Methods: This was a retrospective cross sectional survey. A data capture sheet was used to collect data from records and descriptive trend analysis was done in excel. Results: We identified 18 patients with Osteogenesis Imperfecta out of 8250. The age range was 1 to 17 years. Eighty-three percent (n=15) of these patients had deformities which included; bowed lower limbs, scoliosis and other related complications. All the patients underwent surgery at one point in time and received physiotherapy. Conclusion: The prevalence of Osteogenesis Imperfecta at the Zambia Italian Orthopaedics Hospital Community Based Rehabilitation Project is low. Surgery is the most commonly used method of treatment coupled with physiotherapy. Though uncommon, the condition is expensive to manage for both the institution and affected individuals’ families. This is as a result of repeated surgeries and prolonged physiotherapy.

DOI 10.11648/j.sjph.20150305.40
Published in Science Journal of Public Health (Volume 3, Issue 5, September 2015)
Page(s) 804-807
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), 2024. Published by Science Publishing Group

Keywords

Osteogenesis Imperfecta, Surgery, Physiotherapy, Orthopedics, Disability, Rehabilitation

References
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[2] Newacheck PW (2007). An epidemiologic profile of children with special health care needs. paediatrics 102(1); 117-123.
[3] Marini JC (2007). Osteogenesis imperfecta. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, ds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; chap 699.
[4] Newacheck PW, Halfon W (1998). An epidemiologic profile of children with special health care needs. American Journal of Public Health, April 88(4):610-17.
[5] Marini JC, Fines H (2007). Osteogenesis imperfecta: comprehensive management. Adv Pediatr 35:391- 426.
[6] Cheung MS, Glorieux FH (2008). Osteogenesis Imperfecta: update on presentation and management. Rev Endocr Metab Disord 9, 153-160.
[7] Wilson D (2007). Wong’s essentials of pediatric nursing. 7th edition. Elsevier, Mosby.
[8] Marini JC, Cabral WA, Barnes AM (2010). Null mutations in LEPRE1 and CRTAP cause severe recessive osteogenesis imperfecta. Cell and tissue research 339, 59-70.
[9] Falk MJ (2003). Intravenous biphosphonate therapy in children with osteogenesis imperfect. Paediatrics, 111(3): 573-578.
[10] US Census Bureau, International Data Base (2004). http://gsociology.icaap.org/reports.html [Accessed April 23, 2012]
[11] Viljoen D, Beighton P (2011). "Osteogenesis imperfecta type III: an ancient mutation in Africa?" Am. J. Med. Genet. 27 (4): 907–12. doi: 10.1002/ajmg.1320270417. PMID 3425600
[12] Samuel CJ, Varghese TP (2007). A Retrospective study of Osteogenesis imperfecta in Dakhliya region. Orthopaedics department, Nizwa Hospital Middle East.
[13] Engelbert RHH, Uiterwaal CS, Grever WJ, Pruijs HE, Helders PJ (2004). Osteogenesis imperfecta in childhood: impairment and disability. A prospective study with 4-year follow-up. Arch Phys Med Rehabil. 85, 772-8.
[14] Amako M, Fassier F, Hamdy RC, Aarabi M, Montpetit K, Glorieux FH (2004). Functional analysis of upper limb deformities in osteogenesis imperfecta. J Pediatr Orthop 24, 689-694.
[15] Kaur S, Kulkarna Kp, Kochar Is, Narasimhan R (2011). Management of Lower Limb Deformities in Children with Osteogenesis Imperfecta, New Delhi, India.
[16] Benson DR, Donaldson DH, Millar EA (2000). The spine in osteogenesis imperfecta. J Bone Joint Surg [Am] 60-A: 925-9
[17] Moorefield WG, Miller GR (2008). Aftermath of osteogenesis imperfecta: the disease in adulthood. J Bone Joint Surg, 62(1):13-19.
Author Information
  • Department of Physiotherapy, School of Medicine, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Medicine, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Medicine, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Medicine, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Medicine, University of Zambia, Lusaka, Zambia

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    Stella Kabengo, Esther Munalula-Nkandu, James C. Munthali, Loveness A. Nkhata, Hastings Shula. (2015). The Prevalence and Characteristics of Patients Diagnosed with Osteogenesis Imperfecta at the Zambia Italian Orthopedics Hospital Community Based Rehabilitation Project. Science Journal of Public Health, 3(5), 804-807. https://doi.org/10.11648/j.sjph.20150305.40

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    Stella Kabengo; Esther Munalula-Nkandu; James C. Munthali; Loveness A. Nkhata; Hastings Shula. The Prevalence and Characteristics of Patients Diagnosed with Osteogenesis Imperfecta at the Zambia Italian Orthopedics Hospital Community Based Rehabilitation Project. Sci. J. Public Health 2015, 3(5), 804-807. doi: 10.11648/j.sjph.20150305.40

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    AMA Style

    Stella Kabengo, Esther Munalula-Nkandu, James C. Munthali, Loveness A. Nkhata, Hastings Shula. The Prevalence and Characteristics of Patients Diagnosed with Osteogenesis Imperfecta at the Zambia Italian Orthopedics Hospital Community Based Rehabilitation Project. Sci J Public Health. 2015;3(5):804-807. doi: 10.11648/j.sjph.20150305.40

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  • @article{10.11648/j.sjph.20150305.40,
      author = {Stella Kabengo and Esther Munalula-Nkandu and James C. Munthali and Loveness A. Nkhata and Hastings Shula},
      title = {The Prevalence and Characteristics of Patients Diagnosed with Osteogenesis Imperfecta at the Zambia Italian Orthopedics Hospital Community Based Rehabilitation Project},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {5},
      pages = {804-807},
      doi = {10.11648/j.sjph.20150305.40},
      url = {https://doi.org/10.11648/j.sjph.20150305.40},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.20150305.40},
      abstract = {Introduction: Osteogenesis Imperfecta is a rare condition that can be very disabling. It is an inherited disease of the bones, which is characterized by fragility that causes affected individuals to have recurrent fractures that subsequently lead to pain, deformity and disability. The aim of the study was to determine the prevalence of Osteogenesis Imperfecta and identify the common deformities and treatment methods used in managing affected individuals at the Zambia Italian Orthopedics Hospital. Methods: This was a retrospective cross sectional survey. A data capture sheet was used to collect data from records and descriptive trend analysis was done in excel. Results: We identified 18 patients with Osteogenesis Imperfecta out of 8250. The age range was 1 to 17 years. Eighty-three percent (n=15) of these patients had deformities which included; bowed lower limbs, scoliosis and other related complications. All the patients underwent surgery at one point in time and received physiotherapy. Conclusion: The prevalence of Osteogenesis Imperfecta at the Zambia Italian Orthopaedics Hospital Community Based Rehabilitation Project is low. Surgery is the most commonly used method of treatment coupled with physiotherapy. Though uncommon, the condition is expensive to manage for both the institution and affected individuals’ families. This is as a result of repeated surgeries and prolonged physiotherapy.},
     year = {2015}
    }
    

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    T1  - The Prevalence and Characteristics of Patients Diagnosed with Osteogenesis Imperfecta at the Zambia Italian Orthopedics Hospital Community Based Rehabilitation Project
    AU  - Stella Kabengo
    AU  - Esther Munalula-Nkandu
    AU  - James C. Munthali
    AU  - Loveness A. Nkhata
    AU  - Hastings Shula
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    DO  - 10.11648/j.sjph.20150305.40
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.sjph.20150305.40
    AB  - Introduction: Osteogenesis Imperfecta is a rare condition that can be very disabling. It is an inherited disease of the bones, which is characterized by fragility that causes affected individuals to have recurrent fractures that subsequently lead to pain, deformity and disability. The aim of the study was to determine the prevalence of Osteogenesis Imperfecta and identify the common deformities and treatment methods used in managing affected individuals at the Zambia Italian Orthopedics Hospital. Methods: This was a retrospective cross sectional survey. A data capture sheet was used to collect data from records and descriptive trend analysis was done in excel. Results: We identified 18 patients with Osteogenesis Imperfecta out of 8250. The age range was 1 to 17 years. Eighty-three percent (n=15) of these patients had deformities which included; bowed lower limbs, scoliosis and other related complications. All the patients underwent surgery at one point in time and received physiotherapy. Conclusion: The prevalence of Osteogenesis Imperfecta at the Zambia Italian Orthopaedics Hospital Community Based Rehabilitation Project is low. Surgery is the most commonly used method of treatment coupled with physiotherapy. Though uncommon, the condition is expensive to manage for both the institution and affected individuals’ families. This is as a result of repeated surgeries and prolonged physiotherapy.
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