Aquatic physiotherapy on the gross motor development of a premature infant with congenital malformations of the upper limbs
case report
Keywords:
Hydrotherapy, early intervention, congenital abnormalities, hydrotherapy, early intervention, congenital abnormalitiesAbstract
Introduction: The congenital malformations of upper limbs may be associated to neuropsychomotor developmental delay. It is known that the first years of life are characterized by important acquisitions of child development. This period is considered crucial, due to greater brain plasticity, with increased neural networks and consequently developmental gains. Given these characteristics emerges the importance of intervention as early as possible. Objective: To verify the influence of functional aquatic physiotherapy on the gross motor development of an infant with a clinical diagnosis of bilateral carpal bone malformation. Method: This is a case report developed in the aquatic physiotherapy sector of the Assistance Association for Disabled Children (AACD) - Ibirapuera Unit. One male patient with 2 months and 23 days of corrected age, with medical diagnosis of bilateral carpal bone malformation and neuropsychomotor developmental delay participated of this study. Evaluations were performed before and after 8 sessions of intervention through the Alberta Infant Motor Scale (AIMS). The protocol was defined on stimulating neuropsychomotor development focus. Results: It was possible to observe an increase of 12 points in the total score of AIMS, ranging from 6 to 18, and improvement in the percentile. Where before the intervention was verified 5 percentile, and after the intervention, 50 percentile. Conclusion: This study shows that for this patient functional aquatic physiotherapy can positively influence the gross motor development.
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References
2 - Chung MS. Congenital differences of the upper extremity: classification and treatment principles. Clin Orthop Surg. 2011;3(3):172-7. DOI: 10.4055/cios.2011.3.3.172.
3 - Kozin SH. Congenital disorders: classification and diagnosis. In: Berger RA, Weiss AP, editors. Hand surgery. Philadelphia: Lippincott Williams & Williams. 2004:1405-23.
4 - Papalia DE, Olds SW, Feldman RT. Desenvolvimento Humano. Porto Alegre: Artmed, 2006.
5 - Gabbard C. Early Movement Experiences and Brain Development. Presentation conducted at the American Alliance for Health.1998.
6 - Formiga CKMR, Pedrazzani ES, Tudella E. Intervenção precoce com bebês de risco. Atheneu, São Paulo, 2010.
7 - Teixeira-Arroyo C, Oliveira, SRG. Atividade aquática e a psicomotricidade de crianças com paralisia cerebral. Motriz rev. educ. fís. 2007; 13(2): 97-105.
8 - Caromano FA, Kuga LS, Passarella J, Sá CSC. Efeitos fisiológicos de sessão de hidroterapia em crianças portadoras de Distrofia Muscular de Duchenne. Rev. Fisioter. Univ. São Paulo. 1998;5(1):49-55.
9 - Toble AM, Basso RP, Lacerda AC, Pereira K, Regueiro EMG. Hidrocinesioterapia no tratamento fisioterapêutico de um lactente com Síndrome de Down: estudo de caso. Fisioter. Mov. 2013;26(1):231-238. http://dx.doi.org/10.1590/S0103-51502013000100025.
10 - Cole A, Becker B. Comprehensive aquatic therapy. 2nd ed. Philadelphia: Elsevier; 2004.
11 - Kelly M, Darrah J. Aquatic exercise for children with cerebral palsy. Dev Med Child Neurol, 2005; 47(12):838-842. DOI: 10.1017/S0012162205001775
12 - Valentini NC, Saccani R. Brazilian validation of the Alberta Infant Motor Scale. Physical Therapy. 2012;92(3): 440-447. https://doi.org/10.2522/ptj.20110036
13- Silva JB, Branco FR. Fisioterapia Aquática Funcional. 2011; Artes Médicas, São Paulo.
14 - Carvalho DR, Braga EM, Lochini AF, Probst VS, Pitta F, Felcar JM. Avaliação da capacidade funcional de exercício no ambiente aquático. Fisioterapia e Pesquisa, 2015;22(.4):355 – 362. DOI: 10.590/1809-2950/13881622042015
15 - Carregaro RL, Toledo AM. Efeitos fisiológicos e evidências científicas da eficácia da fisioterapia aquática. Rev Movimenta. 2008;1(1):23-7.
