Posture and Balance In Children with Cerebral Palsy Under Different Therapeutic Approaches

Authors

  • Flaviana Maciel Fisioterapeuta, especialista em Fisioterapia em neurologia pela Universidade Metodista de São Paulo, São Paulo-SP, Brasil.
  • Carla Mazzitelli Fisioterapeuta, Mestre, docente Curso de Fisioterapia Universidade Metodista – São Paulo, São Paulo-SP, Brasil.
  • Cristina dos Santos Cardoso de Sá Fisioterapeuta, Doutora, Departamento de Ciências da Saúde – UNIFESPCampus Baixada Santista, Santos-SP, Brasil.

DOI:

https://doi.org/10.34024/rnc.2013.v21.8201

Keywords:

Cerebral Palsy, Intervention, Physiotherapy, Postural Assessment, Balance

Abstract

Cerebral palsy affects persistently, but variably, balance and posture of children, so it is essential that physical therapists perform detailed evaluations allowing better organization of the treatment program. Objective. To identify changes and postural balance of children with cerebral palsy, and verify the effects of different therapeutic ap­proaches on the alignment and postural control. Method. A total of six children were evaluated, four underwent aquatic physical therapy and kinesiotherapy and two underwent only kinesiotherapy, through photometry by software SAPO and by balance scale-Pediatric Balance Scale (PBS) at two different times, with an interval of two months. Results. it was found that all children showed typical postural changes of children with cerebral palsy, and balance deficits, regardless of the type of intervention received. Conclusion. Children under aquatic therapy and kinesiotherapy, as well as children subjected only to kine­siotherapy had the same postural and balance deficits.

References

Morris C. Definition and classification of cerebral palsy: a historical perspective. Dev Med Child Neurol 2007; 109:3-7. http://dx.doi.org/10.1111/j.1469-8749.2007.tb12609.x

Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax MA. Report: the definition and classification of cerebral palsy. Dev Med Child Neurol 2007;109:8-14.

Rethlefsen SA, Ryan DD, Kay R. Classification Systems in Cerebral Palsy. Orthopedic of North America 2010; 41(4):457-467. http://dx.doi.org/10.1016/j.ocl.2010.06.005

Umphred D, Carlson C. Reabilitação neurológica prática. Rio de Janeiro: Lab, 2007, 276p.

Mota AP, Pereira JS. Influencia da fisioterapia nas alterações motoras em crianças com paralisia cerebral. Fisioterapia Brás 2006;7:209-212.

Meregillano G. Hippotherapy. Phys Med Rehabil Clin N Am 2004;15(4):843-54. http://dx.doi.org/10.1016/j.pmr.2004.02.002

Franjoine MR, Gunther JS, Taylor MJ. Pediatric balance scale: a modified version of the Berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Pher 2003;15:114-128. http://dx.doi.org/10.1097/01.PEP.0000068117.48023.18

Benda W, Mcgibbon NH, Grant KL. Improvements in muscle symmetry in children with cerebral palsy after equine-assisted therapy (hippotherapy). J Altern Complement Med 2003;9:817-25. http://dx.doi.org/10.1089/107555303771952163

Ferreira EAG. Postura e controle postural: desenvolvimento e aplicação de método quantitativo de avaliação postural. (Tese de Doutorado). São Paulo: USP, 2005, 76p.

Lafond D, Corriveau H, Hérbert R, Prince F. Intrasession Reliability of center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil 2004;85:896-901. http://dx.doi.org/10.1016/j.apmr.2003.08.089

Geldhof E, Cardon G, De Bourdeaudhuij I, Danneels L, Coorevits P, Vanderstraeten G, et al. Static and dynamic standing balance: test-retest reliability and reference values in 9 to 10 year old children. Eur J Pediatr 2006; 165: 779-786. http://dx.doi.org/10.1007/s00431-006-0173-5

Doyle RJ, Ragan BG, Rajendran K, Rosengren KS, Hsiao-Wecksler ET. Generalizability of stabilogram diffusion analysis of center of pressure measures. Gait & Posture 2008;27:223-230. http://dx.doi.org/10.1016/j.gaitpost.2007.03.013

Shumway-Cook A, Woollacott MH. Controle Motor. Teoria e aplicações práticas. 2ª edição. São Paulo: Manole, 2003, 592p.

Dorval G, Tetreault S, Caron C. Impact of aquatic programmes on adolescents with cerebral palsy. Occup Ther Int 1996;3:241-261. http://dx.doi.org/10.1002/oti.39

Driver S, Rees K, O’Connor J, Lox C. Aquatics, health-promoting self-care behaviours and adults with brain injuries. Brain Inj 2006;20:133-141. http://dx.doi.org/10.1080/02699050500443822

Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Phys Ther 2007;87(1):32-43. http://dx.doi.org/10.2522/ptj.20060006

Ruoti RG, Morris D, Cole AJ. Reabilitação Aquática. São Paulo: Manole; 2001; 463p.

Getz M, Hutzler Y, Vermeer A. Effects of aquatic interventions in children with neuromotor impairments: a systematic review of the literature. Clin Rehabil 2006;20(11):927-936. http://dx.doi.org/10.1177/0269215506070693

Gutierres Filho PA. psicomotricidade relacional em meio aquático. Barueri: Manole, 2003, 100p.

Castro EM. Atividade física adaptada. Ribeirão Preto: Tecmedd, 2005, 555p.

Published

2013-03-31

How to Cite

Maciel, F., Mazzitelli, C., & Sá, C. dos S. C. de. (2013). Posture and Balance In Children with Cerebral Palsy Under Different Therapeutic Approaches. Revista Neurociências, 21(1), 14–21. https://doi.org/10.34024/rnc.2013.v21.8201

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