Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/15321 |
Resumo: | Postural control is important for independence in the daily activities of children and adolescents and is dependent on the interaction between the visual, somatosensory and vestibular systems. In addition, the sensory system modifies the efferent motor command, regulating the musculoskeletal system, to promote voluntary and automatic actions, modulating postural control according to the demands of the environment. However, individuals with cerebral palsy (CP), as a result of lesions in the central nervous system, have motor deficits and sensory information processing deficits, which impair postural control. In many everyday situations, in which sensory inputs are reduced, such as in low light conditions and without support for the upper limbs, there may be an exacerbation of the difficulty in postural control, thus increasing the risk of falls. In view of this, the motivation to develop a systematic review arose, in order to verify sensory manipulation and synthesize its influence on postural control, updatinganexistingsystematic review. Thus, a study was carried out, entitled ''Sensory manipulation and postural control in individuals with cerebral palsy: A systematic review''. It was found that sensory manipulation can facilitate postural control when an additional visual stimulus is used, or it can cause harm when sensory information is restricted/reduced, however, the included studies did not investigate how muscle activation patterns occur, in association with the behavior of the center of pressure, during the manipulation of different sensory information. After the finalization and interpretation of the review, gaps were noticed regarding the topic and the population of interest. In this way, study II was prepared, entitled ''Postural Control in conditions of task manipulation in children and adolescents with Cerebral Palsy'' emerged, in which typical and typical children and adolescents with CP were evaluated, in order to verify the effect of four conditions (open eye with support; open eye with out support; closed eye with support and closed eye without support) on postural sway, assessed by the displacement of the center of pressure, in orthostatism; and on muscle activation, assessed by RMS and co-contraction, of the lower limbs and trunk. The results showed that the group with CP presented greater postural sway than the typical group, in all conditions evaluated. Furthermore, in the evaluation of muscle activation, it is noted that the CP group uses different strategies than the typical group to maintain postural control. Thus, these studies contribute to rehabilitation professionals, leading to reflections on how to use the manipulation of task conditions both to facilitate and to challenge postural control, depending on the objective of the therapy. |
id |
SCAR_10bf3d1e515aba03ef795033cc52eb97 |
---|---|
oai_identifier_str |
oai:repositorio.ufscar.br:ufscar/15321 |
network_acronym_str |
SCAR |
network_name_str |
Repositório Institucional da UFSCAR |
repository_id_str |
4322 |
spelling |
Costa, Laís da Cruz ReisRocha, Nelci Adriana Cicuto Ferreira Rochahttp://lattes.cnpq.br/2035754554780009Pavão, Sílvia Letíciahttp://lattes.cnpq.br/9612938688154550http://lattes.cnpq.br/42244068198840197e6c22a9-6257-4f17-a362-945572dad0332021-12-09T13:59:17Z2021-12-09T13:59:17Z2021-10-26COSTA, Laís da Cruz Reis. Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral. 2021. Dissertação (Mestrado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15321.https://repositorio.ufscar.br/handle/ufscar/15321Postural control is important for independence in the daily activities of children and adolescents and is dependent on the interaction between the visual, somatosensory and vestibular systems. In addition, the sensory system modifies the efferent motor command, regulating the musculoskeletal system, to promote voluntary and automatic actions, modulating postural control according to the demands of the environment. However, individuals with cerebral palsy (CP), as a result of lesions in the central nervous system, have motor deficits and sensory information processing deficits, which impair postural control. In many everyday situations, in which sensory inputs are reduced, such as in low light conditions and without support for the upper limbs, there may be an exacerbation of the difficulty in postural control, thus increasing the risk of falls. In view of this, the motivation to develop a systematic review arose, in order to verify sensory manipulation and synthesize its influence on postural control, updatinganexistingsystematic review. Thus, a study was carried out, entitled ''Sensory manipulation and postural control in individuals with cerebral palsy: A systematic review''. It was found that sensory manipulation can facilitate postural control when an additional visual stimulus is used, or it can cause harm when sensory information is restricted/reduced, however, the included studies did not investigate how muscle activation patterns occur, in association with the behavior of the center of pressure, during the manipulation of different sensory information. After the finalization and interpretation of the review, gaps were noticed regarding the topic and the population of interest. In this way, study II was prepared, entitled ''Postural Control in conditions of task manipulation in children and adolescents with Cerebral Palsy'' emerged, in which typical and typical children and adolescents with CP were evaluated, in order to verify the effect of four conditions (open eye with support; open eye with out support; closed eye with support and closed eye without support) on postural sway, assessed by the displacement of the center of pressure, in orthostatism; and on muscle activation, assessed by RMS and co-contraction, of the lower limbs and trunk. The results showed that the group with CP presented greater postural sway than the typical group, in all conditions evaluated. Furthermore, in the evaluation of muscle activation, it is noted that the CP group uses different strategies than the typical group to maintain postural control. Thus, these studies contribute to rehabilitation professionals, leading to reflections on how to use the manipulation of task conditions both to facilitate and to challenge postural control, depending on the objective of the therapy.O controle postural é importante para a independência nas atividades de vida diária de crianças e adolescentes e é dependente da interação entre os sistemas visual, somatossensorial e vestibular. Além disso, o sistema sensorial modifica o comando motor eferente, regulando o sistema musculoesquelético, para promover ações voluntárias e automáticas, modulando o controle postural de acordo com as demandas do ambiente. Entretanto, indivíduos com paralisia cerebral (PC), em decorrência das lesões apresentadas no sistema nervoso central, apresentam déficits motores e de processamento das informações sensoriais, que acarretam em prejuízo ao controle postural. Em diversas situações cotidianas, nas quais os inputs sensoriais estão diminuídos, como em condições de baixa luminosidade e sem apoio para membros superiores, pode ocorrer exacerbação da dificuldade no controle postural, aumentando assim o risco de quedas. Diante disso, surgiu a necessidade de revisar a literatura sobre manipulação sensorial e sintetizar sua influência sobre o controle postural, atualizando uma revisão sistemática já existente. Assim, foi realizado o estudo I, intitulado ‘’Manipulação sensorial e controle postural em indivíduos com paralisia cerebral: Uma revisão sistemática’’. Esse estudo verificou que a manipulação sensorial pode ser facilitadora do controle postural, quando é utilizado um estímulo visual adicional, ou pode causar prejuízo, quando a informação sensorial é restringida/reduzida, porém, os estudos incluídos não investigaram como ocorrem os padrões de ativação muscular em associação ao comportamento do centro de pressão, durante a manipulação das diversas informações sensoriais. Dessa maneira, notou-se uma lacuna na literatura e surgiu a motivação para realização do estudo II, intitulado ‘’Controle Postural em ortostatismo nas condições de manipulação de tarefa em crianças e adolescentes com Paralisia Cerebral ‘’, no qual foram avaliadas crianças e adolescentes típicas e com PC, com objetivo de verificar o efeito de quatro condições (olho aberto com apoio; olho aberto sem apoio; olho fechado com apoio e olho fechado sem apoio) sobre a oscilação postural, avaliada pelo deslocamento do centro de pressão, em ortostatismo; e sobre a ativação muscular, avaliada pelo RMS e cocontração, de membros inferiores e tronco. O estudo permitiu observar que o grupo com PC apresentou maior oscilação postural que o grupo típico, em todas as condições avaliadas. Na avaliação da ativação muscular, nota-se que o grupo PC utiliza estratégias diferentes que as do grupo típico, para manutenção do controle postural. Assim, estes estudos contribuem com os profissionais de reabilitação, conduzindo reflexões sobre como utilizar a manipulação das condições de tarefa tanto para facilitar, quanto para desafiar o controle postural, a depender do objetivo da terapia.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)131224/2019-0porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessControle posturalManipulação sensorialAtivação muscularCocontraçãoParalisia cerebralPostural controlSensory manipulationMuscle activationCo-contrationCerebral palsyCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALControle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebralPostural control in task manipulation conditions in children and adolescents with cerebral palsyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis600600b8ae9b0e-8065-46b8-aa96-4c9513df2b64reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALCosta_Reis_Laís_2021.pdfCosta_Reis_Laís_2021.pdfDissertaçãoapplication/pdf3061943https://repositorio.ufscar.br/bitstream/ufscar/15321/4/Costa_Reis_La%c3%ads_2021.pdfa4c1c2cfd150840189765c3efb8c2e7aMD54Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdfCarta-comprovante-da-versão-final-de-teses-e-dissertações.pdfCarta comprovante do orientadorapplication/pdf153383https://repositorio.ufscar.br/bitstream/ufscar/15321/3/Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdfd365eee16d5895e2b9f73457afca3886MD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/15321/5/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD55TEXTCosta_Reis_Laís_2021.pdf.txtCosta_Reis_Laís_2021.pdf.txtExtracted texttext/plain208744https://repositorio.ufscar.br/bitstream/ufscar/15321/6/Costa_Reis_La%c3%ads_2021.pdf.txtf62c0448d4473ae72ad96e50ff7055e1MD56Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.txtCarta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.txtExtracted texttext/plain1399https://repositorio.ufscar.br/bitstream/ufscar/15321/8/Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.txtcbc680ecdd59fd3e4cf65927ce091b79MD58THUMBNAILCosta_Reis_Laís_2021.pdf.jpgCosta_Reis_Laís_2021.pdf.jpgIM Thumbnailimage/jpeg7267https://repositorio.ufscar.br/bitstream/ufscar/15321/7/Costa_Reis_La%c3%ads_2021.pdf.jpgf14bf0e74e64173c258c2c0e1fa89be6MD57Carta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.jpgCarta-comprovante-da-versão-final-de-teses-e-dissertações.pdf.jpgIM Thumbnailimage/jpeg9103https://repositorio.ufscar.br/bitstream/ufscar/15321/9/Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.jpgfc6ca31700fe1dbd7bf0a96fd2d4a868MD59ufscar/153212023-09-18 18:32:27.847oai:repositorio.ufscar.br:ufscar/15321Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:27Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
dc.title.alternative.eng.fl_str_mv |
Postural control in task manipulation conditions in children and adolescents with cerebral palsy |
title |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
spellingShingle |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral Costa, Laís da Cruz Reis Controle postural Manipulação sensorial Ativação muscular Cocontração Paralisia cerebral Postural control Sensory manipulation Muscle activation Co-contration Cerebral palsy CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
title_full |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
title_fullStr |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
title_full_unstemmed |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
title_sort |
Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral |
author |
Costa, Laís da Cruz Reis |
author_facet |
Costa, Laís da Cruz Reis |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/4224406819884019 |
dc.contributor.author.fl_str_mv |
Costa, Laís da Cruz Reis |
dc.contributor.advisor1.fl_str_mv |
Rocha, Nelci Adriana Cicuto Ferreira Rocha |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2035754554780009 |
dc.contributor.advisor-co1.fl_str_mv |
Pavão, Sílvia Letícia |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/9612938688154550 |
dc.contributor.authorID.fl_str_mv |
7e6c22a9-6257-4f17-a362-945572dad033 |
contributor_str_mv |
Rocha, Nelci Adriana Cicuto Ferreira Rocha Pavão, Sílvia Letícia |
dc.subject.por.fl_str_mv |
Controle postural Manipulação sensorial Ativação muscular Cocontração Paralisia cerebral |
topic |
Controle postural Manipulação sensorial Ativação muscular Cocontração Paralisia cerebral Postural control Sensory manipulation Muscle activation Co-contration Cerebral palsy CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
dc.subject.eng.fl_str_mv |
Postural control Sensory manipulation Muscle activation Co-contration Cerebral palsy |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Postural control is important for independence in the daily activities of children and adolescents and is dependent on the interaction between the visual, somatosensory and vestibular systems. In addition, the sensory system modifies the efferent motor command, regulating the musculoskeletal system, to promote voluntary and automatic actions, modulating postural control according to the demands of the environment. However, individuals with cerebral palsy (CP), as a result of lesions in the central nervous system, have motor deficits and sensory information processing deficits, which impair postural control. In many everyday situations, in which sensory inputs are reduced, such as in low light conditions and without support for the upper limbs, there may be an exacerbation of the difficulty in postural control, thus increasing the risk of falls. In view of this, the motivation to develop a systematic review arose, in order to verify sensory manipulation and synthesize its influence on postural control, updatinganexistingsystematic review. Thus, a study was carried out, entitled ''Sensory manipulation and postural control in individuals with cerebral palsy: A systematic review''. It was found that sensory manipulation can facilitate postural control when an additional visual stimulus is used, or it can cause harm when sensory information is restricted/reduced, however, the included studies did not investigate how muscle activation patterns occur, in association with the behavior of the center of pressure, during the manipulation of different sensory information. After the finalization and interpretation of the review, gaps were noticed regarding the topic and the population of interest. In this way, study II was prepared, entitled ''Postural Control in conditions of task manipulation in children and adolescents with Cerebral Palsy'' emerged, in which typical and typical children and adolescents with CP were evaluated, in order to verify the effect of four conditions (open eye with support; open eye with out support; closed eye with support and closed eye without support) on postural sway, assessed by the displacement of the center of pressure, in orthostatism; and on muscle activation, assessed by RMS and co-contraction, of the lower limbs and trunk. The results showed that the group with CP presented greater postural sway than the typical group, in all conditions evaluated. Furthermore, in the evaluation of muscle activation, it is noted that the CP group uses different strategies than the typical group to maintain postural control. Thus, these studies contribute to rehabilitation professionals, leading to reflections on how to use the manipulation of task conditions both to facilitate and to challenge postural control, depending on the objective of the therapy. |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-12-09T13:59:17Z |
dc.date.available.fl_str_mv |
2021-12-09T13:59:17Z |
dc.date.issued.fl_str_mv |
2021-10-26 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
COSTA, Laís da Cruz Reis. Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral. 2021. Dissertação (Mestrado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15321. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/15321 |
identifier_str_mv |
COSTA, Laís da Cruz Reis. Controle postural em condições de manipulação de tarefa em crianças e adolescentes com paralisia cerebral. 2021. Dissertação (Mestrado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15321. |
url |
https://repositorio.ufscar.br/handle/ufscar/15321 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.confidence.fl_str_mv |
600 600 |
dc.relation.authority.fl_str_mv |
b8ae9b0e-8065-46b8-aa96-4c9513df2b64 |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de São Carlos Câmpus São Carlos |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Fisioterapia - PPGFt |
dc.publisher.initials.fl_str_mv |
UFSCar |
publisher.none.fl_str_mv |
Universidade Federal de São Carlos Câmpus São Carlos |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFSCAR instname:Universidade Federal de São Carlos (UFSCAR) instacron:UFSCAR |
instname_str |
Universidade Federal de São Carlos (UFSCAR) |
instacron_str |
UFSCAR |
institution |
UFSCAR |
reponame_str |
Repositório Institucional da UFSCAR |
collection |
Repositório Institucional da UFSCAR |
bitstream.url.fl_str_mv |
https://repositorio.ufscar.br/bitstream/ufscar/15321/4/Costa_Reis_La%c3%ads_2021.pdf https://repositorio.ufscar.br/bitstream/ufscar/15321/3/Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf https://repositorio.ufscar.br/bitstream/ufscar/15321/5/license_rdf https://repositorio.ufscar.br/bitstream/ufscar/15321/6/Costa_Reis_La%c3%ads_2021.pdf.txt https://repositorio.ufscar.br/bitstream/ufscar/15321/8/Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.txt https://repositorio.ufscar.br/bitstream/ufscar/15321/7/Costa_Reis_La%c3%ads_2021.pdf.jpg https://repositorio.ufscar.br/bitstream/ufscar/15321/9/Carta-comprovante-da-vers%c3%a3o-final-de-teses-e-disserta%c3%a7%c3%b5es.pdf.jpg |
bitstream.checksum.fl_str_mv |
a4c1c2cfd150840189765c3efb8c2e7a d365eee16d5895e2b9f73457afca3886 e39d27027a6cc9cb039ad269a5db8e34 f62c0448d4473ae72ad96e50ff7055e1 cbc680ecdd59fd3e4cf65927ce091b79 f14bf0e74e64173c258c2c0e1fa89be6 fc6ca31700fe1dbd7bf0a96fd2d4a868 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR) |
repository.mail.fl_str_mv |
|
_version_ |
1802136399582855168 |