Global postural re-education for an adult with cerebral palsy: case study

Authors

  • Fabiana Pinheiro da Silva Universidade do Estado de Santa Catarina; Universidade do Estado de Santa Catarina
  • Micheli Martinello Universidade do Estado de Santa Catarina; Curso de Fisioterapia; Universidade do Estado de Santa Catarina
  • Daiane Lazzeri de Medeiros Universidade do Estado de Santa Catarina; Universidade do Estado de Santa Catarina
  • Debora Soccal Schwertner Universidade do Estado de Santa Catarina; Curso de Fisioterapia; Universidade do Estado de Santa Catarina
  • Lilian Gerdi Kittel Ries Universidade do Estado de Santa Catarina; Programa de Pós-Graduação em Fisioterapia; Universidade do Estado de Santa Catarina

DOI:

https://doi.org/10.590/1809-2950/12636522012015

Abstract

The effects of an intervention program with global postural reeducation (GPR) and a period of no treatment (8 weeks) were evaluated by kinematic analysis and evaluation of static and dynamic balance of an adult with Cerebral Palsy (CP). Evaluations of balance were made using the Berg Balance Scale, as well as gait kinematics evaluations, in which spatiotemporal and angular variables were analyzed. These assessments were made at the beginning and at the end of each intervention period. To characterize the parameters examined, descriptive statistics (mean and standard deviation) was used. The studied subject showed improvement of balance after the intervention period and, regarding angular variables, decreased hip extension and less trunk tilt were found. With the improvement of balance, hip extension and alignment of the trunk of the treated patient, it is suggested that the GPR intervention method can be effective as a practice of physical therapy for CP; however, more effective results may be associated with continuous treatment with this method, since during the intervals of the intervention, there was a reduction in balance.

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References

Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano

D, et al. A report: the definition and classification of cerebral palsy

April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.

Strauss D, Brooks J, Rosenbloom L, Shavelle R. Life expectancy in cerebral palsy: an update. Dev Med Child Neurol.

;50(7):487-93.

Turk MA, Overeynder JC, Janicki MP. Uncertain future: aging

and cerebral palsy, clinical concerns. Albany: New York State

Developmental Disabilities Planning Council; 1995.

Opheim A, Mcginley JL, Olsson E, Stanghelle J, Jahnsen R. Walking

deterioration and gait analysis in adults with spastic bilateral cerebral palsy. Gait Posture. 2013;37:165-71.

Batistela RA, Kleiner AFR, Sánchez-Arias MDR, Gobbi LTB. Estudio

sobre la amplitud del movimiento articular de la rodilla en el

proceso de marcha de ninos con parálisis cerebral espástica.

Rehabilitación (Madr). 2011;45(3):222-7.

Horstmann HM, Hosalkar H, Keenan MA. Orthopaedic issues in the

musculoskeletal care of adults with cerebral palsy. Dev Med Child

Neurol. 2009;51(4):99-105.

Dallmeijer AJ, Baker R, Dodd KJ, Taylor NF. Association between

isometric muscle strength and gait joint kinetics in adolescents and

young adults with cerebral palsy. Gait Posture. 2011;33(3):326-32.

Hanlon M, Anderson R. Prediction methods to account for the

effect of gait speed on lower limb angular kinematics. Gait Posture.

;24(3):280-7.

Roque AH, Kanashiro MG, Kazon S, Grecco LAC, Salgado ASI,

Oliveira CSD. Analysis of static balance in children with cerebral

palsy spastic diparetic type with and without the use of orthoses.

Fisioter Mov. 2012;25(2):311-6.

Shumway-Cook A, Hutchinson S, Kartin D, Woollacott M. Effect of

balance training on recovery of stability in children with cerebral

palsy. Dev Med Child Neurol. 2003;45(9):591-602.

Maluf SA, Moreno BGD, Crivello O, Cabral CMN, Bortolotti, G,

Marques AP. Global postural reeducation and static stretching exercises in the treatment of myogenic temporomandibular disorders: a

randomized study. J Manipulative Physiol Ther. 2010;33(7):500-7.

Teodori RM, Guirro ECO, Santos RM. Distribuição da pressão plantar

e localização do centro de força após intervenção pelo método

de reeducação postural global: um estudo de caso. Fisioter Mov.

;18(1):27-35.

Souchard PE. Reeducação postural global (método do campo

fechado). São Paulo: Ícone; 1987.

Fozzatti MCC, Palma P, Herrmann V, Dambros M. Impacto da

Reeducação Postural Global no tratamento da incontinência urinária de esforço feminina. Rev Assoc Med Bras. 2008;54(1):17-22.

Pita MC. Cifose torácica tratada com Reeducação Postural Global.

Arq Ciênc Saúde Unipar. 2000;4(2):159-64.

Marques AP, Mendonça LLF, Cossermelli W. Alongamento muscular

em pacientes com fibromialgia a partir de um trabalho de reeducação postural global (RPG). Rev Bras Reumatol. 1994;34(5):232-4.

Marques AP. Escoliose tratada com Reeducação Postural Global.

Rev Fisioter Univ São Paulo. 1996;3(1/2):65-8.

Gomes BM, Nardoni GCG, Lopes PG, Godoy E. O efeito da técnica

de reeducação postural global em um paciente com hemiparesia

após acidente vascular encefálico. Acta Fisiatr. 2006;13(2):103-8.

Mota YL, Barreto SL, Bin PR, Simões HG, Campbell CSG. Respostas

cardiovasculares durante a posição sentada da Reeducação

Postural Global (RPG). Rev Bras Fisioter. 2008;12(3):161-8.

Cabral CMN. Recuperação funcional da síndrome fêmoro-patelar:

um estudo comparativo entre fortalecimento e alongamento muscular [tese]. São Paulo: Universidade de São Paulo; 2006.

Junior JRV, Tomaz C. Efeitos da reeducação postural global pelo

método RPG/RFL na correção postural e no reequilíbrio muscular.

Fisioter Mov. 2008;21(3):127-37.

Moreno MA, Catai AM, Teodori RM, Borges BLA, Cesar MC, Silva E.

Efeito de um programa de alongamento muscular pelo método de

Reeducação Postural Global sobre a força muscular respiratória e a

Fisioter Pesq. 2015;22(1):90-96

mobilidade toracoabdominal de homens jovens sedentários. J Bras

Pneumol. 2007;33(6):679-86.

Perry J. Análise de Marcha: Marcha Normal. São Paulo: Manole;

Miyamoto ST, Junior IL, Berg KO, Ramos LR, Natour J. Brazilian

version of the Berg balance scale. Braz J Med Biol Res.

;37(9):1411-21.

Russman BS, Tilton A, Gormley ME Jr. Cerebral palsy: a rational

approach to a treatment protocol, and the role of botulinum toxin

in treatment. Muscle Nerve Suppl. 1997;6:S181-93.

Stackhouse C, Shewokis PA, Pierce SR, Smith B, McCarthy J, Tucker

C. Gait initiation in children with cerebral palsy. Gait Posture.

;26(2):301-8.

Chung TM. Avaliação cinética e cinemática da marcha de adultos

do sexo masculino. Acta Fisiátrica. 2000;7(2):61-7.

Martinello M, Medeiros DL, Piucco EC, Ries LGK. Parâmetros cinemáticos da marcha de criança com paralisia cerebral: Comparação

entre diferentes formas de apoio. Cad Ter Ocup UFSCar.

;22(1):137-43.

Dusing SC, Thorpe DE. A normative sample of temporal and spatial

gait parameters in children using the Gaitrite 1 electronic walkway.

Gait Posture. 2007;25:135-9.

Mashimo AM, Caromano, FA. A marcha em idosos saudáveis. Arq

Ciênc Saúde Unipar. 2002;6(2):117-21.

Damiano DL, Abel MF. Functional outcomes of strength training in

spastic cerebral palsy. Arch Phys Med Rehabil. 1998;79(2):119-25.

Ribas DIR, Israel VL, Manfra EF, Araújo CCD. Estudo comparativo

dos parâmetros angulares da marcha humana em ambiente aquático e terrestre em indivíduos hígidos adultos jovens. Rev Bras Med

Esporte. 2007;13(6):371-5.

Morais Filho MC, Reis RA, Kawamura CM. Avaliação do padrão de

movimento dos joelhos e tornozelos durante a maturação da marcha normal. Acta Ortop Bras. 2010;18(1):23-5.

Perry J. Análise de Marcha: Sistemas de Análise de Marcha. São

Paulo: Manole; 2005.

Damiano DL, Arnold AS, Steele KM, Delp SL. Can strength training

predictably improve gait kinematics? a pilot study on the effects of

hip and knee extensor strengthening on lower-extremity alignment

in Cerebral Palsy. Phys Ther. 2010;90(2):269-79.

Leroux A, Fung J, Barbeau H. Postural adaptation to walking on

inclined surfaces: II. Strategies following spinal cord injury. Clin

Neurophysiol. 2006;117(6):1273-82.

Castro CLN, Santos JACB, Leifeld PS, Bizzo LV, Silva LC, Almeida TF,

et al. Estudo da marcha em Idosos – resultados preliminares. Acta

Fisiátrica. 2000;7(3):103-7.

Published

2015-03-03

Issue

Section

Case Study

How to Cite

Global postural re-education for an adult with cerebral palsy: case study . (2015). Fisioterapia E Pesquisa, 22(1), 90-96. https://doi.org/10.590/1809-2950/12636522012015