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Table 3 Diagnosis of moderate/severe physical impairment

From: Childhood disability in Malawi: a population based assessment using the key informant method

DIAGNOSIS N % a
Polydactyly 13 1%
Syndactyly 10 1%
Other upper limb deformity 26 2%
Club foot 52 4%
Other lower limb deformity 58 5%
Upper and Lower Limb deformity 9 1%
Spine deformity 21 2%
Cleft lip or cleft palate 9 1%
Other congenital deformity 21 2%
Cause not given 5 0.4%
TOTAL Congenital 224 18%
Burn contracture 45 4%
Fracture malunion 15 1%
Head injury 1 0.1%
Recurrent/chronic dislocation 5 0.4%
Post traumatic joint stiffness 28 2%
Tendon/Muscle problem 4 0.4%
Peripheral nerve problem 15 1%
Amputation 16 1%
Cause not given 20 2%
TOTAL Trauma 149 12%
Epilepsy 56 4%
Developmental delay 59 5%
Cerebral Palsy 282 23%
Para/quadra/tetri/hemi-plegia 138 11%
Peripheral nerve palsy 25 2%
Other neurological 137 11%
Cause not given 2 0.2%
TOTAL Neurological 698 55%
Joint infection 5 0.4%
Bone infection 19 1.5%
Skin wound/infection 4 0.3%
TB spine/spine infection 1 0.1%
Degenerative joint infection 4 0.3%
Non infective non traumatic joint infection 1 0.1%
Bow legs 26 2%
Knock knees 38 3%
Other joint deformity 9 1%
Bone tumour 8 1%
Soft tissue tumour 13 1%
Skin tumour 5 0.4%
Spinal deformity – kyphosis 10 1%
Limb pain limiting function 8 1%
Other 39 3%
Cause not given 1 0.1%
TOTAL Acquired non-traumatic 194 15%
  1. aSome children had multiple diagnoses. Percentages in this table are calculated out of the total number of diagnoses (n = 1265) rather than individual children