Efeito de um programa de reabilitação física na marcha em indivíduos com paralisia cerebral: estudo de caso de um praticante de musculação

Abstract

The Cerebral Palsy (PC) it's described as a group of alterations on the development of movement and posture of an individual, causing limitations in activities, attributed to a non progressive disturbance that occurs in the fetal development or in the central nervous system (SNC) while in development. The spastic diplegia is the most common form of PC (30% - 40%), affecting more severely the inferior members, by comparison to the superior members. The goal of this study focus on the evaluation and evolution of an occupational therapy intervention in physical rehabilitation for the duration of 4 months, in a case study of a youngster with spastic paraplegia, that practices swimming and weight training. The investigation focused on the male subject, 28 years old, that attended the occupational therapy sessions twice a week for the duration of 60 minutes. It was gathered clinical and family information of the patient, followed by a physical evaluation based on the Bobath concept. The evaluation instruments used were a semi structured interview, direct observation, registration of anthropometric measures, a Gross Motor Function Classification System (GMFCS), Ashworth scale modified and the Timed Up And Go test (TUG). With this, there were two moments of evaluation: M0 and M1, being M0 before intervention and M1 afterwards. The intervention plan had the duration of 4 months, with sessions having place twice a week. After the intervention to the study subject, it was noticeable improvement on the muscular tone and reduction of the time on the TUG. On top of that, it was noticeable changes in the anthropometric measures, the subject had a reduction in fat body mass and a gain in lean body mass. With this study it was possible to come to the conclusion that the intervention plan implemented, supported by adapted physic exercise and appropriate therapeutic techniques, it permits improvement in mobility and function, allowing more and better participation of the studied population in the society, enabling the development of social, emotional, communicative, intellectual and motivational factors.