Influência da estimulação vestibular no controle cervical de crianças com paralisia cerebral

Content Provider	Semantic Scholar
Author	Souza, Patrícia Pinheiro
Copyright Year	2016
Abstract	INTRODUCTION: The heads upward position against gravity constitutes an important motor developing point and it is one of the main goals to acquire postural control. One of the most important sensory systems for the sustaining of posture is the Vestibular System, in which it takes part, not only maintaining posture itself but also regulating balance, muscle tonus and the positioning of the head in space. Children with Cerebral Palsy (CP) show late development in postural control and consequently in cervical control, due to many reasons. Favoring cervical control in these children is essential for them to have better visual contact and interaction with their surroundings. OBJECTIVE: The general objective of this study was to verify the effects of an intervention program of vestibular stimulation in the cervical control and sensory profile of children with brain palsy classified as level V according to the Gross Motor Function Classification System (GMFCS). METHODS: Twenty-one children Ranging from 9 to 35 months old were randomly placed in 2 groups: a) Control Group (composed by children submitted to motor intervention based in Neuro-Develpmental Bobath concept – once a week during 30 minutes for 8 weeks) and b) Experimental Group (composed by children submitted to motor intervention identical to the ones in Group Control, complemented by a program of domestic vestibular stimulation with an standard market jumper5 times a week for 8 weeks).The cervical control and the sensory profile were evaluated Before( Pre-intervention evaluation) and After(Post-Intervention Evaluation) the intervention period proposed to both groups. For the Cervical control evaluation, a cinematic analysis of the head was performed timing the elevation (in seconds) and sustention (in seconds) of the head in the prone position. For the cinematic analysis of the head, the children were placed in prone position with a foam roll of 15cm under the axillae and a pendent neck, allowing the child to move freely. A webcam type of camera was placed to the right of the child to identify the beginning and the end of each extension movement from the head, which was stimulated by a flashing musical toy. The object was presented to the child for 1 minute, at mid eyesight level in a distance of no more than 20 cm. After the movement of head extension, the examiner would keep moving the object in order to elicit the sustaining position of the head. For the Sensory Profile analysis, the Initial Development of the Infant/Toddler Sensory Profile 2 (ITPSP 2) was used. It consists in a questionnaire, based in an interview held
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Alternate Webpage(s)	http://repositorio.unb.br/bitstream/10482/21652/1/2016_Patr%C3%ADciaPinheiroSouza.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article