Verification of the functional abilities and assistance needs of children with cerebral palsy
DOI:
https://doi.org/10.7322/jhgd.19878Keywords:
Cerebral palsy, Infantile development, Physiotherapy, Early intervention, Function, AssessmentAbstract
INTRODUCTION: Cerebral Palsy is a movement and posture disorder caused by events occurring during pregnancy, childbirth, the neonatal period or during the first two years of life. Its main characteristic is the body's inability to efficiently face the effects of gravity. Due to the motor alterations, the participation of the physiotherapist in the interdisciplinary team is important. Assessment of the difficulties in cerebral palsy should take place to enable a better organization of the physiotherapeutic program. OBJETIVE: To analyze the constraints on the functional abilities and the assistance needs of children with cerebral palsy up to 18 months of age. METHODS: Seven children with a medical diagnosis of cerebral palsy, with ages between 10 and 18 months, mean age corresponding to one year and two months, were assessed. The assessment occurred by means of P.E.D.I. and the gross and normative scores in the areas of functional abilities and caregiver's assistance were analyzed. Results: The mobility area was the one in which the children with cerebral palsy had more difficulties; thus, they needed more assistance in movements and postures. CONCLUSION: In spite of the alterations in the neuromotor components observed in risk children, the same children end up developing motor strategies that allow them to perform functional activities; for example, the situations cited in the self-care area. The caregivers, guided by the physiotherapist, can propose the means that will benefit the child's function, his/her participation in the activity and communication development.References
Schwartzman JS. Paralisia Cerebral. Temas sobre Desenvolvimento: edição especial. São Paulo: Mennon. 1993; 13(3): 4-19.
Bobath Centro. XXVI curso Bobath, método de tratamento neuro-evolutivo (Apostila). São Paulo, 1997.
Stokes M. Neurologia para fisioterapeutas. São Paulo: Premier; 2000.
Iwabe C, PiovesanaamSG. Estudo comparativo do tono muscular na paralisia cerebral tetraparética em crianças com lesões predominantemente corticais ou subcorticais na tomografia computadorizada de crânio. Arq. Neuro-Psiquiatr. São Paulo: 2003; 61:3A.
Mancini MC, et al. Comparação do desempenho de atividades funcionais em crianças com desenvolvimento normal e crianças com paralisia cerebral. Arq. Neuro-Psiquiatr. São Paulo: 2002; 60: 2B.
Mancini MC, et al. Perfil do desenvolvimento neuromotor do bebê de alto risco no primeiro ano de vida. Temas sobre o desenvolvimento. São Paulo: 1992; 8:3-8.
Mancini MC. Inventário de Avaliação Pediátrica de Incapacidade (P.E.D.I.), Manual da Versão Brasileira Adaptada. Minas Gerais: Editora UFMG; 2005.
Allegretti ALC, Mancini MC, Schwartzman JS. Estudo do desempenho funcional de crianças com paralisia cerebral diparética espástica utilizando o Pediatric Evaluation of disability inventory (P.E.D.I.). Arq. Bras. Paralis. Cereb. 2004;1:35-40.
Oliveira MC, Cordani LK. Correlação entre habilidades funcionais referidas pelo cuidador e assistência fornecida a crianças com paralisia cerebral. Arq. Bras. Paralis. Cereb.2004;1:24-29.
HUnsinger MMBY. O bebê e a coordenação motora. São Paulo: Summus Editorial; 2ª edição; 1994.
Finnie NR. O manuseio em casa da criança com paralisia cerebral. São Paulo: Manole; 3ªedição; 2000.
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