Comprometimento motor e funcionalidade de crianças e adolescentes com paralisia cerebral em atendimento fisioterapêutico: um estudo transversal

• Main Author: Sá, Raquel Ferreira
• Publication Date: 2018
• Format: Bachelor thesis
• Language: por
• Source: Biblioteca Digital de Teses e Dissertações da UFPB
• Download full: https://repositorio.ufpb.br/jspui/handle/123456789/12756
• topic: Adolescente; Criança; Destreza Motora; Fisioterapia; Paralisia Cerebral.; CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL

Introduction: Cerebral palsy (CP) is a disease characterized as a non-progressive neurological condition deriving from injury to the immature brain, which can generate motor, cognitive, sensory, perceptual, on communication and behavioral dysfunctions. In this way, it affects the motility and functionality of the affected individuals. The child with CP goes through stages of physiotherapeutic treatment and usually remains a good part of childhood and adolescence in Specialized Rehabilitation Services. Objective: To identify the motor impairment and functionality of users with cerebral palsy treated at the Child Physiotherapy Service (SFI) of the Lauro Wanderley University Hospital (HULW). Methodology: The present study is descriptive and cross-sectional, with a quantitative approach, consisting of 14 patients diagnosed with CP, selected in a non-probabilistic manner, attended at the HULW Child Physiotherapy Service. In addition, the Gross Motor Function Classification System (GMFCS) was applied to obtain the level of motor impairment (I to V) and the Pediatric Evaluation of Disability Inventory (PEDI), functional skills and caregiver assistance. Descriptive statistics were performed through frequency (mean and standard deviation), scores and scores of GMFCS and PEDI. The data collected were organized and tabulated using the Microsoft Office Excel 2010 program. Results: Sample participants were 64% male and 36% female. They presented age ranging from 2 to 15 years, 50% being up to 4 years of age, followed by 29% between 9 and 12 years. Regarding the type of CP, the majority (36%) had spastic diplegia. Concerning GMFCS, 9 participants (65%) reached between levels IV and V, which revealed an important motor impairment. It was observed that individuals whose ages were highest had the highest level in GMFCS, and an inversely proportional relationship between GMFCS level and continuous mobility assessment scores. Conclusion: The present study indicates levels of motor impairment and functionality in the CP, however, the most important aspect to highlight is that it can visualize through the scales used the skills and potentialities of the participants, which can further collaborate in the process of rehabilitation they are in.