Prognóstico motor e perspectivas atuais na paralisia cerebral

Autores

  • Marcos Ferreira Rebel Universidade Federal do Rio de Janeiro
  • Rafaela Fintelman Rodrigues Universidade Federal do Rio de Janeiro
  • Alexandra Prufer de Queiroz Campos Araújo Universidade Federal do Rio de Janeiro
  • Clynton Lourenço Corrêa Universidade Federal do Paraná; Programa de Pós Graduação de Educação Física

DOI:

https://doi.org/10.7322/jhgd.19971

Palavras-chave:

paralisia cerebral, quadriplegia, diplegia espástica, hemiplegia, prognóstico

Resumo

A paralisia cerebral é uma sequela de agressão encefálica caracterizada por transtorno motor não evolutivo quanto à sua lesão. De acordo com o local da lesão pode provocar diferentes seqüelas que resultam em incapacidade funcional. OBJETIVO: revisar de forma não sistemática sobre o tema paralisia cerebral, enfocando o seu prognóstico motor, incluindo expectativa de vida e funcionalidade. MÉTODO: utilização das bases de dados Medline e LILACS, dos últimos quinze anos, com os unitermos paralisia cerebral, quadriplegia, diplegia, hemiplegia, prognóstico. RESULTADOS: foram listados 474 artigos científicos, sendo selecionados para esta revisão 34 artigos com base em: título, resumo, assunto, originalidade e disponibilidade de acesso pelo portal da CAPES. Foram identificadas as variáveis que podem influenciar o prognóstico motor nas crianças com paralisia cerebral. O prejuízo motor das crianças com paralisia cerebral está diretamente relacionado com o nível de gravidade da paralisia cerebral, assistência terapêutica e o tipo apresentado pelas crianças. Os pacientes com hemiplegia resultante de paralisia cerebral apresentam um prognóstico motor mais favorável comparado aos diplégicos e quadriplégicos.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Badawi N, Novak I, McIntyre S, EdwardsK, Raye S, deLacy M, et al. Proposed newdefinition cerebral palsy does not solve any of the problems of existing definitions. Dev Med Child Neurol. 2006;48(1):78.

Robertson C, Sauve RS, Christianson IIE. Province-based study of neurologic disability among survivors weighing 500th rough 1249 grams at birth. Pediatrics1994;93:636-40.

Carr LJ, Reddy SK, Stevens S, Blair E, Love S. Definition and classification of cerebral palsy. Dev Med Child Neurol.2005;47(8):508-10.

Williams K, Alberman E. The impact of diagnostic labelling in population-based research into cerebral palsy. Dev Med Child Neurol. 1998;40(3):182-5.

Rotta NT. Cerebral palsy, new therapeutic possibilities. J Pediatrics (Rio de Janeiro). 2002;78(S1):48-54.

Gorter JW, Rosenbaum PL, Hanna SE, Palisano RJ, Bartlett DJ, Walter SD, et al. Limb distribution, motor impairment,and functional classification of cerebral palsy. Dev Med Child Neurol.2004;46(7):461-7.

Libiedowska MK, Gaebler-Spira D, Burns RS, Fisk JS. Biomechanics characteristics of patients with spastic and dystonichy pertonia in cerebral palsy. Arch PhysMed Rehabil.2004;85(6):875-80.

Hernández MC, Solanes JB, González RJ. Compêndio de Pediatria, 1ªed. Barcelona: Espaxs, 1998. p.601-603.

Bobath K. Uma base neurofisiológica para o tratamento da paralisia cerebral. 2ª ed. São Paulo: Ed. Manole, 1990. p.1.

Ones K, Yilmaz E, Cetinkaya B, Caglar N. Assessement of the quality of life of mothers of children with cerebral palsy (Primary Caregivers). Neurorehabilitation Neural Repair. 2005,19(3):232-237.

Brehaut JC, Kohen DE, Raina P, Walter SD, Russel DJ, Switon M, et al. The health of primary caregivers of children with cerebral palsy: how does it compare with that of other Canadian caregivers? J Am Academy Pediatrics. 2004;114:182-191.

Allen MC, Alexander GR. Using Motor Milestones as a Multistep process to screen Pre term Infants for Cerebral Palsy. Dev Med Child Neurol. 1997;39:12-17.

Murthy CC, Yeargin-Ausopp M, Decoufee P, Drews CD. Prevalence of Cerebral Palsy Among Ten Years Old Children in Metropolitan Atlantic. J Pediatric. 1993;L23:513-519.

Hernández MC, Pedrola D, Castells P. Sistema Nervoso. Tratado de Pediatria, 7ªed. Barcelona: Espaxs, 1994. p.1961-1974.

Blasco P. Primitive reflexes: their contribution to the early detection of cerebral palsy. Clin Pediatr. 1994;33(7):388-97.

Murphy N, Such-Niebar T. Cerebral palsy diagnosis and management: the state of the art. Curr Probl Pediatr Adolesc Health Care. 2003;33(5):146-69.

Bax M, Golstein M, Rosenbaum P, LevitonA, Paneth N. Proposed definition and classification of cerebral palsy, 2005. Dev.Med.Child Neurol. 2005;47:571-76.

Bialik B, Givon U. Cerebral Palsy: classification and etiology. Acta OrthopTraumatol Turc. 2009;43(2):77-80.

Pakula AT, Braun KVN, Yeargin-Allsop M. Cerebral Palsy: classification and epidemiology. Phys Med Rehabil Clin N Am. 2009;20:425-52.

Crichton JU, Mackinnon M, White CP. The life-expectancy of persons with cerebral palsy. Dev Med Child Neurol.1995;37(7):567-76.

Hemming K, Hutton JL, Pharoah POD. Long-term survival for a cohort of adults with cerebral palsy. Dev Med Child Neurol.2006;48:90-5.

Ostensjo S, Carlberg EB, Vollestand NK. Everyday functioning in Young children with cerebral palsy: functional skills, caregiver assistance and modifications of the environment. Dev Med Child Neurol.2003; 45(9):603-12.

Nezu A, Kimura S, Takeshita S, Tanaka M. Functional recovery in hemiplegic cerebral palsy: ipsilateral electromyographic responses to focal transcranial magnetic stimulation. Brain and Devel.1999;21:162-5.

Hutton JL, Pharoah POD. Life expectancy in severe cerebral palsy. Arch Dis Child. 2006;91:254-8.

Abel MF, Damiano DL, Blanco JS, Conaway M, Miller F, Dabney K, et al. Relationships Among Musculoskeletal Impairment and Functional Health Status in Ambulatory Cerebral Palsy. J Ped Orthop. 2003;23:535-541.

Schenker R, Coster WJ, Parush S. Neuroimpairments, activity performance and participation in children with cerebral palsy mainstreamed in elementary schools. Dev Med Child Neurol.2005;47:808-14.

Howard J, Soo B, Graham HK, Boyd RN, Reid S, Lanigan A, et al. Cerebral Palsy in Victoria: Motor types, topography and gross motor function. J Paediat Child Health. 2005;41:479-83.

Pagliano E, Andreucci E, Bono R, Semorile C, Brollo L, Fedrizzi E. Evolution of upper limb function in children with congenital hemiplegia. Neurol Sci.2001;22:371-5.

Fedrizzi E, Pagliano E, Andreucci E, Oleari G. Hand function in children with hemiplegic cerebral palsy: prospective follow-up and functional outcome in adolescence. Dev Med Child Neurol. 2003;45(2):85-91.

Hung YC, Charles J, Gordon AM. Bimanual coordination during a goal-directed task in children with hemiplegic cerebral palsy. Dev Med Child Neurol.2004;46(11):746-53.

Eliasson A, Gordon AM. Impaired force coordination during object release in children with hemiplegic cerebral palsy. Dev Med Child Neurol.2000;42:228-34.

Varni JW, Burwinkle TM, Sherman SA, Hanna K, Berrin SJ, Malcarne VL, Chambers HG. Health-related quality of life of children and adolescents with cerebral palsy: hearing the voices of the children. Dev Med Child Neurol. 2005;47:592-7.

Vitale MG, Roye EA, Choe JC, Hyman JE, Lee FY, Roye DP. Assessment of Health Status in Patients With Cerebral Palsy –What is the Role of Quality-of-Life Measures? J Pediatr Orthop. 2005;25:792-7.

Cohen ME, Duffner PK. Prognostic indicators in hemiparetic cerebral palsy. Ann Neurol. 1998;9(4):353-7.

Guardiola A, Ferreira LTC, Rotta NT. Associação entre desempenho das funções corticais e alfabetização em uma amostra de escolaridade de primeira série de Porto Alegre. Arq Neuropsiquiatria. 1998;56(2):281-8.

Trahan J, Malouin F. Intermittent intensive physiotherapy in children with cerebral palsy: a pilot study. Dev Med Child Neurol. 2002;44:233-9.

Bottos M, Feliciangeli A, Sciuto L, Gericke C, Vianello A. Functional status of adults with cerebral palsy and implications for treatment of children. Dev Med Child Neurol.2001;43:516-28.

Downloads

Publicado

2010-08-01

Edição

v. 20 n. 2 (2010)

Seção

Revisão

Licença

CODE OF CONDUCT FOR JOURNAL  PUBLISHERS

 

Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:

 

Publishers should:

 

  • Define the relationship between publisher, editor and other parties in a contract
  • Respect privacy (for example, for research participants, for authors, for peer reviewers)
  • Protect intellectual property and copyright
  • Foster editorial independence

 

Publishers should work with journal editors to:

 

  • Set journal policies appropriately and aim to meet those policies, particularly with respect to:

–         Editorial  independence

–         Research ethics, including confidentiality, consent, and the special requirements for human and animal research

–         Authorship

–         Transparency and integrity (for example, conflicts of interest, research funding, reporting standards

–         Peer review and the role of the editorial team beyond that of the journal editor

–         Appeals and complaints

  • Communicate journal policies (for example, to authors, readers, peer reviewers)
  • Review journal policies periodically, particularly with respect to new recommendations from the COPE
  • Code of Conduct for Editors and the COPE Best Practice Guidelines
  • Maintain the integrity of the academic record
  • Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
  • Publish corrections, clarifications, and retractions
  • Publish content on a timely basis