Methods of Rehabilitation in Children with Neuromuscular Disorders

H, Weiss; Betts, Henry B.

doi:10.1016/s0031-3955(16)32069-7

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…O método de Kabat, que se baseia na utilização de estímulos proprioceptivos facilitadores das respostas motoras, partindo de respostas reflexas e chegando à motricidade voluntária. O atendimento fisioterápico deve levar em conta sempre as etapas do DPM normal, e utilizar vários tipos de estimulação sensitiva e sensorial 1,4,22,23 .…”

Section: Cerebral Palsy New Therapeutic Possibilitiesunclassified

Paralisia cerebral, novas perspectivas terapêuticas

Rotta¹

2002

J. Pediatr. (Rio J.)

119

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ResumoObjetivo: a revisão da paralisia cerebral tem como objetivo oferecer ao pediatra informações atualizadas sobre o diagnóstico e tratamento.Fontes dos dados: foram utilizados dados de revisão bibliográ-fica não sistematizada e da experiência no atendimento dos pacientes da Unidade de Neurologia do Serviço de Pediatria do HCPA-UFRGS. Síntese dos dados:o diagnóstico e tratamento da paralisia cerebral é multidisciplinar. Ao lado do sintoma principal motor, estão os sintomas associados que requerem igual atenção. Os exames de neuroimagem são importantes para melhor localizar a lesão, e mostrar sua extensão e características. O EEG auxilia no diagnóstico das epilepsias associadas. O tratamento principal é fisioterápico, auxiliado pelo tratamento da espasticidade, com antiespásticos orais, ou com toxina botulínica injetável. O tratamento de epilepsia secundária varia de acordo com o tipo de crise.Conclusões: o pediatra é o primeiro médico a entrar em contato com a criança com paralisia cerebral, e deve estar apto para reconhecer precocemente os desvios do desenvolvimento, orientar o manejo e, dentro das possibilidades e necessidades, encaminhar ao especialista. J Pediatr (Rio J) 2002; 78 (Supl.1):S48-S54: lesão cerebral, neurologia pediátrica, espasticidade. AbstractObjective: to provide pediatrician with updated information about diagnoses and treatment of cerebral palsy. This articles aims at supplying pediatricians with tools that will help them diagnose and treat cerebral palsy. Conclusions: pediatricians are the first physician that see the patient with cerebral palsy. Thus, they should be able to diagnose an treat it.J Pediatr (Rio J) 2002; 78 (Supl.1): S48-S54: cerebral palsy, neurology, pediatrics, spasticity.

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Section: Cerebral Palsy New Therapeutic Possibilitiesunclassified

Paralisia cerebral, novas perspectivas terapêuticas

Rotta¹

2002

J. Pediatr. (Rio J.)

119

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“…The gamut ranged from inhibiting movement with braces to facilitating movement with various stimulation techniques [3]. In addition, he is responsible for the generally erroneous suggestion that birth anoxia is the cause of cerebral palsy.…”

Section: Opinion Statementmentioning

confidence: 99%

Cerebral palsy

Russman

2000

Curr Treat Options Neurol

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The neurorehabilitation program for cerebral palsy changes over time. During the first 2 years of life, an infant stimulation program with an emphasis on more than just improving motor deficits is emphasized. The importance of involvement of a knowledgeable therapist cannot be overemphasized. Realistic expectations must be articulated firmly. Rather then cautiously attempting to correct a dysfunction that cannot be corrected, the therapist should help the patient develop compensation techniques; the severity of the disability frequently militates against the development of "normal" motor control. Educating the parents about cerebral palsy, showing how positioning can be an effective way of helping the child be mobile, and encouraging parent-child interaction are aspects of an infant stimulation program. The therapist should serve as a coach to the parents, who implement much of the actual treatment on a daily basis at home. From 2 to 5 years of age, rapid growth occurs, and muscle tone will either develop or worsen--the latter leading not only to the development of contracture but also to a decrease in mobility. In developing a program to control this muscle tone, the most important question to be answered is, Can I improve the patient's function and decrease the patient's disability by altering muscle tone? It is not uncommon for the real problem preventing the patient from performing certain functions to be lack of motor control or lack of sensation and not the abnormal muscle tone. Between 5 and 10 years of age, the child begins to approach adult height. At this time, definitive orthopedic intervention can be considered; as already noted, contracture development occurs as a result of abnormal muscle tone in combination with growth. Finally, as the child approaches the teen years, issues of sitting and hygiene are important considerations, especially in the nonambulatory patient. The problem of pain secondary to spasticity or dystonia must be addressed.

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“…3 The psychological impact of rearing a disabled child can be devastating. It was then expected that the normal muscles would provide the necessary functions.…”

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confidence: 99%

Are Infant Stimulation Programs Useful?

Russman¹

1986

Archives of Neurology

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Methods of Rehabilitation in Children with Neuromuscular Disorders

Cited by 7 publications

References 12 publications

Paralisia cerebral, novas perspectivas terapêuticas

Paralisia cerebral, novas perspectivas terapêuticas

Cerebral palsy

Are Infant Stimulation Programs Useful?

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