Global postural re-education for an adult with cerebral palsy: case study
DOI:
https://doi.org/10.590/1809-2950/12636522012015Abstract
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.Downloads
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.
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Fisioterapia e Pesquisa
![Creative Commons License](http://i.creativecommons.org/l/by-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.