Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele
Document title: Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000406983
ISSN: 0004-282X
Authors: 1
1
1
1
1
1
1
Institutions: 1Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil
Year:
Season: Mar
Volumen: 75
Number: 3
Pages: 160-166
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Experimental, caso clínico
English abstract We aimed to investigate whether infants with myelomeningocele would improve their motor ability and functional independence after ten sessions of physical therapy and compare the outcomes of conventional physical therapy (CPT) to a physical therapy program based on reflex stimulation (RPT). Twelve children were allocated to CPT (n = 6, age 18.3 months) or RPT (n = 6, age 18.2 months). The RPT involved proprioceptive neuromuscular facilitation. Children were assessed with the Gross Motor Function Measure and the Pediatric Evaluation of Disability Inventory before and after treatment. Mann-Whitney tests compared the improvement on the two scales of CPT versus RPT and the Wilcoxon test compared CPT to RPT (before vs. after treatment). Possible correlations between the two scales were tested with Spearman correlation coefficients. Both groups showed improvement on self-care and mobility domains of both scales. There were no differences between the groups, before, or after intervention. The CPT and RPT showed similar results after ten weeks of treatment
Portuguese abstract O estudo investigou se crianças com mielomeningocele melhorariam sua habilidade motora/funcional após dez sessões de fisioterapia e comparou o quadro motor de um grupo submetido à fisioterapia convencional (FC) com outro tratado com fisioterapia com estimulação reflexa (RF). Doze crianças foram alocadas em FC (n=6, 18,3 meses de idade) ou FR (n=6, 18,2 meses de idade). FR envolveu facilitação neuromuscular proprioceptiva. As crianças foram avaliadas com a Medida de Função Motora Grossa (GMFM) e o Inventário de Avaliação Pediátrica de Incapacidade (PEDI) antes e depois do tratamento. Testes de Mann-Whitney compararam a melhora na GMFM e PEDI (FC versus FR) e testes de Wilcoxon compararam FC e FR (antes versus depois). Possíveis correlações entre GMFM e PEDI foram testadas por coeficientes de Spearman. Ambos os grupos melhoraram na GMFM e PEDI (domínios autocuidado e mobilidade). Não houve diferença entre os grupos antes e após a intervenção. FC e FR apresentaram efeitos semelhantes depois de dez semanas de tratamento
Disciplines: Medicina
Keyword: Neurología,
Terapéutica y rehabilitación,
Mielomeningocele,
Rehabilitación física,
Movilidad funcional
Keyword: Medicine,
Neurology,
Therapeutics and rehabilitation,
Myelomeningocele,
Physical rehabilitation,
Functional mobility
Full text: Texto completo (Ver HTML)