Navegando por Palavras-chave "Teste do alcance pediátrico"

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    Estratégias motoras de crianças com paralisia cerebral na postura sentada durante o alcance anterior
    (Universidade Federal de São Paulo, 2015-02-09) Geraldini, Juliana Maria Savazzi [UNIFESP]; Carvalho, Raquel de Paula [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Cerebral paralysis (CP) describes a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. It is common to have deficits in postural control in these children. There is interest in knowing the movement strategies used during the previous range in the sitting posture, since this posture is widely used for children with CP to perform activities of daily living. The objective of this study was to evaluate the motor strategies used by children with CP during the Pediatric Reach Test (PRT) in the sitting posture. This crosssectional, no probabilistic study was composed of aconvenience selected sample of 40 children, aged 6 to 14 years, 20 with clinical diagnosis of CP, classified as I, II and III according to the Gross Motor Function Classification System (GMFCS) in the CP group (CPG)and 20 with typical motor development for the control group (CG), paired by age and gender. After anthropometric data colected, children were evaluated by PRT, which is the anterior reaching until to the limit of stability in sitting posture. The test was recorded and the captured images was used for subsequent three-dimensional reconstruction of the movement. Linear kinematic variables of the movement of the styloid process (displacement, time, mean velocity and deceleration index), and angles (initial and final angle of the shoulder, hip, knee and ankle joints) were analyzed. For the statistical analysis we applied the t-Student test for linear variables, and ANOVA with Bonferroni multiple comparison to the angular variables. The significance level of 0.05 was adopted. There was no difference between groups for the weight and height variables, showing the homogeneity of the sample. The CPG showed lower displacement, time, and mean velocity and higher deceleration index. The angular variables showed that both groups used the same movement strategy, but the children of CPG started the movement with higher shoulder flexion, and knees flexion, indicating that this posture with higher impairments can be a factor for lower distance reached, and negatively influences the level of functionality. We conclude that children with CP have lower performance in anterior reaching test in sitting posture, with lower displacement and motor control compared to their peers with typical motor development, and thechanges of alignment evidenced by children with CP generate compensatorymechanisms that reflected the decreased efficiency of anterior reaching movement.