Padovan Method As Early Stimulation In Neonatal Intensive Care Unit

Abstract

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.

Recommendation of Neurorehabilitation according to the Padovan-Method Neurofunctional Reorganisation® for treating neurodevelopmental disorders: a systematic review

“…See Table B2 (Appendix B) for a reference list of excluded items. Finally, four studies (no RCT, one pseudo-RCT [49], one non-RCT/CCT [55], one CBA [44] and one retrospective self-compared cohort study [48]) and n = 14 case documentations (10 CR [46,47,(50)(51)(52)(53)72,(164)(165)(166) and 4 CS [22,36,54,167]) remained for inclusion. Divergent from the protocol, no further exclusion was made in the case of CS or CR with unclear documentation of the therapists quali cation (therapy under supervision [52,53,72] or NI [50,51,54,[164][165][166]).…”

“…None of the included CS and CR completely ful lled the CARE [106] recommendations. Critical limitations were present in all items regarding at least one of the following domains: 'Diagnostic assessment' [22,47,[50][51][52][53]164], 'Follow-up and outcomes' (all items) [22, 36, 46, 47, 50-54, 72, 164-167] and 'Discussion' [47, 50-53, 72, 164, 166]. Limitations of CS and CR where therefore considered to be moderate [36,46,54,72,[165][166][167] or high [22,47,[50][51][52][53]164].…”

“…The context of the cases were university [51][52][53]72], inpatients [22,46,47,54] and ambulatory setting [36,165,166] (no information provided [50,164,167]). The number of participants ranged from n = 1 to n = 11 [22] and was n = 40 in total. The items contained four case series [22,36,54,167] and ten single case reports [46, 47, 50-53, 72, 164-166].…”

“…The items contained four case series [22,36,54,167] and ten single case reports [46, 47, 50-53, 72, 164-166]. The age of the participants ranged between ve days [22] to 28 years [46]. Indicating diagnosis were microcephalia (with total n = 14 in six case reports [50][51][52][53][54]72]), neonatal hypoxic-ischemic encephalopathy (n = 10 [22]), myo-functional disorder (n = 8 [36]), foetal alcohol syndrome (n = 2 [167]), neurological alteration by kernicterus (n = 1 [22]), speech development disorder (n = 1 [166]), audiogenic dyslalia (n = 1 [165]), treacher collins syndrome (n = 1 [47]), tetra paresis and open bite (n = 1 [164]) and brain injury (n = 1 [46]).…”

“…Within all reports, patients received therapy sessions according to the Padovan-Method®. The duration of each session was 45-60 minutes [36,46,51,52,72,166] or not speci ed [22,47,50,53,54,164,165,167], with application frequencies of 1 or 2 times per week (1-2/w) [36,46,54,72,165], 5-6/w, [47,53] and 7/w [50][51][52] (NI: [22,164,166,167]). The intervention periods were between ve days [47] and two years [165] (NI: [46]).…”