Prevalence of bodily functional changes in children with cerebral palsy, Fortaleza, Ceará, 2006
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i1a102906Keywords:
International Classification of Functioning, Disability and Health, Cerebral Palsy, ChildrenAbstract
Functional changes are present at a very young age in children with neurological disorders and the more severe the disease, the higher the degree of dysfunction. The present study aimed at investigating changes in the bodily functions of children with cerebral palsy (CP) treated at an early stimulation health clinic in the city of Fortaleza using the International Classification of Functioning, Disability, and Health (ICF) in order to detect possible interference in the functional performance. Thirty-two children with mild or moderate CP, aged ≥ 3 years, underwent continuous physical therapy treatment. The neurological impairment was varied: 43.7% (14) did not present cognitive deficit, 50% (16) showed mild attention deficit, 37.5% (12) had mild motor coordination difficulties and 56.2% (18) had moderate motor difficulties. Mild alteration of affection was observed in 59.3% (19) and in 53.1% (17), mild perceptive deficiency. Mild language deficits were present in 25% (8) and moderate ones in 15.6% (5). Around 60% suffered from visual deficiency and 81.2% had a proprioceptive dysfunction; 78.1% (25) presented mild respiratory alterations and 62.5% (20) had food intake difficulties. Joint mobility was compromised in 68.75% (22) and stability in 53% of them. Moderate muscular strength deficit was observed in 62.5% (20) of the hemiparetic group, 59.3% (19) of the paraparetic, and 71.8% (24) of the tetraparetic group. Recent studies have focused on the neurological and functional impact of CP, although most of them were directed at the disease itself and its consequences. Studies such as the present one are timely for understanding the functional capacities and limitations of children with CP.
Downloads
References
Ferraretto I. Paralisia cerebral: aspectos práticos. Sao Paulo: Memnon; 1998.
Allegretti AL, Mancini MC, Schwartzman JS. Estudo do desempenho funcional de crianças com paralisia cerebral diparética espástica utilizando o Pediatric evaluation of disability inventory PEDI. Temas Desenvol. 2002;11(64):5-11.
Lima CA, Fonseca LF. Paralisia cerebral: neurologia, ortopedia e reabilitaçao. Sao Paulo: Roca; 2004.
Ostensjo S, Carlberg EB, Vollestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol. 2004;46(9):580-9.
Organizaçao Mundial de Saúde. CIF: Classificaçao Internacional de Funcionalidade, Incapacidade e Saúde. Sao Paulo: Edusp; 2003. 325 p.
Mancini MC, Alves ACM, Schaper C, Figueiredo EM, Sampaio RF, Coelho ZA, et al. Gravidade da paralisia cerebral e desempenho funcional. Rev Bras Fisioter. 2004;8(3):253-60.
Brasil. Resoluçao CNS n.º 96, de 10 de outubro de 1996. Aprova diretrizes e normas regulamentadoras de pesquisa envolvendo seres humanos. Diário Oficial da Republica Federativa do Brasil, Brasília (DF);1996 out 16;Seçao 1:21082.
Rotta NT. Paralisia cerebral, novas perspectivas terapêuticas. J Pediatr. 2002;78(supl.1):S48-S54.
Florin J, Ehnfors M, Ostlinder G. Developing a national integrated classification of health care interventions in Sweden. Int J Med Inform. 2005;74(11-12):973-9.
Maranhao MV. Anestesia e paralisia cerebral. Rev Bras Anestesiol. 2005;55(6):680-702.
Schwartzman JS. Paralisia cerebral. Arq Bras Paralisia Cerebral. 2004;1(1):4-17.
Nelson CA. Paralisia Cerebral. In: Umphred DA. Fisioterapia neurológica. 3 ed. Sao Paulo: Manole; 2003. p.237-56.
Celino AC, Trigueiro S, Ventura LO, Toscano J, Barroca R. Alteraçoes oculares em crianças portadoras de paralisia cerebral. Rev bras oftalmol. 2003;62(4):248-51.
Bella GP, Godoy ALD. Efeitos do fortalecimento muscular na paralisia cerebral hemiparética espástica. Temas desenvol. 2005;14(82):15-22.
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Acta Fisiátrica

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.