Treacher Collins Syndrome (TCS) is an autosomal dominant disorder that leads to congenital craniofacial malformation, and may then be assisted by the Padovan Method® for neurological rehabilitation. That being said, the aim of this article is to report the functional improvements obtained by a patient with TCS who underwent the Padovan Method®. The child was born on november 26th of 2014, cesarean delivery, 37 weeks, Apgar 9/10, weighted 3625g, PC = 35cm, C = 49CM, presenting mild respiratory discomfort, absence of suction and the presence of syndromic facies, which is characteristic of TCS with retrognathism, oblique palpebral cleft downward divergent strabismus on left, pointed ears with cleft lobes, narrow auditory canal, malar hypoplasia and narrow palate. Padovan therapy was initiated at the 6th day of life, from orofacial, vestibular, ocular and motor exercises that seek to recapitulate the neuroevolutionary phases of human development with the purpose of propitiating a motor and neurological maturation of the central nervous system (CNS) and the correction of its possible failures. The child presented suction on the second day of therapy and on the fifth day was discharged from the hospital with good suction to the breast. The patient was followed up on an outpatient office and was given physiotherapy and speech therapy. The patient no longer received the Padovan Method® because at that time it was not available outside the hospital. Upon returning to childcare at age of 3, a good motor coordination performance was noticed, also speaking few loose words, but with good interaction and understanding. Therefore, due to the lack of standard behavior in neonatal neurological rehabilitation, considering the concepts of neuroplasticity andknowing the importance of early intervention, the Padovan Method® is shown as an alternative in the CNS reorganization in patients with TCS.
Objective: To report two cases of children rehabilitated with the Padovan® Method before the tendon stretching surgery. Case reports: Observational, descriptive, quantitative and retrospective study of two cases of children who had cerebral palsy, spasticity, shortening of the tendons and lack of gait, due to hypoxia in the neonatal period, seen in a private clinic by the Padovan® method of neurofunctional reorganization, through review of medical records. For motor evaluation, the Gross Motor Function Classification System (GMFCS) was used. The reports were approved by the Research Ethics Committee. Patients received conventional motor physiotherapy from the first months of life to 7 years old (case 1) and 5 years old (case 2), when they started rehabilitation with the Padovan® Method, 3 times a week and, after improving their tone and muscle strength, patients were referred for orthopedic surgery and moved from level IV (mobility with limitations) to level II (walking with limitations) on the GMFCS scale. Final considerations: Even after the sequela installed, patients managed to acquire gait, contributing to the results of orthopedic surgery due to the reprogramming of movements proposed by the Padovan® Method, which can contribute to reducing failures in this type of surgery.
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