Mobilidade funcional em indivíduos com paralisia cerebral espástica de acordo com o tipo e a idade

 

 

Ana F. R. Kleiner¹

Thiago G. Ayres¹

Patrícia M. Saraiva¹

Rosangela A. Batistela¹

Ricardo S. Pietrobon²

Lilian T. B. Gobbi¹

¹Universidade Estadual Paulista, Instituto de Biociências, Departamento de Educação Física, Laboratório de Estudos da Postura e da Locomoção, Rio Claro, Brasil

²Duke University, Medical Center, Center of Excelence in Surgicals Outcomes, Durhan, USA

 

 

RESUMO

Mobilidade funcional é a habilidade de se locomover independentemente no ambiente, atingindo o destino desejado. Indivíduos com paralisia cerebral espástica apresentam dificuldades na mobilidade de acordo com o tipo (diplegia, hemiplegia e tetraplegia). Além disso, com o avanço da idade, indivíduos portadores de paralisia cerebral espástica apresentam deterioração nos parâmetros cinemáticos da marcha. Assim, o objectivo deste estudo foi comparar a mobilidade funcional entre indivíduos com paralisia cerebral espástica, quanto ao tipo e ao grupo etário. Participaram deste estudo 68 portadores de paralisia cerebral espástica, sendo 30 diplégicos, 23 hemiplégicos e 15 tetraplégicos. Estes também foram distribuídos em 3 grupos etários: grupo crianças (4-12 anos); grupo jovens (13–19 anos) e grupo adultos (20-45 anos). A mobilidade funcional foi avaliada pela Escala de Mobilidade Funcional. O tempo gasto e a classificação na escala foram tratados por meio de ANOVAs não-paramétricas, separadamente para o tipo e o grupo etário, em 3 distâncias: 5m, 50m e 500m. Os resultados não evidenciaram diferenças quanto ao grupo etário e apontaram que indivíduos com paralisia cerebral espástica hemiplégica obtiveram melhores resultados para todas as distâncias percorridas. Podemos concluir que o comprometimento segmentar e o repertório motor afectam a mobilidade funcional.

Palavras-chave: paralisia cerebral, mobilidade funcional, grupo etário, espasticidade

 

 

ABSTRACT

Functional mobility in spastic cerebral palsy individuals according to the type and age

Functional mobility refers to the ability to move independently in the environment. Spastic cerebral palsy individuals show mobility needs according with the type (diplegia, hemiplegia and tetraplegia). With the age advance, spastic cerebral palsy individuals show deterioration on gait kinematics’ parameters. The purpose of this study was to compare functional mobility among spastic cerebral palsy individuals according to the type and the age. Sixty eight individuals with spastic cerebral palsy, 30 with diplegia, 23 with hemiplegia and 15 with tetraplegia, participated in this study. They were also distributed in 3 age groups: children group (from 4 to 12 years old); young group (from 13 to 19 years old) and adult group (from 20 to 45 years old). The functional mobility was assessed by the Functional Mobility Scale. The spent time and the scale classification were treated by non-parametric ANOVA, by type and age group, in three distances: 5m, 50m, and 500m. The results did not reveal age group differences and they showed that spastic cerebral palsy individuals with hemiplegia had better results for all distances. The segmental involvement and motor repertoire affect the functional mobility.

Key-words: cerebral palsy, functional mobility, age groups, spasticity

 

 

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CORRESPONDÊNCIA

Lilian Teresa Bucken Gobbi

Avenida 25 A, 1515 13.506-900 Rio Claro São Paulo Brasil

telefone/fax: +55 19 3534-6436

E-mail: ltbgobbi@rc.unesp.br