Análise qualitativa do efeito da terapia por contensão induzida em crianças com paralisia cerebral

Autores/as

DOI:

https://doi.org/10.11606/issn.2238-6149.v30i2p132-139

Palabras clave:

Physical therapy modalities, Cerebral palsy, Child, Child preschool

Resumen

This study describes the results of four children with hemiparetic cerebral palsy, age between four and eleven years (6.50± 3.32) who had performed a Constraint-induced Movement Therapy (CIMT) protocol. The purpose was to analyze qualitatively the effects of the CIMT protocol on the use of the affected upper limb. The protocol was performed for three weeks, with restriction of the nonaffected upper limb and functional activities were performed with the transfer of gains during treatment to the real environment. A qualitative
analysis of the upper limb movement was performed through the Quality of Upper Skills Test (QUEST) scale and the assessment of distal adjustments. Improvements on the QUEST scale score and on the distal adjustments were observed in all four participants after the training protocol. The constraint-induced movement therapy may be an effective intervention aiming to improve the quality of the upper limb movement in children with hemiparetic cerebral palsy.

Descargas

Los datos de descarga aún no están disponibles.

Biografía del autor/a

  • Liz Araújo Rohr, Universidade Federal de São Carlos - UFSCar

    Mestranda no programa de pós graduação em fisioterapia da Universidade Federal de São Carlos

Referencias

Deluca SC, Echols K, Law CR, Ramey SL. Intensive pediatric constraint-induced therapy for children with the cerebral palsy randomized, controlled, crossover trial. J Child Neurol. 2006;21(11):931-38. doi: http://doi.org/10.1177/08830738060210110401.

Beaman J, Kalisperis FR, Miller-Skomorucha K. The infant and child with cerebral palsy. In: Tecklin J. Pediatric physical therapy. 5a ed. Sydney: Lippincott Williams & Wilkins; 2015. p.187-246.

Fonseca LF, Lima CLFA. Paralisia cerebral: neurologia, ortopedia e reabilitação. 2a ed. Rio de Janeiro: Medbook; 2008.

Case-Smith J, DeLuca, SC, Stevenson R, Ramey SL. Multicenter randomized controlled trial of pediatric constraintinduced movement therapy: 6-month follow-up. Am J Occup Ther. 2012;1(66):15-23. doi: http://doi.org/10.5014/ajot.2012.002386.

Facchin P, Rosa-Rizzotto M, Visonà Dalla Pozza L, Turconi AC, Pagliano E, Signorini S, et. al. Multisite trial comparing the efficacy of constraint-induced movement therapy with that of bimanual intensive training in children with hemiplegic cerebral palsy: postintervention results. Am J Phys Med Rehabil. 2011;90(7):539-53. doi: http://doi.org/10.1097/PHM.0b013e3182247076.

DeLuca SC, Echols K, Ramey SL, Taub E. Pediatric constraintinduced movement therapy for a young child with cerebral palsy: two episodes of care. Phys Ther. 2003;83(11):1003-13. doi: https://doi.org/10.1093/ptj/83.11.1003.

Taub E, Uswatte G, Mark VW, Morris DM. The learned nonuse phenomenon: implications for rehabilitation. Eura Medicophys. 2006;42(3):241-55. Available from: https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2006N03A0241.

Taub E, Uswatte G, King DK, Morris D, Crago JE, Chatterjee A. A placebo-controlled trial of constraint-induced movement therapy for upper extremity after stroke. Stroke. 2006;37(4):1045-49. doi: http://doi.org/10.1161/01.STR.0000206463.66461.97.

Charles JR, Wolf SL, Schneider JA, Gordon AM. Efficacy of a child-friendly form of constraint-induced movement therapy in hemiplegic cerebral palsy: a randomized control trial. Dev Med Child Neurol. 2006;48(8):635-42. doi: http://doi.org/10.1017/S0012162206001356.

Choudhary A, Gulati S, Kabra M, Singh UP, Sankhyan N, Pandey RM, et al. Efficacy of modified constraint induced movement therapy in improving upper limb function in children with hemiplegic cerebral palsy: a randomized controlled trial. Brain Dev. 2013;35(9):870-76. doi: http://doi.org/10.1016/j.braindev.2012.11.001.

Baleotti LR, Gritti CC, Silva BC. Efeitos de um protocolo modificado da terapia por contensão induzida em criança com paralisia cerebral hemiparética. Rev Ter Ocup Univ São Paulo. 2014;25(3):264-71. doi: http://doi.org/10.11606/issn.2238-6149.v25i3p264-271.

Winstein CJ, Miller JP, Blanton S, Taub E, Uswatte G, Morris D, et al. Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabil Neural Repair. 2003;17(3):137-52. doi: http://doi.org/10.1177/0888439003255511.

Sakzewski L, Ziviani J, Van Eldik N. Test/retest reliability and inter-rater agreement of the Quality of Upper Extremities Skills Test (QUEST) for older children with acquired brain injuries. Phys Occup Ther Pediatr. 2001;21(2-3):59-67. doi: http://doi.org/10.1080/J006v21n02_05.

Rocha NACF, Silva FPS, Tudella E. The impact of object size and regidity on infant reaching. Infant Behav Dev. 2006;29(2):251-61. doi: http://doi.org/10.1016/j.infbeh.2005.12.007.

Toledo AM, Soares DA, Tudella E. Proximal and distal adjustments of reaching behavior in preterm infants. J Mot Behav. 2011;43(2):137-45. doi: http://doi.org/10.1080/00222895.2011.552076.

Soares DA, van der Kamp J, Savelsbergh GJ, Tudella E. The effect of a short bout of practice on reaching behavior in late preterm infants at the onset of reaching: a randomized controlled trial. Res Dev Disabil. 2013;34(12):4546-4558. doi: http://doi.org/10.1016/j.ridd.2013.09.028.

Morris DM, Taub E, Mark VW. Constraint-induced movement therapy: characterizing the intervention protocol. Eura Medicophys. 2006; 42: 257-268.

Chiu HC, Ada L. Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review. J Physiother. 2016;62(3):130-37. doi: http://doi.org/10.1016/j.jphys.2016.05.013.

Mackey AH, Walt SE, Stott NS. Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics. Arch Phys Med Rehabil. 2006;87(2):207–15. doi: http://doi.org/10.1016/j.apmr.2005.10.023.

Kreulen M, Smeulders MJC, Veeger HEJ, Hage JJ. Movement patterns of the upper extremity and trunk associated with impaired forearm rotation in patients with hemiplegic cerebral palsy compared to healthy controls. Gait Posture. 2007;25(3):485-92. doi: http://doi.org/10.1016/j.gaitpost.2006.05.015.

Machado LR, Heathcock J, Carvalho RP, Pereira ND, Tudella E. Kinematic characteristics of arm and trunk when drinking froam a glass in children with and without cerebral palsy. Clin Biomech (Bristol, Avon). 2019;63:201-6. doi: http://doi.org/10.1016/j.clinbiomech.2019.03.011.

Pashmdarfard M & Shervin BR. The Impact of Manual Ability Level on Participation of Children with Cerebral Palsy in Life Areas: A Cross-Sectional Study. Iran J Child Neurol. 2019;13(3):83-91. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586446/.

Levy CE, Nichols DS, Schmalbrock PM, Keller P, Chakeres DW. Functional MRI evidence of cortical reorganization in upper-limb stroke hemiplegia treated with constraint-induced movement therapy. Am J Phys Med Rehabil. 2001;80(1):4-12. doi: http://doi.org/10.1097/00002060-200101000-00003.

Taub E, Uswatte G, Elbert, T. New treatments in neurorehabilitation founded on basic research. Nat Rev Neurosci. 2002;3(3):228-36. doi: http://doi.org/10.1038/nrn754.

Hoare BJ, Wallen MA, Thorley MN, Jackman ML, Carey LM, Imms C. Constraint-induced movement therapy in children with unilateral cerebral palsy. Cochrane Database Systematic Rev. 2019(4):CD004149. doi: http://doi.org/10.1002/14651858.CD004149.pub3.

Publicado

2019-08-28

Número

Sección

Estudo de Caso

Cómo citar

Rohr, L. A., Santana, C. A., Silva, E. S. M. da, Alvarez, C. D. de L., Maia, G. L. dos S., & Tudella, E. (2019). Análise qualitativa do efeito da terapia por contensão induzida em crianças com paralisia cerebral. Revista De Terapia Ocupacional Da Universidade De São Paulo, 30(2), 132-139. https://doi.org/10.11606/issn.2238-6149.v30i2p132-139