The physiological basis of neurofunctional reorganization in stimulating the nervous system is justified and ratified by the concepts of neuroplasticity and therefore, its use in neonatology is well indicated.
Objective: Describe how Neurofunctional reorganization throughPadovan method can contribute to restore neurologic function of newborns and can avoid the need for gastrostomy and shortening hospital stay.Method: Descriptive and retrospective study performed in a hospital at Ceará´s inland, Brazil, through analysis of medical records. 92 patients from the neonatal ICU who suffered perinatal asphyxia and evolved with neurological disorders were evaluated. Patients received Neurofunctional Reorganization therapy, which is the performance of physical and oral exercises that complement each other in order to recover lost functions and also prepare the body to acquire functions and capabilities which it has potential for.Results: Eighty-two patients completed the therapy and showed positive results (89.1%). The main expected outcome was the recovery of suction and this was achieved in between 8 and 150 days. 48 cases showed an improvement between 8 and 30 days of treatment (56%).
Conclusions:The Neurofunctional reorganization proposed by Padovan is effective in the recovery of neurological function of newborns, especially the suction, shortening the hospital stay and avoiding gastrostomy.
The pathologies of the neonatal period are largely responsible for infant mortality in the first year of life, as well as neurological sequelae. In support, we have a greater neuroplasticity in the first two years of life, which can provide a rehabilitation of neurological circuits, contributing to the recovery of child neurodevelopment. According to the theories of neuroscience and epigenetics is that the Padovan method of Neurofunctional Reorganization is being used as early stimulation therapy in premature and term infants who suffered perinatal hypoxia, with excellent results in a public hospital in the state of Ceará.
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