The functional activities manipulation and adaptation (fama) approach in cerebral palsy: a treatment proposal with emphasis on motor learning
DOI:
https://doi.org/10.7322/jhgd.44944Palavras-chave:
cerebral palsy, physical therapy modalities, learningResumo
There are different approaches used by physiotherapists in the treatment of cerebral palsy (CP), but the majorities are based on theoretical and conceptual knowledge gained from the development of motor control. This work aims to present an approach for the treatment of cerebral palsy based on the knowledge of motor learning. When determining the advancements in studies on motor learning and that such knowledge can somehow assist the physiotherapist in the organization of their clinical intervention, the idea arose of developing a treatment approach that is based on the use of this knowledge of motor learning in the treatment of CP. The Functional Activities Manipulation and Adaptation (FAMA) approach is a physiotherapeutic proposal in the treatment of CP that uses the nominal language of the ICF and, to arrange treatment, uses clinical experience with the best evidence available and the needs of the patient. Its main objective is to provide functionality for mobility, through the knowledge of motor learning, focusing on the classification of functional skills, structures and factors that influence practice. Motor learning is the greatest difference of the FAMA approach, where the knowledge acquired through motor learning seeks to organize the physiotherapy treatment for CP.
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Referências
Abernethy B, Sparrow WA. The rise and fall of dominant paradigms. In: Motor behavior research. In: Summers JJ. Approaches to the study of motor control and learning. Amsterdam, North-Holland, 1992.
Kuhn TS.The structure of scientific revolution. (2nd edition) Chicago. University of Chicago Press, 1970.
Carr JH, Shepherd RB.The changing face of neurological rehabilitation. Rev. Bras. Fisioter. 2006;10(2):147-156.
Aune TK, Pedersen AV, Ingvaldsen RP. Dominant paradigms in motor behavior research: the motor action controversy revisited. Percept Mot Skills. 2008 Apr; 106(2): 573-8.
Gallahue DL, Ozmun JC. Compreendendo o desenvolvimento Motor. 3ed, Phorte Editora,2005.
Organização mundial da saúde. (OMS) / Organização Panamericana da saúde (OPAS). CIF Classificação Internacional de funcionalidade, incapacidade e saúde. Universidade de São Paulo, 2003.
CEBP- Centre for evidence based physiotherapy. January. 2008 In. http://www.pedro.fhs.usyd.edu.au/CEBP/index_cebp.html.
Escorpizo R, Stucki G, Cieza A, Davis K, StumboT, Riddle DL. Creating an interface between the International Classification of Functioning, Disability and Health and physical therapist practice. Phys Ther. 2010 Jul; 90(7):1053-63.
Mutlu A, Akmese PP, Gunel MK, Karahan S, Livanelioglu A. The importance of motor functional levels from the activity limitation perspective of ICF in children with cerebral palsy. Int J Rehabil Res. 2010 Dec; 33(4):319-24.
Shaw JA, Connelly DM, Zecevic AA. Pragmatismin practice: Mixed methods research for physiotherapy. Physiother Theory Pract. 2010;26(8): 510-8.
Pedro- Physiotherapy evidence database. January 2008 In: http://www.pedro.fhs.usyd.edu.au/index.html
Tani G. Comportamento motor, aprendizagem e desenvolvimento. Guanabara Koogan, 2005.
Bar-Haim S, Harries N, Nammourah I, OraibiS, Malhees W, Loeppky J, Perkins NJ, Belokopytov M, Kaplanski J, Lahat E. Effectiveness of motor learning coaching in children with cerebral palsy: a randomized controlled trial. Clin Rehabil Online First, published on June 24, 2010.
Guthrie ER. The psychology of learning. New York: Harper & Row, 1952.
Schmidt RA. Aprendizagem e Performance Motora dos princípios à prática. Editora movimento, 1993.
Gallahue DL. A classificação das habilidades de movimento: um caso para modelos multidimensionais. Rev. educ. Fis./UEM. 2002, 13(2):105-111.
Schmidt RA e Wrisberg CA. Aprendizagem e performance motora – uma abordagem da aprendizagem baseada na situação 4ª Ed. Artmed, 2010.18. Shumway-Cook A, Woollacott MH. Controle motor - teorias e aplicações práticas. 2ª ed. Manole, 2003.
Magill RA. Aprendizagem motora - conceitos e aplicações. 5ª ed, Editora Edgard Blucher, 2000.
Barela JA, Barela AMF, Rodrigues ST. Controle motor, teoria e atuação profissional: dinâmica de percepção e ação. In: A intervenção profissional em perspectiva. São Paulo. EFP/EEFEUSP, 2008.
Nieuwenhuijsen C, Donkervoort M, NieuwstratenW, Stam HJ, Roebroeck ME. Experienced problems of young adults with cerebral palsy: targets for rehabilitation care. Arch Phys Med Rehabil. 2009 Nov;90(11):1891-7.
Donkervoort M, Roebroeck M, Wiegerink D, vander Heijden-Maessen H, Stam H, Transition Research Group South West Netherlands. Determinants of functioning of adolescents and young adults with cerebral palsy. Disabil Rehabil. 2007 Mar 30;29(6):453-63.
Bottcher L. Children with spastic cerebral palsy, their cognitive functioning, and social participation: a review. Child Neuropsychol. 2010 May; 16(3): 209-28.
Bottcher L, Flachs EM, Peter Uldall P. Attentional and executive impairments in children with spastic cerebral palsy. Dev Med Child Neurology. 2010;52(2):e42–e47.
KetelaarM , Vermeer A, Helders PJM. Functional motor abilities of children with cerebral palsy: a systematic literature review of assessment e a s u re s. Clinical Rehabilitation 1998; 12:369–380.
Kuijper MA, van der Wilden GJ, Ketelaar M, Gorter JW. Manual ability classification system for children with cerebral palsy in a school setting and its relationship to home self-careactivities. Am J OccupTher. 2010;64(4):614-20.
Øien I, Fallang B, Østensjø S. Goal-setting in paediatric rehabilitation: perceptions of parents and professional. Child Care Health Dev. 2010;36(4):558-65.
Schneiberg S, McKinley PA, Sveistrup H, Gisel E, Mayo NE, Levin MF. The effective ness of task-oriented intervention and trunk restraint on upper limb movement quality in children with cerebral palsy. Dev Med Child Neurol. 2010;52(11):e245-53.
Gentile, A. M. Aquisição de habilidade: action, movement and neuromotor processes. In: Carr J, Sheperd R. (Ed.). Movement Science: Foundations for Physical Therapy in Rehabilitation. 2 nd ed. Gaithersburg: Aspen, p. 111-187, 2000.
White O, Diedrichsen J. Responsibility Assignment in Redundant Systems Current Biology.2010;27;20(14):1290-5.
Miall C. Motor Control: Correcting Errors and Learning from Mistakes. Current Biology.2010;20(14):596-598.
Wel RPRD, Rosenbaum DA. Bimanual grasp planning reflects changing rather than fixed constraint dominance. Exp Brain Res. 2010;205:351-362.
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