Prevenção de luxação de quadril em crianças com paralisia cerebral espástica: revisão narrativa da literatura

• Autor(a) principal: Silva, Bianca dos Santos da
• Data de Publicação: 2020
• Outros Autores: Reis, Lívia
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/1621
• topic: Paralisia cerebral; Luxação do quadril; Fisioterapia; Intervenção; Dispositivos; CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL

Introduction: Subluxation and hip dislocation in children with cerebral palsy are common to spastic types due to increased muscle tone, mainly in the adductor and iliopsoas regions, and altered biomechanics favor a higher percentage of head migration (PM) of the femur concerning the acetabulum. In the most severe cases, corrective surgery is indicated, but some therapeutic resources, such as auxiliary devices and specific exercises, have been used early to prevent these deformities. Objective: To identify the therapeutic resources used to prevent hip dislocation in children with spastic cerebral palsy. Method: Narrative review of the literature based on searches in the Pubmed, VHL, and Web of Science databases. Inclusion criteria were: studies published in English focusing on motor intervention and/or auxiliary devices in children diagnosed with spastic cerebral palsy, regardless of age. Results: A total of 31 articles were selected; however, only 9 were included according to the established criteria. Conclusion: Studies using conservative methods such as exercise, orthostasis, and auxiliary devices were carried out with few children, with no strong evidence of their effectiveness.