Application of the scale Spinal Alignment and Range of Motion Measure (SAROMM) in children and adults with cerebral palsy in a compartment institution in Porto Alegre (RS)
DOI:
https://doi.org/10.1590/1809-2950/19024427032020Keywords:
Cerebral Palsy, Disability Evaluation, PhysiotherapyAbstract
This study described the profile of institutionalized children and adults with cerebral palsy (CP), as well as their musculoskeletal alterations, spinal alignment and range of motion; and to outline strategies to minimize the advance of already present deformities. This is a cross-sectional and descriptive study. Children and adults with cerebral palsy from a shelter in the city of Porto Alegre, Rio Grande do Sul were evaluated (n=28). The Spinal Alignment and Range of Motion Measure (SAROMM) scale was used to assess deformities and the Gross Motor Function Classification System (GMFCS) was used to classify the functional level. 96% of the subjects were spastic; 42.85% of the total number of participants had motor level V; the greatest deformities found were in the knee, hip and spine, evaluated by the SAROMM Scale, associated with older age and spastic quadriplegia, with clinical diagnosis in the medical record. Subjects over 20 years old had an average score of 68.7 (ranges from 0 to 104) and subjects under 20 years old, their average score was 55.1 points, wherein the lower the value the better the alignment and the less deformities. Subjects with CP of a shelter location had, mostly, bilateral spasticity of the four limbs, their predominant GMFCS level was V and the major deformities found were joint changes in knees, hip and spine. Strategies should be drawn and executed as early as possible to reduce deformities and the SAROMM scale may be a choice to evaluate this audience.
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References
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paralisia cerebral: a difícil relação sujeito-outro-linguagem.
Lingüística. 2016;32(1):9-23. doi: 10.5935/2079-312X.20160001
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in cerebral palsy: Advances in diagnosis and treatment. JAMA
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Porto CC. Cerebral palsy: how the child’s age and severity
of impairment affect the mother’s stress and coping
strategies. Ciênc Saúde Coletiva. 2016;21(10):3203-12.
doi: 10.1590/1413-812320152110.17352016
Andersson C, Mattsson E. Adults with cerebral palsy: a
survey describing problems, needs, and resources, with
special emphasis on locomotion. Dev Med Child Neurol.
;43(2):76-82. doi: 10.1111/j.1469-8749.2001.tb00719.x
Ávila ASC, Rocha CAQ. Atuação fisioterapêutica em paciente
com PC com tetraparesia espástica assimétrica: um estudo
de caso. Rev Cient Faminas. 2014;10(2):21-7.
Gomes CO, Golin MO. Tratamento fisioterapêutico na paralisia
cerebral tetraparesia espástica, segundo conceito Bobath. Rev
Neurociênc. 2013;21(2):278-85. doi: 10.4181/RNC.2013.21.757.8p
Fernandes MV, Fernandes AO, Franco RC, Golin MO, Santos
LA, Setter CM, et al. Adequações posturais em cadeira de
rodas: prevenção de deformidades na paralisia cerebral. Rev
Neurociênc. 2007;15(4):292-6
Lier-Devitto MF, Dudas TL. Institucionalização de pessoas com
paralisia cerebral: a difícil relação sujeito-outro-linguagem.
Lingüística. 2016;32(1):9-23. doi: 10.5935/2079-312X.20160001
Wotherspoon J, Whittingham K, Boyd RN, Sheffield J. Randomised
controlled trial of a novel online cognitive rehabilitation
programme for children with cerebral palsy: a study protocol. BMJ
Open. 2019;9(6):e028505. doi: 10.1136/bmjopen-2018-028505
The American College of Obstetricians and Gynecologists. ACOG
Committee Opinion, number 326: inappropriate use of the terms fetal
distress and birth asphyxia. Obstet Gynecol. 2005;106(6):1469-70.
doi: 10.1097/00006250-200512000-00056
Pfeifer LI, Silva DBR, Funayama CAR, Santos JL. Classification
of cerebral palsy: association between gender, age, motor type,
topography and gross motor function. Arq Neuro-Psiquiatr.
;67(4):1057-61. doi: 10.1590/S0004-282X2009000600018
Centers for Disease Control and Prevention. Data and statistics
for cerebral palsy [Internet]. Atlanta: Centers for Disease
Control and Prevention; [cited 2020 Nov 5]. Available from:
https://www.cdc.gov/ncbddd/cp/data.html
Novak I, Morgan C, Adde L, Blackman J, Boyd RN, BrunstromHernandez J, et al. Early, accurate diagnosis and early intervention
in cerebral palsy: Advances in diagnosis and treatment. JAMA
Pediatr. 2017;171(9):897-907. doi: 10.1001/jamapediatrics.2017.1689
Catena F, Moraes ER, Lemos AVKC, Yamane PC, Blumetti FC,
Dobashi ET, Pinto JA. Estudo clínico do quadril não tratado na
tetraparesia espástica. Rev Bras Ortop. 2011;46 (Suppl 4);21-6.
doi: 10.1590/S0102-36162011001000005
Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa com
paralisia cerebral. Brasília, DF: Ministério da Saúde; 2013.
Olama KA, Kassem HI, Aboelazm SN. Impact of aquatic exercise
program on muscle tone in spastic hemiplegic children with
cerebral palsy. Clin Med J. 2015;1(4):138-44.
Silva EM, Silva TAS, Balk RS, Lopes RR, Santos CC, Lara S, et al.
Avaliação do alinhamento postural e extensibilidade muscular
pela escala SAROMM em crianças com paralisia cerebral
após fisioterapia aquática. Fisioter Bras. 2017;18(6):719-26.
doi: 10.33233/fb.v18i6.2054
Agut T, Póo P, Launes C, Auffant M, Iriondo M. Incidence of
cerebral palsy in a cohort of preterm infants with a gestational
age of less than 28 weeks.An Pediatr (Barc). 2015;82(1):49-50.
doi: 10.1016/j.anpedi.2013.12.016
Monteiro CBM. Realidade virtual na paralisia cerebral. São
Paulo: Plêiade; 2011.
Dinomais M, Hertz-Pannier L, Groeschel S, Chabrier S, Delion
M, Husson B, et al. Long term motor function after neonatal
stroke: Lesion localization above all. Hum Brain Mapp.
;36(12):4793-807. doi: 10.1002/hbm.22950
Ministerio de Sanidad, Servicios Sociales e Igualdad. Guía
de práctica clínica sobre encefalopatía hipóxico-isquémica
perinatal en el recién nacido. Madrid: Ministerio de Sanidad,
Servicios Sociales e Igualdad; 2015.
Santos AF. Paralisia cerebral: uma revisão da literatura.
Unimontes Cient. 2015;16(2):67-82.
Bartlett D, Purdie B. Testing of the spinal alignment and range
of motion measure: a discriminative measure of posture and
flexibility for children with cerebral palsy. Dev Med Child Neurol.
;47(11):739-43. doi: 10.1017/S0012162205001556
CanChild Centre for Childhood Disability Research. GMFCS –
E & R: Sistema de Classificação da Função Motora Grossa
ampliado e revisto. Hamilton: CanChild; 2007.
Hemming K, Hutton JL, Pharoah PO. Long-term suvival for a
cohort of adults with cerebral palsy. Dev Med Child Neurol.
;48(2):90-5. doi: 10.1017/S0012162206000211
Donkervoort M, Roebroeck M, Wiegerink D, van der HeijdenMaessen H, Stam H, Transition Research Group South West
Netherlands. Determinants of functioning of adolescents
and young adults with cerebral palsy. Disabil Rehabil.
;29(6):453-63. doi: 10.1080/09638280600836018
Filho PCN, Duarte FT, Fortes JPA, Júnior FFUS. Alterações no
comportamento elétrico cerebral de uma criança com paralisia
cerebral após atendimento com neurofeedback. Fisioter Bras.
;18(3):369-73. doi: 10.33233/fb.v18i3.1065
Echeverría-Palacio CM, Agut T, Arnaez J, Valls A, Reyne M, GarciaAlix A. Neuron-specific enolase in cerebrospinal fluid predicts
brain injury after sudden unexpected postnatal collapse. Pediatr
Neurol. 2019;101:71-7. doi: 10.1016/j.pediatrneurol.2019.02.020
Ribeiro MFM, Vandenberghe L, Prudente COM, Vila VSC,
Porto CC. Cerebral palsy: how the child’s age and severity
of impairment affect the mother’s stress and coping
strategies. Ciênc Saúde Coletiva. 2016;21(10):3203-12.
doi: 10.1590/1413-812320152110.17352016
Andersson C, Mattsson E. Adults with cerebral palsy: a
survey describing problems, needs, and resources, with
special emphasis on locomotion. Dev Med Child Neurol.
;43(2):76-82. doi: 10.1111/j.1469-8749.2001.tb00719.x
Ávila ASC, Rocha CAQ. Atuação fisioterapêutica em paciente
com PC com tetraparesia espástica assimétrica: um estudo
de caso. Rev Cient Faminas. 2014;10(2):21-7.
Gomes CO, Golin MO. Tratamento fisioterapêutico na paralisia
cerebral tetraparesia espástica, segundo conceito Bobath. Rev
Neurociênc. 2013;21(2):278-85. doi: 10.4181/RNC.2013.21.757.8p
Fernandes MV, Fernandes AO, Franco RC, Golin MO, Santos
LA, Setter CM, et al. Adequações posturais em cadeira de
rodas: prevenção de deformidades na paralisia cerebral. Rev
Neurociênc. 2007;15(4):292-6
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