O uso de órteses em crianças com paralisia cerebral: percepção dos cuidadores

Abstract

The orthoses can be used as an adjuvant in the rehabilitation of children with Cerebral Palsy(CP). Studies that investigate caretakers' opinions over the use of the orthoses are fundamental, especially for propositions that aim to produce a positive impact on the use of orthoses by the children. This study's objective was to identify the perception of caretakers of children with CP over the functionality, benefits, and satisfaction over the use of the orthoses. Eighteen caretakers of children with CP, who used upper and/or lower limb orthoses, participated in this study. The data was obtained with questionnaires with open and closed questions. Descriptive and quantitative analysis of the data was made. The results suggest that the satisfaction with the orthoses is linked to the consideration of the caretaker's opinions during the period of prescription and confection of the orthoses; to the guidance provided by professional; to the noticed improvement of the range of movement of fingers and wrists and the increase of the child's balance and confidence while walking. Disconsidering the caretaker's opinions over the orthosis and the perception that the orthoses cause pain or discomfort contributed to the dissatisfaction and/or partial satisfaction of the caretakers. The results of this study may be useful for professionals from many areas of knowledge because they provide a basis to contribute for the efficacy of prescription and intervention by healthcare professionals, as well as elements that may help designers to make orthoses that fulfill the user's expectations and so increase usability, comfort, and satisfaction.

Comprimento de isquiotibiais, função motora grossa e marcha em crianças e adolescentes com paralisia cerebral

“…The gait was filmed uninterruptedly on a six meters long track, three times the distance predetermined by the scale. Gait analysis, according to the PRS predefined criteria, was later performed by watching the slow-motion footage 12 .…”

“…The modified Tardieu scale is an instrument used to measure tone and muscle response to static and dynamic stretching 11,12 . With this scale, one can obtain three distinct values, labeled R1, R2, and R3.…”

“…The modified version of the physicians rating scale (PRS) is an observational analysis instrument 11,12 aimed at assessing the gait of children with CP. The 35 items are split into eight subgroups, with a maximum score of 22 points for each lower limb.…”

Implicações e benefícios da Smart Rehabilitation nas disfunções neurológicas: uma revisão narrativa

“…De acordo com Ireno et al, (2019), existem diferentes recursos, métodos e abordagens de intervenção terapêutica que buscam minimizar as dificuldades e facilitar a funcionalidade e a participação de crianças com PC em atividades cotidianas.…”

Confecção de um dispositivo ortotico dinâmico de baixo custo para indivíduos com sequelas medulares de C6 e C7: nova forma de assistência no desempenho das atividades de vida diária

“…Apresenta funções como; manutenção ou promoção de amplitude de movimento nas articulações, aumento na funcionalidade de determinado membro ou segmento, além de proporcionar a prevenção e correção de deformidades, oferecer repouso articular, redução da dor e potencializar cicatrização. Além dos benefícios físicos, esse dispositivo pode contribuir no ganho de independência e funcionalidade, proporcionando ao indivíduo usuário um grau de satisfação na realização de demandas cotidianas, visando a melhora da qualidade de vida 12 .…”