Relato De Caso: Intervenção Fisioterapêutica Em Paciente Com Microcefalia Congênita Por Zika Vírus.

Ostermann

et al. 2021

Preprint

Background: The PADOVAN-METHOD NEUROFUNCTIONAL REORGANISATION® is a promising approach in speech therapy for treating neurodevelopmental disorders of traumatic or congenital origin. Its use is based on a long-time experience of certified therapists; however, its efficacy and safety has not yet been assessed in a systematic review. This report aims to gain evidence for the use of the therapy method. Methods: Guidelines of PRISMA, the Cochrane Collaboration Handbook, MECIR and GRADE were followed. General databases (Cochrane Library, PubMed, AWMF, Anthromedics) and additional 38 databases including grey literature were searched. Hand search was also done and experts were contacted to retrieve unpublished manuscripts. All trials investigating the effect of the method in comparison to either no intervention, alternative as state of the art or placebo intervention in English, Portuguese and German language were included. No restriction regarding study design was applied. Data related to the intervention outcome and the study method was extracted and analysed idependently. Risk of Bias was assessed using ROBINS-I for non-RCTs, adherence to CARE-Guidelines was analysed for case series or reports and keeping the Declaration of Helsinki was checked for all items. Results are presented both in evidence profiles and summary of findings tables according to GRADE. Results: Amongst 98 records assessed for eligibility, and four studies and 14 case reports were identified as appropriate for analysis with a total of n = 196 participants. Duration of reported interventions was between two days and two years. Microcephalia, down-syndrome, unspecified neurological disorders and myo-functional disorders were the main conditions of the patients with neurodevelopmental disorders. Only indirect overlapping of operationalised criteria was found; therefore conclusions are limited. Conclusion: The Padovan-Method® is a holistic therapy approach claiming feasibility to a large group of disorders making proof of efficacy difficult. An application of therapy according to the Padovan-Method® by trained therapists might be considered by clinicians (weak recommendation), and a contribution to the relief of symptoms or improvements of the conditions might be gained. Therefore, development and validation of therapy protocols and further investigation are required. PROSPERO Registration: CRD42020156124.

Section: Resultsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

See 1 more Smart Citation

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

Ostermann

et al. 2021

Preprint

“…A distribuição geográfica tem concentração na região nordeste. A faixa etária de idade das crianças teve média de 30 meses, os estudos foram realizados em centros de reabilitação (Barbosa et al 2019;Braga et al 2019;Buson et al 2019;Carmo et al 2019;Oliveira et al 2019 Research, Society and Development, v. 10, n. 3, e14310313139, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13139…”

Section: Resultsunclassified

“…Na literatura revisada foram encontrados apenas relatos de casos que abordavam o efeito do tratamento fisioterapêutico nesse grupo, mostrando assim que se faz necessária mais investigações com maior número de indivíduos acerca das técnicas de fisioterapia utilizadas nos casos de SCZV. Nos estudos encontrados a fisioterapia teve efeito positivo para a força muscular, tônus muscular, amplitude do movimento e coordenação motora (Buson et al 2019;Carmo et al 2019;Oliveira et al 2019;Barbosa et al 2019;Braga et al 2019).…”

Section: Discussionunclassified

Síndrome Congênita do Zika vírus: Qual o efeito do tratamento Fisioterapêutico? Uma revisão integrativa da literatura

Lima

Oliveira

Azevedo

et al. 2021

RSD

Introdução: A Síndrome Congênita do Zika Vírus (SCZV) é classificada como uma infecção congênita rara, que necessita de acompanhamento da equipe de saúde, especialmente dos fisioterapeutas. Metodologia: Foi realizada uma revisão de literatura através do levantamento bibliográfico nas bases de dados eletrônicas Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (Portal Regional da BVS) e National Library of Medicine (PubMed), artigos e livros no Google Acadêmico com o foco na temática. Utilizando os seguintes descritores: Rehabilitation AND Zika Virus Infection OR Zika Virus AND Microcephaly AND child AND Physical Therapy Specialty. Resultados: Foram identificados 307 estudos, 10 eram elegíveis, desses apenas 5 foram incluídos para esta revisão. Todos eram relatos de caso realizados em centros de reabilitação, e relataram efeitos positivos sobre a força e tônus muscular, amplitude do movimento e coordenação motora. Conclusão: Foi observado que o tratamento fisioterapêutico trouxe benefícios motores para a criança com a SCZV. Apesar da importância do tratamento fisioterapêutico nesse grupo devido as múltiplas alterações neuropsicomotoras, há uma escassez de estudos demonstrando os efeitos das técnicas de fisioterapia empregadas.

Recommendation of Neurorehabilitation according to the Padovan-Method Neurofunctional Reorganization® for Treating Neurodevelopmental Disorders: A Systematic Review

Vogel¹,

Ostermann²,

Vogel³

et al. 2022

Complement Med Res

Objective: The PADOVAN-METHOD NEUROFUNCTIONAL REORGANI¬SATION® is a promising approach in speech therapy treating neuro¬developmental disorders with traumatic or congenital origin. Its use is based on a long-time experience of certified therapists. However, its efficacy and safety has not been assessed in a systematic review. This report aims to gain evidence for the use of the therapy method. Methods and analysis: Guidelines of PRISMA, the Cochrane Collaboration Handbook, MECIR and GRADE were followed. General databases (Cochrane Library, PubMed, AWMF, Anthromedics, etc.) and further 38 databases including grey literature were searched. Hand search was done additionally and contact to experts used to retrieve unpublished manuscripts. All trials investigating the effect of the method in comparison to either no intervention, alternative as state of the art or placebo intervention in English, Portuguese and German language were included. No restriction regarding study design was applied. Data related to the intervention outcome and the study method was extracted and analysed idependently. Risk of Bias was assessed using ROBINS-I for non-RCTs, adherence to CARE-Guidelines was analysed for case series or reports and keeping the Declaration of Helsinki was checked for all items. Results are presented both in evidence profiles and summary of findings tables according to GRADE. Results: Amongst 98 records assessed for eligibility, four studies and 14 case reports were identified with a total of n = 196 participants. Duration of reported interventions was between two days and two years. Microcephalia, down-syndrome, unspecified neurological disorders and myo-functional disorders were main conditions of the patients with neurodevelopmental disorders. Only indirect overlapping of operationalised criteria was found. Conclusions are therefore limited. Conclusion: The Padovan-Method® is a holistic therapy approach claiming its feasibility to a large group of disorders making a proof of efficacy difficult. An application of therapy according to the Padovan-Method® by trained therapists might be considered by clinicians (weak recommendation) and a contribution to a relief of symptoms or improvements of condition of named conditions might be gained. Therefore, development and validation of therapy protocols and further investigation are required. PROSPERO Registration: CRD42020156124. Keywords: neurological rehabilitation, neurodevelopmental disorders, rehabilitation of speech and language disorders, systematic review