Aquatic physical therapy in the treatment of a child with merosin-deficient congenital muscular dystrophy: case report
DOI:
https://doi.org/10.5935/0104-7795.20160020Keywords:
Hydrotherapy, Muscular Dystrophies, Electromyography, RehabilitationAbstract
This case report describes an aquatic therapy program for a child with Merosin-Deficient Congenital Muscular Dystrophy. Objective: This study sought to investigate the effect of aquatic physical therapy on the speed and the rate of energy expenditure while moving around on a flat surface, in addition to the functional reach of the upper limbs suffering from the proximal weakness that affects these patients seeking greater independence. Methods: The Motor Function Measurement (MFM) and the Functional Reach Test (FRT) were used as assessment tools; the Energy Expenditure Index (EEI) was measured in seated locomotion, as well as the time spent, and muscle activation was measured via electromyography (EMG). The program lasted 12 weeks and included activities to improve mobility and agility as well as reaching from the seated position. Results: In the MFM the change in the score of the two dimensions (D2 and D3) that the treatment focused on was 6.8%. The functional reach improved by 16 centimeters (cm) and the amount of time moving while sitting decreased by 19 seconds (s). Energy expenditure decreased by 252.31 beats per minute (bpm). Conclusion: The aquatic physical therapy was effective for agility improvement in seated locomotion and upper limb functionality of a 6-year-old child with Merosin-Deficient Congenital Muscular Dystrophy
Downloads
References
Graziano A, Bianco F, D'Amico A, Moroni I, Messina S, Bruno C, et al. Prevalence of congenital muscular dystrophy in Italy: a population study. Neurology. 2015;84(9):904-11. DOI: http://dx.doi.org/10.1212/WNL.0000000000001303
Urtizberea JA, Miranda A. Evaluación y tratamiento de las enfermedades neuromusculares. Kinesiterapia. 2001;22(2):1-11.
Relvas PC, Nicolini RA, Souza PPC. Fisioterapia aquática funcional em pacientes com doenças neuromusculares. In: Silva JB, Branco FR. Fisioterapia aquática funcional. São Paulo: Artes Médicas; 2010. 392 p.
Kendall F. Provas e funções musculares. 3 ed. São Paulo: Manole; 1995.
Iwabe C, Miranda-Pfeilsticker BH, Nucci A. Medida da função motora: versão da escala para o português e estudo de confiabilidade. Rev Bras Fisioter. 2008;12(5):417-24. DOI: http://dx.doi.org/10.1590/S1413-35552008000500012
Paula GC, Flávio JA. Investigação do teste de alcance funcional na posição sentada em crianças normais. In: XVIII Congresso Brasileiro de Fisioterapia; 2009; Rio de Janeiro. Anais. Rio de Janeiro: Sociedade Brasileira de Fisioterapia; 2009.
Rose J, Gamble J. Marcha humana. 2 ed. São Paulo: Premier; 1998.
Hermes HJ, Freriks B, Merletti R, Hägg GG, Stegeman D, Blok J, et al. European Recommendations for Surface ElectroMyoGraphy, results of the SENIAM project. Enschede: Roessingh Research and Development; 1999.
CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde. São Paulo: Edusp, 2003.
Vuillerot C, Payan C, Girardot F, Fermanian J, Iwaz J, Bérard C, et al. Responsiveness of the motor function measure in neuromuscular diseases. Arch Phys Med Rehabil. 2012;93(12):2251-6. DOI: http://dx.doi.org/10.1016/j.apmr.2012.05.025
Diniz GP, Lasmar LM, Giannetti JG. Motor assessment in patients with Duchenne muscular dystrophy. Arq Neuropsiquiatr. 2012;70(6):416-21. DOI: http://dx.doi.org/10.1590/S0004-282X2012000600007
Carvalho RP, Tudella E, Savelsbergh GJ. Spatio-temporal parameters in infant's reaching movements are influenced by body orientation. Infant Behav Dev. 2007;30(1):26-35. DOI: http://dx.doi.org/10.1016/j.infbeh.2006.07.006
Zanardi MC, Tagliabue A, Orcesi S, Berardinelli A, Uggetti C, Pichiecchio A. Body composition and energy esj.ejcn.160152414_xpenditure in Duchenne muscular dystrophy. Eur J Clin Nutr. 2003;57(2):273-8. DOI: hSalem Y, Gropack SJ. Aquatic therapy for a child with type III spinal muscular atrophy: a case report. Phys Occup Ther Pediatr. 2010;30(4):313-24. DOI: http://dx.doi.org/10.3109/01942638.2010.493097
Fragala-Pinkham MA, Dumas HM, Barlow CA, Pasternak A. An aquatic physical therapy program at a pediatric rehabilitation hospital: a case series. Pediatr Phys Ther. 2009;21(1):68-78. DOI: http://dx.doi.org/10.1097/PEP.0b013e318196eb37
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.