Resumo

SILVA, Kaitiana Martins da; GILL, Carla Borges Fleuri  e  BRAGA, Douglas Martins. Aquatic physiotherapy on the gross motor development of a premature infant with congenital malformations of the upper limbs: case report. Cad. Pós-Grad. Distúrb. Desenvolv. [online]. 2020, vol.20, n.1, pp. 41-54. ISSN 1519-0307.  http://dx.doi.org/10.5935/cadernosdisturbios.v20n1p41-54.

The congenital malformations and premature are risk factors for neuropsychomotor development. It is known that the first years of life are characterized by important acquisitions of child development. This period is considered crucial, due to greater brain plasticity, with increased neural networks and consequently developmental gains. Given these characteristics emerges the importance of intervention as early as possible. The aim of this study was to verify the influence of functional aquatic physiotherapy on the gross motor development of a premature infant with a clinical diagnosis of bilateral carpal bone malformation. This is a case report developed in the aquatic physiotherapy sector of the Assistance Association for Disabled Children (Associação de Assistência à Criança Deficiente - AACD) - Ibirapuera unit. One male patient with 5 months and 2 days of chronological age, with medical diagnosis of bilateral carpal bone malformation and neuropsychomotor developmental delay participated of this study. Evaluations were performed before and after eight sessions of intervention through the Alberta Infant Motor Scale (Aims). The protocol was defined on stimulating neuropsychomotor development focus. It was possible to observe an increase of 12 points in the total score of Aims, ranging from 6 to 18, and improvement in the percentile. Where before the intervention was verified 5 percentile, and after the intervention, 50 percentile. This study shows that for this patient functional aquatic physiotherapy can positively influence the gross motor development.

Palavras-chave : Hydrotherapy; Child development; Prematurity; Early intervention; Congenital abnormalities.

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