Abstract

SANTOS, Laryssa Maira Dos et al. Intensive neuromotor therapy in trunk control and gross motor skills in child with spasic hemiparesia: case report. Cad. Pós-Grad. Distúrb. Desenvolv. [online]. 2020, vol.20, n.1, pp. 67-84. ISSN 1519-0307.  http://dx.doi.org/10.5935/cadernosdisturbios.v20n1p67-84.

The non-progressive chronic encephalopathy of childhood (NPCEC) known as cerebral palsy (CP) occurs due to an injury in the immature encephalon, in the pre, peri and/or postnatal, to three years of age, with consequent tone changes, posture and movement and delayed motor development. One of the innovative forms of physical therapy interventions that has been used in these patients is the neuromotor intensive therapy (NMIT), which used for intensive treatment associated with suit costume. As ways to measure the evolution of these patients, they use motor scales as GMFM-88 and 66, GMFCS and biofeedback. The aim of the study was to verify NMIT effects on trunk control and child's gross motor function with hemiparesis CP. This is a quantitative and qualitative retrospective case study, which analyzed the medical records of a female child with hemiparesis and GMFCS III, submitted to the NMIT treatment in a rehabilitation center. With the results of the analysis of Biofeed^TM, GMFM-88 and 66 and GMFCS, the initial and final data of the two modules were compared, and consequently comparison of these two modules. It observed a gain in all GMFM-88 dimensions, and mainly in the ratings of the second NMIT module, with greater gains in the dimension D (2.56%) and E (4.17%), which were goals for the patient, it was also noted in the comparison of Biofeed^® analyzes, one greater sway trunk in the final collection of the second therapy module, probably to make up for increased use of the segment. Therefore paired results suggest that NMIT was able to promote global motor improvement for this patient with paresis of this study, particularly at higher motor skills gains, with larger trunk oscillation adjustments, then the NMIT may consist of intervention form suitable for such cases.

Keywords : Cerebral palsy; Hemiparesis; Physiotherapy; Motor function.

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