Efeito da colocação da órtese Pediasuit na oscilação postural durante a atividade de alcance manual na postura sentada em crianças com paralisia cerebral
Visicato, Livia Pessarelli
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Children with cerebral palsy (CP) have limitations in the components of the structure and function of the body, social participation and implementation of activities, being one of these activities manual reaching. From this evidence was our interest in the Study I, a systematic review aimed to gather studies evaluating the scope for CP children to identify the variables analyzed review and discuss their findings. It was found that children with CP have limitations in reaching, characterized by lower smoothness and linearity of movement. Among the causes of these limitations are the postural control deficits. Postural control refers to the ability to control the body in relation to space, when it is disturbed during dynamic activities such as in the range of objects. Anticipatory postural adjustments (APA) and compensatory (APC) are generated to keep the balance forward to this destabilization. There are few studies evaluating the APA and APC in CP children with different impairments of gross motor function and manual function during manual range in the seated position. Therefore, we developed the Study 2 aimed to check the APA and APC during manual reaching of PC children with mild and moderate-severe impairment of motor function and manual-thick comparing them with typical developmentTD children. It was found that children with CP with mild and moderate-severe impairment exhibit greater instability in the APA and APC when comparads DT, however not present disparity when compared with children with different impairments of gross motor function and manual. After this evidence that children with CP have instability in the APA and APC there is a need for studies that verify therapeutic strategies, as well as auxiliary devices aimed aprimor postural control of children with CP during the reaching in the seated position. Thus originated the Study 3 aimed to determine the immediate effect of suit Pediasuit in APA and APC during manual reaching in sitting posture in children with spastic CP. It was found that the suit Pediasuit provides immediate changes in postural control during the sitting reaching of children with CP, providing greater stability of the center of pressure (COP) in the APA and APC. Thus, we can conclude that children with CP have deficits of range of motion and postural control during the activity of reach when compared to children with typical development, demonstrating postural instability during the activity. The suit Pediasuit generates greater stability in the APA and APC in children with CP. Therefore we recommend the use of suit in clinical practice in order to obtain immediate changes in postural stability.