Global postural re-education for an adult with cerebral palsy: case study

Detalhes bibliográficos
Autor(a) principal: Silva, Fabiana Pinheiro da
Data de Publicação: 2015
Outros Autores: Martinello, Micheli, Medeiros, Daiane Lazzeri de, Schwertner, Debora Soccal, Ries, Lilian Gerdi Kittel
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/97720
Resumo: The effects of an intervention program with global postural reeducation (GPR) and a period of no treatment (8 weeks) were evaluated by kinematic analysis and evaluation of static and dynamic balance of an adult with Cerebral Palsy (CP). Evaluations of balance were made using the Berg Balance Scale, as well as gait kinematics evaluations, in which spatiotemporal and angular variables were analyzed. These assessments were made at the beginning and at the end of each intervention period. To characterize the parameters examined, descriptive statistics (mean and standard deviation) was used. The studied subject showed improvement of balance after the intervention period and, regarding angular variables, decreased hip extension and less trunk tilt were found. With the improvement of balance, hip extension and alignment of the trunk of the treated patient, it is suggested that the GPR intervention method can be effective as a practice of physical therapy for CP; however, more effective results may be associated with continuous treatment with this method, since during the intervals of the intervention, there was a reduction in balance.
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spelling Global postural re-education for an adult with cerebral palsy: case study Reeducação postural global em um adulto com paralisia cerebral: um estudo de caso La reeducación postural global en un adulto con parálisis cerebral: estudio de caso The effects of an intervention program with global postural reeducation (GPR) and a period of no treatment (8 weeks) were evaluated by kinematic analysis and evaluation of static and dynamic balance of an adult with Cerebral Palsy (CP). Evaluations of balance were made using the Berg Balance Scale, as well as gait kinematics evaluations, in which spatiotemporal and angular variables were analyzed. These assessments were made at the beginning and at the end of each intervention period. To characterize the parameters examined, descriptive statistics (mean and standard deviation) was used. The studied subject showed improvement of balance after the intervention period and, regarding angular variables, decreased hip extension and less trunk tilt were found. With the improvement of balance, hip extension and alignment of the trunk of the treated patient, it is suggested that the GPR intervention method can be effective as a practice of physical therapy for CP; however, more effective results may be associated with continuous treatment with this method, since during the intervals of the intervention, there was a reduction in balance. Se han evaluados los efectos de un programa de intervención con reeducación postural global (RPG) y un periodo sin tratamiento (8 semanas) por el análisis cinemático y evaluación del equilibrio estático y dinámico de un adulto con Parálisis Cerebral (PC). Se han realizado evaluaciones de equilibrio a través de Escala de Equilibrio de Berg y evaluaciones cinemáticas del paso, en las cuales se han analizadas las variables espacio-temporales y angulares. Estas evaluaciones se han hecho al inicio y al final de cada periodo de intervención. Para caracterizar los parámetros analizados se utilizó la estadística descriptiva (media y desvío medio). El sujeto estudiado presentó una mejora del equilibrio tras el periodo de intervención y, respecto a las variables angulares, se han verificado una disminución de la extensión de la cadera y menor inclinación del tronco. Debido a la mejoría del equilibrio, de la extensión de la cadera y del alineamiento del tronco del paciente, se propone que la intervención con el método RPG puede ser eficaz como una conducta fisioterapéutica a la PC; no obstante, los resultados más eficaces pueden asociarse al tratamiento seguido al utilizar este método, puesto que durante los intervalos de la intervención, se ha observado una disminución del equilibrio. Foram avaliados os efeitos de um programa de intervenção com reeducação postural global (RPG) e um período sem tratamento (8 semanas) pela análise cinemática e avaliação do equilíbrio estático e dinâmico de um adulto com Paralisia Cerebral (PC). Foram realizadas avaliações do equilíbrio por meio da Escala de Equilíbrio de Berg e avaliações cinemáticas da marcha, nas quais foram analisadas variáveis espaçotemporais e angulares. Essas avaliações foram feitas no início e no final de cada período de intervenção. Para a caracterização dos parâmetros analisados foi utilizada a estatística descritiva (média e desvio padrão). O sujeito estudado apresentou melhora do equilíbrio após o período de intervenção e, em relação às variáveis angulares, foi verificada diminuição da extensão de quadril e menor inclinação de tronco. Com a melhora do equilíbrio, da extensão do quadril e do alinhamento do tronco do paciente tratado, sugere-se que a intervenção com o método RPG pode ser eficaz como conduta fisioterapêutica para a PC, porém resultados mais eficazes podem estar associados com o tratamento contínuo por esse método, uma vez que durante os intervalos da intervenção, observou-se diminuição do equilíbrio. Universidade de São Paulo. Faculdade de Medicina2015-03-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/9772010.590/1809-2950/12636522012015Fisioterapia e Pesquisa; Vol. 22 No. 1 (2015); 90-96Fisioterapia e Pesquisa; Vol. 22 Núm. 1 (2015); 90-96Fisioterapia e Pesquisa; v. 22 n. 1 (2015); 90-962316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/fpusp/article/view/97720/96542https://www.revistas.usp.br/fpusp/article/view/97720/96543Copyright (c) 2015 Fisioterapia e Pesquisahttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessSilva, Fabiana Pinheiro daMartinello, MicheliMedeiros, Daiane Lazzeri deSchwertner, Debora SoccalRies, Lilian Gerdi Kittel2023-05-26T14:54:02Zoai:revistas.usp.br:article/97720Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T14:54:02Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Global postural re-education for an adult with cerebral palsy: case study
Reeducação postural global em um adulto com paralisia cerebral: um estudo de caso
La reeducación postural global en un adulto con parálisis cerebral: estudio de caso
title Global postural re-education for an adult with cerebral palsy: case study
spellingShingle Global postural re-education for an adult with cerebral palsy: case study
Silva, Fabiana Pinheiro da
title_short Global postural re-education for an adult with cerebral palsy: case study
title_full Global postural re-education for an adult with cerebral palsy: case study
title_fullStr Global postural re-education for an adult with cerebral palsy: case study
title_full_unstemmed Global postural re-education for an adult with cerebral palsy: case study
title_sort Global postural re-education for an adult with cerebral palsy: case study
author Silva, Fabiana Pinheiro da
author_facet Silva, Fabiana Pinheiro da
Martinello, Micheli
Medeiros, Daiane Lazzeri de
Schwertner, Debora Soccal
Ries, Lilian Gerdi Kittel
author_role author
author2 Martinello, Micheli
Medeiros, Daiane Lazzeri de
Schwertner, Debora Soccal
Ries, Lilian Gerdi Kittel
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Silva, Fabiana Pinheiro da
Martinello, Micheli
Medeiros, Daiane Lazzeri de
Schwertner, Debora Soccal
Ries, Lilian Gerdi Kittel
description The effects of an intervention program with global postural reeducation (GPR) and a period of no treatment (8 weeks) were evaluated by kinematic analysis and evaluation of static and dynamic balance of an adult with Cerebral Palsy (CP). Evaluations of balance were made using the Berg Balance Scale, as well as gait kinematics evaluations, in which spatiotemporal and angular variables were analyzed. These assessments were made at the beginning and at the end of each intervention period. To characterize the parameters examined, descriptive statistics (mean and standard deviation) was used. The studied subject showed improvement of balance after the intervention period and, regarding angular variables, decreased hip extension and less trunk tilt were found. With the improvement of balance, hip extension and alignment of the trunk of the treated patient, it is suggested that the GPR intervention method can be effective as a practice of physical therapy for CP; however, more effective results may be associated with continuous treatment with this method, since during the intervals of the intervention, there was a reduction in balance.
publishDate 2015
dc.date.none.fl_str_mv 2015-03-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/97720
10.590/1809-2950/12636522012015
url https://www.revistas.usp.br/fpusp/article/view/97720
identifier_str_mv 10.590/1809-2950/12636522012015
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/97720/96542
https://www.revistas.usp.br/fpusp/article/view/97720/96543
dc.rights.driver.fl_str_mv Copyright (c) 2015 Fisioterapia e Pesquisa
https://creativecommons.org/licenses/by-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2015 Fisioterapia e Pesquisa
https://creativecommons.org/licenses/by-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 22 No. 1 (2015); 90-96
Fisioterapia e Pesquisa; Vol. 22 Núm. 1 (2015); 90-96
Fisioterapia e Pesquisa; v. 22 n. 1 (2015); 90-96
2316-9117
1809-2950
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instname_str Universidade de São Paulo (USP)
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reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
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