Infantile cerebral palsy.Motor Disorders
Conditions
Interventions
The six children in the intervention group were submitted to the protocol (
1. stretching in cross cell (30 seconds on each side). 1 MINUTE
2. Rotation movements of inverted saddle (2 sets x 10 repet
if the patient is lighter, perform the most distal support).
Cube posture (lighter patients perform the cube, immersion in the xiphoid process, more severe patients, squatting with the patient on the
if the patient is light, let him stand unsupported if he is more severe , support in pelvis or knees, immersion in xiphoid process).
6. Stand and walk (lighter patients, perform without support, more
Other
E02.779.492
Sponsors
Associação de Assistência a Criança Deficiente
Associação de Assistência a Criança Deficiente
Eligibility
Age
4 Years to 8 Years
Inclusion criteria
Inclusion criteria: Children with Cerebral Palsy of spastic diparesia type; classified in level III of the GMFCS with age between 4 and 8 years and 11 months.
Exclusion criteria
Exclusion criteria: Patients who were unable to understand the proposed activities, underwent orthopedic surgery less than 12 months; and peripheral blocks less than six months old and who presented clinical intercurrences that could interfere with the rehabilitation process were excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of gait balance after 16 sessions of the aquatic physiotherapy protocol with emphasis on the proximal stabilization, verified by the increase in the final score in the Dynamic Gait Index (DGI), from the observation of a variation of at least 5% in the pre-measurement and post intervention. ;There was an improvement in balance control by the Dynamic Gait Index (DGI), in the total score of the scale (p = 0.041), with an average increase of 40%, after 16 sessions of the aquatic physiotherapy protocol with balance-state. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improved functionality after 16 sessions of the aquatic physiotherapy protocol with emphasis on balance and gross motor function, verified by the increase in the final score of the GMFM-88.;Improvement of the Measurement of Gross Motor Function (GMFM-88) (p = 0.026), with a 15% increase in the final score after the intervention. ;Better performance in the 10-meter Walk Test (10 MWT);Better performance in the 10-meter walk test, with a decrease in total time spent, 22.4% (p = 0.028). ;Decreased time spent in Time Up and Go (TUG);Decreased time spent in Time Up and Go (TUG) (p = 0.025).;Increased Visual Analogue Scale (EVA) score.; No change was observed in the Visual Analogue Scale (VAS) score ;Improvement of static balance in the Pediatric Functional Balance Scale (EEP).;No change was observed in thescore of gait and Pediatric Functional Balance Scale (EEP). ;Increase in Child's final score Health Questionnaire (CHQ, PF-50), from the observation of a variation of at least 5% in the pre and post intervention measurements.;Increase in the final score of the Child Health Questionnaire (CHQ, PF-50) in the physical function domain (p = 0.054) and domain impact on the parents' time (p = 0.043), the remaining domains did not change. | — |
Countries
Brazil
Contacts
Public ContactBrunna Santos Thomazin da Silva
Associação de Assistência a Criança Deficiente
Outcome results
None listed