The use of serial casting in the treatment of children with cerebral palsy: a study protocol
Journal of Human Growth and Development (Impresso)
;
33(1): 95-104, 23/03/2023.
Artículo
en Inglés, Portugués
|
LILACS-Express
| LILACS
| ID: biblio-1436214
ABSTRACT
Introduction:
Cerebral Palsy (CP) is characterized by a disorder of posture and movement, commonly leading to disabling orthopedic alterations, including muscle shortening, especially in the lower limbs. Stretching methods, performed gradually, are necessary to delay the impairment in function from muscle shortening. The use of serial casting aims to promote proper alignment, and an ideal and stable support base, in addition to better bone and joint health, leading to better posture, mobility, muscle function, and, subsequently, increased fitness and health.Objective:
evaluate range of motion, postural control, and motor performance in children with CP, using serial casting, as well as to measure its effect on fitness through the autonomic nervous system (ANS).Methods:
Sixty children and adolescents with CP, of both sexes, 3 to 12 years of age, will be divided into three groups Groups A, B, and C, with 20 individuals each. Group A will use serial casting, Group B will use the orthosis continuously (with removal only allowed for bathing), and Group C will use the orthosis in their daily routine. Range of motion of the ankle of first and second resistance levels (R1 and R2), gross motor function measure (GMFM), and balance (measured by BERG scale) will be used in the initial and final assessments, and after 6 months and one year of follow-up. Timed-up-and-go (TUG), load distribution (baropodometry), motor performance measured through a real basketball game and the virtual MoveHero game, analysis of body angulation with "mydartfish", and cardiac autonomic modulation through heart rate variability will be assessed in three different situations barefoot, with orthosis, and with casting.Conclusion:
Serial casting demonstrates the potential to produce positive results in the treatment of individuals with CP regarding better alignment, with consequent motor and autonomic improvement.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Tipo de estudio:
Guía de Práctica Clínica
Idioma:
Inglés
/
Portugués
Revista:
Journal of Human Growth and Development (Impresso)
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Reino Unido
Institución/País de afiliación:
Departamento de Medicina (Cardiologia), Universidade Federal de SaÌo Paulo (UNIFESP)/BR
/
Faculdade de Medicina, Universidade Cidade de SaÌo Paulo (UNICID)/BR
/
Grupo de Pesquisa e AplicaçoÌes TecnoloÌgicas em ReabilitaçaÌo (PATER), Escola de Artes, CieÌncias e Humanidades, Universidade de SaÌo Paulo (EACH-USP)/BR
/
Programa de PoÌs-GraduaçaÌo em CieÌncias da ReabilitaçaÌo, Faculdade de Medicina da Universidade de SaÌo Paulo (FMUSP)/BR
/
Programa de PoÌs-GraduaçaÌo em CieÌncias da ReabilitaçaÌo, Faculdade de Medicina da Universidade de SaÌo Paulo (FMUSP)/GB
/
Therapies Centro de ReabilitaçaÌo Intensiva, Campinas/BR
Similares
MEDLINE
...
LILACS
LIS