Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/tede/handle/tede/886 |
Resumo: | INTRODUCTION: The main change present in children with palsy cerebral is the motor impairment. For this, several therapeutic interventions seek to promote the selective motor control, among them the orthoses. Different types of orthotics are used for this purpose, highlighting the use of fixed and articulated orthoses. Whereas the postural insoles aims to reorganize and rearrange mechanical postural muscle tone, that may play a role similar to the conventional orthoses. OBJECTIVE: The aim of the present study was to determine the effect of the combination of postural insoles and ankle-foot orthoses on static and functional balance in children with CP. METHODS: a systematic review of the literature considering the following inclusion criteria was done: (1) design controlled clinical trial; 2) intervention: insole; 3) outcome: change in static postural balance; and 4) year of publication: 2005 to 2012. Next, we conducted a randomized controlled double blind in which after meeting the legal aspects and the eligibility criteria, 10 children between 4 and 12 years old were randomly divided into a control group (12) and experimental group (12). Children in the control group used the placebo insole and children in the experimental group used postural insoles. These insoles were made in ethylene vinyl acetate, which in the case of postural insoles, received thermoforming to fasten the foot problems related to postural correction and in the case of placebos insoles did not receive the correct parts. In relation to evaluation, this was composed of gross motor function, static balance and functional mobility and functional performance. The evaluation will be carried out of balance with the force platform used, brand model Kistler 9286BA. Data analysis considered the adherence to the bell curve, by Kolmogorov-Smirnov and how they were presented parametric, were expressed as mean (standard deviation or confidence interval of 95%). For intergroup analysis it was used the independent t test and intragroup analysis was used repeated measures ANOVA. RESULTS: In the systematic review the results described demonstrate that currently many types of Palminhas are studied and developed in order to strengthen the somatosensory information. Already Articles provided clinical evidence that postural insoles provides evidence that such insoles promote an improvement in balance. The findings contribute to a better understanding of therapeutic resources employed in pediatric neurology. |
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Oliveira, Claudia Santoshttp://lattes.cnpq.br/8012781178161885Biasotto-Gonzalez, Daniela AparecidaCPF:00000000000http://lattes.cnpq.br/6741738316587978Collange, Nelci Zanonhttp://lattes.cnpq.br/5713442886002389CPF:34006744862http://lattes.cnpq.br/2037623434404329Christov??o, Thaluanna Calil Louren??o2015-04-22T17:20:41Z2014-11-282013-10-21CHRISTOV??O, Thaluanna Calil Louren??o. Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado. 2013. 94 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2013.http://bibliotecatede.uninove.br/tede/handle/tede/886INTRODUCTION: The main change present in children with palsy cerebral is the motor impairment. For this, several therapeutic interventions seek to promote the selective motor control, among them the orthoses. Different types of orthotics are used for this purpose, highlighting the use of fixed and articulated orthoses. Whereas the postural insoles aims to reorganize and rearrange mechanical postural muscle tone, that may play a role similar to the conventional orthoses. OBJECTIVE: The aim of the present study was to determine the effect of the combination of postural insoles and ankle-foot orthoses on static and functional balance in children with CP. METHODS: a systematic review of the literature considering the following inclusion criteria was done: (1) design controlled clinical trial; 2) intervention: insole; 3) outcome: change in static postural balance; and 4) year of publication: 2005 to 2012. Next, we conducted a randomized controlled double blind in which after meeting the legal aspects and the eligibility criteria, 10 children between 4 and 12 years old were randomly divided into a control group (12) and experimental group (12). Children in the control group used the placebo insole and children in the experimental group used postural insoles. These insoles were made in ethylene vinyl acetate, which in the case of postural insoles, received thermoforming to fasten the foot problems related to postural correction and in the case of placebos insoles did not receive the correct parts. In relation to evaluation, this was composed of gross motor function, static balance and functional mobility and functional performance. The evaluation will be carried out of balance with the force platform used, brand model Kistler 9286BA. Data analysis considered the adherence to the bell curve, by Kolmogorov-Smirnov and how they were presented parametric, were expressed as mean (standard deviation or confidence interval of 95%). For intergroup analysis it was used the independent t test and intragroup analysis was used repeated measures ANOVA. RESULTS: In the systematic review the results described demonstrate that currently many types of Palminhas are studied and developed in order to strengthen the somatosensory information. Already Articles provided clinical evidence that postural insoles provides evidence that such insoles promote an improvement in balance. The findings contribute to a better understanding of therapeutic resources employed in pediatric neurology.INTRODU????O: A principal altera????o presente nas crian??as com paralisia cerebral ?? o comprometimento motor. Para isso, diferentes interven????es terap??uticas buscam favorecer o controle motor seletivo, entre elas, as ??rteses. Diferentes tipos de orteses s??o utilizadas com esse objetivo, destacando o uso das ??rteses fixas e articuladas. Considerando que as palmilhas posturais tem o objetivo de reorganizar a mecanica postural e reorganizar o tonus muscular, essa pode exercer um papel semelhante as das ??rteses convencionais. OBJETIVO: Verificar o efeito das palmilhas posturais no equil??brio est??tico e equil??brio funcional das crian??as com paralisia cerebral e comparar com palmilhas lisas. METODOLOGIA: Inicialmente foi realizada uma revis??o sistem??tica da literatura considerando os seguintes crit??rios de inclus??o: (1) desenho: ensaio cl??nico controlado; (2) popula????o: crian??as e adolescentes com paralisia cerebral; (3) interven????o: ??rteses r??gidas ou articuladas; (4) desfecho: melhora da fun????o motora e desempenho da marcha. Em seguida, foi realizado um ensaio cl??nico aleatorizado controlado duplo cego no qual ap??s cumprimento dos aspectos legais e os crit??rios de elegibilidade, 10 crian??as entre 4 e 12 anos foram divididas aleatoriamente em grupo controle (12) e grupo experimental (12). As crian??as do grupo controle fizeram uso da palmilha placebo e as crian??as do grupo experimental das palmilhas posturais. Essas palmilhas foram confeccionadas em etilvenilacetato, que no caso das palmilhas posturais, receberam termomoldagem para fixa????o das pe??as podais relacionadas a corre????o postural e no caso das palmilhas placebos n??o receberam as pe??as de corre????o. Com rela????o a avalia????o, essa foi composta da fun????o motora grossa, do equil??brio est??tico e funcional, da mobilidade e do desempenho funcional. A avalia????o de equil??brio ser?? realizada com utilizada a plataforma de for??a, marca Kistler modelo 9286BA, A an??lise dos dados considerou a ader??ncia a curva de Gauss, pelo teste Kolmogorov- Smirnov e como esses apresentaram-se param??tricos, foram expressos em m??dia (desvio padr??o ou intervalo de confian??a de 95%). Para an??lise intergrupos foi utilizado o teste t independente e para an??lise intragrupo foi utilizada ANOVA de medidas repetidas. RESULTADOS: Na revis??o sistem??tica, os resultados descritos demonstram que atualmente diversos tipos de palminhas s??o estudas e desenvolvidas com o intuito de refor??ar as informa????es somatossensoriais. J?? os artigos cl??nicos forneceram evid??ncias de que as palmilhas posturais promovem melhorias no equil??brio, contribuindo para melhor compreens??o e integra????o nos recursos terap??uticos utilizados na reabilita????o f??sica aplicada a neurologia pedi??trica.Made available in DSpace on 2015-04-22T17:20:41Z (GMT). No. of bitstreams: 1 Thaluanna CL Christovao.pdf: 1502636 bytes, checksum: 363c446f3045244203179b4053143858 (MD5) Previous issue date: 2013-10-21application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBRSa??deparalisia cerebralpalmilhas posturaiscrian??aequil??brio posturalcerebral palsybalanceorthosespostural insoleCIENCIAS DA SAUDEEquil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controladoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALThaluanna CL Christovao.pdfapplication/pdf1502636http://localhost:8080/tede/bitstream/tede/886/1/Thaluanna+CL+Christovao.pdf363c446f3045244203179b4053143858MD51tede/8862019-10-17 18:32:33.636oai:localhost:tede/886Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2019-10-17T21:32:33Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
title |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
spellingShingle |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado Christov??o, Thaluanna Calil Louren??o paralisia cerebral palmilhas posturais crian??a equil??brio postural cerebral palsy balance orthoses postural insole CIENCIAS DA SAUDE |
title_short |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
title_full |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
title_fullStr |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
title_full_unstemmed |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
title_sort |
Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado |
author |
Christov??o, Thaluanna Calil Louren??o |
author_facet |
Christov??o, Thaluanna Calil Louren??o |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Oliveira, Claudia Santos |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8012781178161885 |
dc.contributor.referee1.fl_str_mv |
Biasotto-Gonzalez, Daniela Aparecida |
dc.contributor.referee1ID.fl_str_mv |
CPF:00000000000 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6741738316587978 |
dc.contributor.referee2.fl_str_mv |
Collange, Nelci Zanon |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/5713442886002389 |
dc.contributor.authorID.fl_str_mv |
CPF:34006744862 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2037623434404329 |
dc.contributor.author.fl_str_mv |
Christov??o, Thaluanna Calil Louren??o |
contributor_str_mv |
Oliveira, Claudia Santos Biasotto-Gonzalez, Daniela Aparecida Collange, Nelci Zanon |
dc.subject.por.fl_str_mv |
paralisia cerebral palmilhas posturais crian??a equil??brio postural |
topic |
paralisia cerebral palmilhas posturais crian??a equil??brio postural cerebral palsy balance orthoses postural insole CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
cerebral palsy balance orthoses postural insole |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
INTRODUCTION: The main change present in children with palsy cerebral is the motor impairment. For this, several therapeutic interventions seek to promote the selective motor control, among them the orthoses. Different types of orthotics are used for this purpose, highlighting the use of fixed and articulated orthoses. Whereas the postural insoles aims to reorganize and rearrange mechanical postural muscle tone, that may play a role similar to the conventional orthoses. OBJECTIVE: The aim of the present study was to determine the effect of the combination of postural insoles and ankle-foot orthoses on static and functional balance in children with CP. METHODS: a systematic review of the literature considering the following inclusion criteria was done: (1) design controlled clinical trial; 2) intervention: insole; 3) outcome: change in static postural balance; and 4) year of publication: 2005 to 2012. Next, we conducted a randomized controlled double blind in which after meeting the legal aspects and the eligibility criteria, 10 children between 4 and 12 years old were randomly divided into a control group (12) and experimental group (12). Children in the control group used the placebo insole and children in the experimental group used postural insoles. These insoles were made in ethylene vinyl acetate, which in the case of postural insoles, received thermoforming to fasten the foot problems related to postural correction and in the case of placebos insoles did not receive the correct parts. In relation to evaluation, this was composed of gross motor function, static balance and functional mobility and functional performance. The evaluation will be carried out of balance with the force platform used, brand model Kistler 9286BA. Data analysis considered the adherence to the bell curve, by Kolmogorov-Smirnov and how they were presented parametric, were expressed as mean (standard deviation or confidence interval of 95%). For intergroup analysis it was used the independent t test and intragroup analysis was used repeated measures ANOVA. RESULTS: In the systematic review the results described demonstrate that currently many types of Palminhas are studied and developed in order to strengthen the somatosensory information. Already Articles provided clinical evidence that postural insoles provides evidence that such insoles promote an improvement in balance. The findings contribute to a better understanding of therapeutic resources employed in pediatric neurology. |
publishDate |
2013 |
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2013-10-21 |
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2014-11-28 |
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2015-04-22T17:20:41Z |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
CHRISTOV??O, Thaluanna Calil Louren??o. Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado. 2013. 94 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2013. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/tede/handle/tede/886 |
identifier_str_mv |
CHRISTOV??O, Thaluanna Calil Louren??o. Equil??brio e palmilhas posturais em crian??as com paralisia cerebral: estudo cl??nico aleatorizado controlado. 2013. 94 f. Disserta????o (Mestrado em Sa??de) - Universidade Nove de Julho, S??o Paulo, 2013. |
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