Clinical characteristics and physiotherapeutic interventions in spastic tetraparesis
DOI:
https://doi.org/10.34024/rnc.2021.v29.11237Keywords:
Cerebral Palsy, Spastic Tetraparesis, Characteristics Clinics, Physiotherapeutic TreatmentAbstract
Introduction. Cerebral Palsy (CP) affects the central nervous system in maturational and functional development. In tetraparesis the four limbs are affected equally. Spasticity is the most common motor sequela in CP, being characterized by increased muscle tone. Objective. It is a non systemact review about clinical characteristics of patients with CP spastic tetraparesis and the physical therapy treatment modalities adopted for this population. Method. The search was done in the electronic databases Medline, Lilacs, and PEDro, for articles published from 2009 to 2019, in the languages Portuguese, English, and Spanish. Results. We selected 18 articles about the clinical features and the various types of intervention. The articles were on cryotherapy, wearing elastic garments, equine therapy, kinesiotherapy, aquatic physiotherapy, and Bobath concept. Conclusion. Several treatment strategies have shown improvements in motor functionality detected by different assessment tools. However, due to few descriptions of approaches and publications made, it is not possible to define which would be the most indicated and effective method for of these patients.
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References
Dias CP, Goulart NBA, Freire B, Becker J, Vaz MA. Paralisia cerebral em Pediatria. Rev Ped Mod 2015;51:224-9.
Cortés A, Wachhotz D. Intervención temprana en niños com alto riesgo de desarrollar parálisis cerebral; una revisión sistemática. Rev Chil Terap Ocupac 2016;16:63-76. https://doi.org/10.5354/0719-5346.2016.44752
Chagas PSC, Defilipo EC, Lemos RA, Mancini MC, Frônio JS, Carvalho RM. Classificação da função motora e do desempenho funcional de crianças com paralisia cerebral. Rev Bras Fisioter 2008;12:409-16. https://doi.org/10.1590/ S1413-35552008000500011
Oliveira BL, Dantas ACLM, Paiva JC, Leite LP, Ferreira PHL, Abreu TMA. Recursos fisioterapêuticos na paralisia cerebral pediátrica. Rev Cient Esc Saúde 2013;2:25-37.
https://repositorio.unp.br/index.php/catussaba/article/view/296
Santos TS, Santos MCC, Santos EL. Efeito agudo da crioterapia na espasticidade de crianças com encefalopatia crônica não progressiva da infância. Rev UniAndr 2019;20:9-17. https://doi.org/10.18024/1519-5694/revuniandrade.v20n1p9-17
Azevedo SMS, Santos F. O efeito do método Therasuit na função motora de uma criança com paralisia cerebral: estudo de caso (Trabalho de Conclusão de Curso). Porto: Universidade Fernando Pessoa, 2014. http://hdl.handle.net/10284/4336
Oliveira LL, Nery LC, Gonçalves RV. Efetividade do método pediasuit na função motora grossa de uma criança com paralisia cerebral. Rev Interdiscipl Cienc Med 2018;1:15-21.
http://revista.fcmmg.br/ojs/index.php/ricm/article/download/68/30
Espindula AP, Junior DEB, Ribeiro MF, Lage JB, Mello EC, Raizel JBE, et al. Avaliação da flexibilidade de crianças com paralisia cerebral após intervenção fisioterapêutica. Rev Cons Saude 2018;17:41-7. https://doi.org/10.5585/ConsSaude.v17n1.7576
Gregório A, Krueger E. Influência da equoterapia no controle cervical e de tronco em uma criança com paralisia cerebral. Rev Uniandr 2013;14:65-75.
Pastrello FHH, Garcão DC, Pereira K. Método watsu como recurso complementar no tratamento fisioterapêutico de uma criança com paralisia cerebral tetraparetica espástica: estudo de caso. Fisioter Mov 2009;22:95-102.
https://periodicos.pucpr.br/index.php/fisio/article/view/19369/18717
Arshad N, Imran M, Munir Z, Akram S, Hameed AA. Spastic cerebral palsy; Effects of Bobath motor developmental techniques in spastic cerebral palsy; a case series. Profess Med J 2018;25:1546-51. https://doi.org/10.29309/TPMJ/18.4614
Morell OJA, Ortega FZ, Obispo BP, Porcel RM. Asociación entre respuesta de equilibración del erector de columna y alteraciones de cadera en la parálisis cerebral. Investig Discapacid 2014;3:153-61.
https://www.medigraphic.com/pdfs/invdis/ir-2014/ir144a.pdf
Catena F, Moraes ERM, Lemos AVKC, Yamane PC, Blumetti FC, Dobashi ET, et al. Estudo clínico do quadril não tratado na tetrapareisa espástica. Rev Bras Ortop 2011;46(Supp 4):21-6.
https://doi.org/10.1590/S0102-36162011001000005
Tremblay ES, Shevell M, Dagenais L. Determinants of ambulation in children with spastic quadriplegic cerebral palsy: a population-based study. J Child Neurol 2009;25:669-73. https://doi.org/10.1177/0883073809342590
Firmino RCB, Lima AKP, Almeida CMRS, Uchôa SMM. Influência do Conceito Bobath na função muscular da paralisia cerebral quadriplégica espástica. Rev Neurocienc 2015;23:595-02.
https://doi.org/10.34024/rnc.2015.v23.7992
Castano PRL, Gelves MVC, Urazan DP. Abordaje de un caso de parálisis cerebral espástica nível V mediante el concepto Bobath. Rev Sci Dir 2019;41:242-6. https://doi.org/10.1016/j.ft.2019.03.006
Ávila ASC, Rocha CAQC. Atuação fisioterapêutica em paciente com PC com tetraparesia espástica assimétrica: um estudo de caso. Rev Cien Faminas 2014;10:21-7.
http://periodicos.faminas.edu.br/index.php/RCFaminas/article/view/341/316
Gomes CO, Golin MO. Tratamento Fisioterapêutico Na Paralisia Cerebral Tetraparesia Espástica, Segundo Conceito Bobath. Rev Neurocienc 2013;21:278-85.
https://doi.org/10.34024/rnc.2013.v21.8293
Porras VA, Pedersini P, Berjano P, Villafañe JH. The efficacy of physical therapy on the improvement of the motor componentes of visual attention in children with cerebral palsy: a case series study. J Exerc Rehabil 2019;15:103-8. https://doi.org/10.12965/jer.1836568.284
Ferreira AAS, Fernandes DSSL. Influência da crioterapia e do calor ultrassônico na paralisia cerebral: relato de caso. Rev Neurocienc 2012;20:552-9. https://doi.org/10.4181/RNC.2012.20.710.8p
Oliveira L, Santos MCC, Melo TR. Efeito da terapia neuromotora intensiva no controle de tronco de crianças com quadriparesia. Rev UniAndr 2018;19:77-83. https://doi.org/10.5935/1519-5694.20180010/revuniandrade.v19n2p77-83
Silva EF, Azevedo E, Souza RJ, Favero FM, Frutuoso JRC, Voos MC. Reflexões sobre a importância dos exercícios terapêuticos para o desenvolvimento de uma criança com tetraparesia espástica, relato de caso. Rev Ibirapuera 2014;7:21-30. http://www.revistaunib.com.br/vol7/05.pdf
Navarro FM, Machado BBX, Neri AD, Ornellas E, Mazetto AA. A importância da hidrocinesioterapia na paralisia cerebral: relato de caso. Rev Neurocienc 2019;17:371-5.
https://doi.org/10.34024/rnc.2009.v17.8532
McGee MC, Reese NB. Immediate effects of a hippotherapy session on gait parameters in children with spastic cerebral palsy. Pediatr Phys Ther 2009;21:212-8. https://doi.org/10.1097/PEP.0b013e3181a39532
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Copyright (c) 2021 Danielly Firmino da Silva, Mayara Cristina Galindo de Moraes, Marina Ortega Golin
This work is licensed under a Creative Commons Attribution 4.0 International License.
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Accepted 2021-07-26
Published 2021-08-20
