Controle de tronco e função manual em crianças com Paralisia Cerebral
Data
2018
Autores
Santarelli, Marcela Cristina 
Orientadores
Sá, Cristina dos Santos Cardoso de
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A paralisia cerebral (PC), também conhecida como encefalopatia crônica não
progressiva da infância, diz respeito a uma série de distúrbios cerebrais
permanentes não progressivos, consequentes de uma lesão cerebral estática
ocorrida no período pré, peri ou pós-natal. Tais alterações cerebrais são
responsáveis pelo comprometimento do movimento e da postura. Sua classificação
ocorre de acordo com o tipo e a gravidade das alterações do movimento que estão
relacionados, respectivamente, com o local e a extensão da lesão no cérebro.
Durante o desenvolvimento das crianças com PC, elementos importantes para um
equilíbrio íntegro e a realização das atividades diárias são prejudicados, propiciando
problemas relacionados à coordenação motora e ao controle postural. Este último é
a base do sistema de controle motor humano responsável pela estabilidade e
condições para o movimento. O controle postural prejudicado em crianças com PC
provoca menor independência, posto que influencia nas habilidades motoras e no
desenvolvimento motor. Dessa maneira, o objetivo deste estudo foi avaliar o controle
de tronco e a função de membro superior de crianças com Paralisia Cerebral
espásticas hemiparéticas e diparéticas de diferentes níveis do GMFCS. Consiste em
um estudo de caráter transversal, no qual foram avaliadas 3 crianças com PC, entre
sete e 11 anos de idade, todas do sexo feminino. A análise do controle de tronco foi
feita por meio do Segmental Assessment of Trunk Control (SATCo) e as habilidades
manuais pelo Quality of Upper Extremity Skills Test (QUEST). Os resultados
encontrados mostram desempenhos distintos entre as crianças em ambas as
escalas, demonstrando semelhança apenas na SATCo com completo controle de
tronco expressado pela criança PC hemiparética de GMFCS nível I e a criança PC
diparética de GMFCS nível II. Na QUEST apresentam-se diferentes resultados de
acordo com as particularidades de cada criança, nenhuma apresentando total
função manual preservada. Este estudo permite reforçar, portanto, a importância de
se avaliar o desempenho do controle de tronco e função manual para uma
abordagem individualizada e melhor realização das atividades da vida diária de
crianças com PC
Cerebral palsy (CP), also known as chronic non-progressive encephalopathy of childhood, concerns a series of permanent non-progressive brain disorders, resulting from a brain injury that occurred in the in the period pre-static, peri or postnatal. Such brain changes are responsible for the involvement of movement and posture. Classification occurs according to the type and severity of changes of motion which are related respectively with the location and extent of the lesion in the brain. During the development of the children with CP important elements for good balance and the performance of daily activities are impaired, resulting in problems related to coordination and postural control. The latter is the basis of human motor control system responsible for stability and conditions for movement. The postural control impaired in children with CP causes less independence, since it influences motor skills and motor development. In this way, the objective will be to evaluate trunk control and upper limb function of children with hemiparetic and diparetic spastic Cerebral Palsy of different levels of GMFCS. Consists of a transversal character study, in which were evaluated 3 children with PC, between seven and 11 years of age, all female. The analysis of trunk control was done by means of the Segmental Assessment of Trunk Control (SATCo) and manual skills for Quality of Upper Extremity Skills Test (QUEST). The results found show distinct performances among the children in both scales, demonstrating similarity only in SATCo with complete control of trunk expressed by the child hemiparetic CP of GMFCS level I and the child diparetic CP of GMFCS level II. In the QUEST they present different results according to the particularities of each child, none presenting full manual function preserved. This study allows to conclude the existence of the importance of evaluating the performance of trunk control and manual function for an individualized approach and better realization of the activities of the daily life of children with CP
Cerebral palsy (CP), also known as chronic non-progressive encephalopathy of childhood, concerns a series of permanent non-progressive brain disorders, resulting from a brain injury that occurred in the in the period pre-static, peri or postnatal. Such brain changes are responsible for the involvement of movement and posture. Classification occurs according to the type and severity of changes of motion which are related respectively with the location and extent of the lesion in the brain. During the development of the children with CP important elements for good balance and the performance of daily activities are impaired, resulting in problems related to coordination and postural control. The latter is the basis of human motor control system responsible for stability and conditions for movement. The postural control impaired in children with CP causes less independence, since it influences motor skills and motor development. In this way, the objective will be to evaluate trunk control and upper limb function of children with hemiparetic and diparetic spastic Cerebral Palsy of different levels of GMFCS. Consists of a transversal character study, in which were evaluated 3 children with PC, between seven and 11 years of age, all female. The analysis of trunk control was done by means of the Segmental Assessment of Trunk Control (SATCo) and manual skills for Quality of Upper Extremity Skills Test (QUEST). The results found show distinct performances among the children in both scales, demonstrating similarity only in SATCo with complete control of trunk expressed by the child hemiparetic CP of GMFCS level I and the child diparetic CP of GMFCS level II. In the QUEST they present different results according to the particularities of each child, none presenting full manual function preserved. This study allows to conclude the existence of the importance of evaluating the performance of trunk control and manual function for an individualized approach and better realization of the activities of the daily life of children with CP
Descrição
Citação
SANTARELLI, Marcela Cristina. Controle de tronco e função manual em crianças com Paralisia Cerebral. 2018. 56 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade (ISS), Universidade Federal de São Paulo (UNIFESP), Santos, 2018.