Qualitative analysis of the effect of constraint induced movement therapy in children with cerebral palsy

Autores

DOI:

https://doi.org/10.11606/issn.2238-6149.v30i2p132-139

Palavras-chave:

Modalidades de fisioterapia, Paralisia cerebral, Criança, Pré-escolar

Resumo

Este estudo descreve quatro casos de pacientes com paralisia cerebral hemiparética, com idade entre quatro
e onze anos (6,50± 3,32), que realizaram um protocolo de Terapia por Contensão Induzida (TCI). O objetivo foi analisar qualitativamente o efeito da TCI no uso do membro superior acometido. O protocolo foi realizado durante três semanas, onde o membro não acometido foi contido por gesso sintético e foram realizadas atividades funcionais com a transferência dos ganhos ocorridos durante o tratamento para o ambiente real.
A análise qualitativa foi realizada por meio dos ajustes distais do membro acometido e por meio da escala Quality of Upper Skills Test (QUEST). Os quatro participantes obtiveram melhora nos ajustes distais e na pontuação da escala aplicada. A terapia por contensão induzida pode ser uma estratégia de intervenção eficaz para crianças com paralisia cerebral hemiparética.

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Biografia do Autor

  • Liz Araújo Rohr, Universidade Federal de São Carlos - UFSCar

    Mestranda no programa de pós graduação em fisioterapia da Universidade Federal de São Carlos

Referências

Deluca SC, Echols K, Law CR, Ramey SL. Intensive pediatric constraint-induced therapy for children with the cerebral palsy randomized, controlled, crossover trial. J Child Neurol. 2006;21(11):931-38. doi: http://doi.org/10.1177/08830738060210110401.

Beaman J, Kalisperis FR, Miller-Skomorucha K. The infant and child with cerebral palsy. In: Tecklin J. Pediatric physical therapy. 5a ed. Sydney: Lippincott Williams & Wilkins; 2015. p.187-246.

Fonseca LF, Lima CLFA. Paralisia cerebral: neurologia, ortopedia e reabilitação. 2a ed. Rio de Janeiro: Medbook; 2008.

Case-Smith J, DeLuca, SC, Stevenson R, Ramey SL. Multicenter randomized controlled trial of pediatric constraintinduced movement therapy: 6-month follow-up. Am J Occup Ther. 2012;1(66):15-23. doi: http://doi.org/10.5014/ajot.2012.002386.

Facchin P, Rosa-Rizzotto M, Visonà Dalla Pozza L, Turconi AC, Pagliano E, Signorini S, et. al. Multisite trial comparing the efficacy of constraint-induced movement therapy with that of bimanual intensive training in children with hemiplegic cerebral palsy: postintervention results. Am J Phys Med Rehabil. 2011;90(7):539-53. doi: http://doi.org/10.1097/PHM.0b013e3182247076.

DeLuca SC, Echols K, Ramey SL, Taub E. Pediatric constraintinduced movement therapy for a young child with cerebral palsy: two episodes of care. Phys Ther. 2003;83(11):1003-13. doi: https://doi.org/10.1093/ptj/83.11.1003.

Taub E, Uswatte G, Mark VW, Morris DM. The learned nonuse phenomenon: implications for rehabilitation. Eura Medicophys. 2006;42(3):241-55. Available from: https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2006N03A0241.

Taub E, Uswatte G, King DK, Morris D, Crago JE, Chatterjee A. A placebo-controlled trial of constraint-induced movement therapy for upper extremity after stroke. Stroke. 2006;37(4):1045-49. doi: http://doi.org/10.1161/01.STR.0000206463.66461.97.

Charles JR, Wolf SL, Schneider JA, Gordon AM. Efficacy of a child-friendly form of constraint-induced movement therapy in hemiplegic cerebral palsy: a randomized control trial. Dev Med Child Neurol. 2006;48(8):635-42. doi: http://doi.org/10.1017/S0012162206001356.

Choudhary A, Gulati S, Kabra M, Singh UP, Sankhyan N, Pandey RM, et al. Efficacy of modified constraint induced movement therapy in improving upper limb function in children with hemiplegic cerebral palsy: a randomized controlled trial. Brain Dev. 2013;35(9):870-76. doi: http://doi.org/10.1016/j.braindev.2012.11.001.

Baleotti LR, Gritti CC, Silva BC. Efeitos de um protocolo modificado da terapia por contensão induzida em criança com paralisia cerebral hemiparética. Rev Ter Ocup Univ São Paulo. 2014;25(3):264-71. doi: http://doi.org/10.11606/issn.2238-6149.v25i3p264-271.

Winstein CJ, Miller JP, Blanton S, Taub E, Uswatte G, Morris D, et al. Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabil Neural Repair. 2003;17(3):137-52. doi: http://doi.org/10.1177/0888439003255511.

Sakzewski L, Ziviani J, Van Eldik N. Test/retest reliability and inter-rater agreement of the Quality of Upper Extremities Skills Test (QUEST) for older children with acquired brain injuries. Phys Occup Ther Pediatr. 2001;21(2-3):59-67. doi: http://doi.org/10.1080/J006v21n02_05.

Rocha NACF, Silva FPS, Tudella E. The impact of object size and regidity on infant reaching. Infant Behav Dev. 2006;29(2):251-61. doi: http://doi.org/10.1016/j.infbeh.2005.12.007.

Toledo AM, Soares DA, Tudella E. Proximal and distal adjustments of reaching behavior in preterm infants. J Mot Behav. 2011;43(2):137-45. doi: http://doi.org/10.1080/00222895.2011.552076.

Soares DA, van der Kamp J, Savelsbergh GJ, Tudella E. The effect of a short bout of practice on reaching behavior in late preterm infants at the onset of reaching: a randomized controlled trial. Res Dev Disabil. 2013;34(12):4546-4558. doi: http://doi.org/10.1016/j.ridd.2013.09.028.

Morris DM, Taub E, Mark VW. Constraint-induced movement therapy: characterizing the intervention protocol. Eura Medicophys. 2006; 42: 257-268.

Chiu HC, Ada L. Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review. J Physiother. 2016;62(3):130-37. doi: http://doi.org/10.1016/j.jphys.2016.05.013.

Mackey AH, Walt SE, Stott NS. Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics. Arch Phys Med Rehabil. 2006;87(2):207–15. doi: http://doi.org/10.1016/j.apmr.2005.10.023.

Kreulen M, Smeulders MJC, Veeger HEJ, Hage JJ. Movement patterns of the upper extremity and trunk associated with impaired forearm rotation in patients with hemiplegic cerebral palsy compared to healthy controls. Gait Posture. 2007;25(3):485-92. doi: http://doi.org/10.1016/j.gaitpost.2006.05.015.

Machado LR, Heathcock J, Carvalho RP, Pereira ND, Tudella E. Kinematic characteristics of arm and trunk when drinking froam a glass in children with and without cerebral palsy. Clin Biomech (Bristol, Avon). 2019;63:201-6. doi: http://doi.org/10.1016/j.clinbiomech.2019.03.011.

Pashmdarfard M & Shervin BR. The Impact of Manual Ability Level on Participation of Children with Cerebral Palsy in Life Areas: A Cross-Sectional Study. Iran J Child Neurol. 2019;13(3):83-91. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586446/.

Levy CE, Nichols DS, Schmalbrock PM, Keller P, Chakeres DW. Functional MRI evidence of cortical reorganization in upper-limb stroke hemiplegia treated with constraint-induced movement therapy. Am J Phys Med Rehabil. 2001;80(1):4-12. doi: http://doi.org/10.1097/00002060-200101000-00003.

Taub E, Uswatte G, Elbert, T. New treatments in neurorehabilitation founded on basic research. Nat Rev Neurosci. 2002;3(3):228-36. doi: http://doi.org/10.1038/nrn754.

Hoare BJ, Wallen MA, Thorley MN, Jackman ML, Carey LM, Imms C. Constraint-induced movement therapy in children with unilateral cerebral palsy. Cochrane Database Systematic Rev. 2019(4):CD004149. doi: http://doi.org/10.1002/14651858.CD004149.pub3.

Publicado

2019-08-28

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Estudo de Caso

Como Citar

Rohr, L. A., Santana, C. A., Silva, E. S. M. da, Alvarez, C. D. de L., Maia, G. L. dos S., & Tudella, E. (2019). Qualitative analysis of the effect of constraint induced movement therapy in children with cerebral palsy. Revista De Terapia Ocupacional Da Universidade De São Paulo, 30(2), 132-139. https://doi.org/10.11606/issn.2238-6149.v30i2p132-139