Performance of functional aquatic physical therapy on shift in sitting posture in congenital amyoplasia: case study
DOI:
https://doi.org/10.15448/1980-6108.2014.4.17752Keywords:
AMYOPLASIA CONGENITA, ARTHROGRYPOSIS, HYDROTHERAPY, REHABILITATION.Abstract
AIMS: To describe the role of aquatic therapy in drag on sitting posture in a child with congenital amyoplasia.
CASE REPORT: A three-year-old girl with congenital amyoplasia participated in a rehabilitation program consisting of 24 sessions of aquatic therapy. The evaluations were performed on the first day, after 12 sessions and at the end of the program. The time of drag in the seated position and the items 24 (sitting on the mat keeps arms free for three seconds) and 25 (sitting on the carpet plays small toy in front) of the sitting dimension of the instrument Gross Motor Function Measure 88 (GMFM-88) were measured. The therapy consisted of an exercise program with the goals of muscle activation, flexibility, weight transfer and trunk stabilization in the seated position. After the aquatic therapy intervention there was improvement in motor function, with greater displacement speed in the sitting position.
CONCLUSIONS: Following the aquatic therapy program applied to this patient with congenital amyoplasia, positive results were verified. There was improvement in trunk control, increasing its stability and reflecting on its functionality, with greater speed in drag in the sitting posture.
Downloads
References
Hall JG, Reed SD, Driscoll EP. Part I. Amyoplasia: a common, sporadic condition with congenital contractures. American journal of medical genetics. 1983;15(4):571-90.
Hall JG, Reed SD, McGillivray BC, et al. Part II. Amyoplasia: twinning in amyoplasia specific type of arthrogryposis with an apparent excess of discordantly affected identical twins. American journal of medical genetics. 1983;15(4):591-99.
Bernstein RM. Arthrogryposis and amyoplasia. The Journal of the American Academy of Orthopaedic Surgeons. 2002;10(6):417-24.
Kroksmark AK, Kimber E, Jerre R, Beckung E, Tulinius M. Muscle involvement and motor function in amyoplasia. American journal of medical genetics. Part A. Aug 15 2006;140(16):1757-67.
Relvas PCA, Nicolini RD, Sousa PPC. Fisioterapia aquática em pacientes com malformações congênitas. In: Silva JB, Branco F. Fisioterapia Aquática Funcional. São Paulo: Artes Médicas; 2011:275-304.
Russell D, Rosenbaum P, Cadman D, Gowland C, Hardy S, Jarvis S. The Gross Motor Function Measure: a means to evaluate the effects of physical therapy. Dev Med Child Neurol. 1989;31(3):341-52.
Silva JB, Branco F. Fisioterapia aquática funcional e seus indicadores de qualidade. In: Silva JB, Branco F. Fisioterapia aquática funcional. São Paulo: Artes Médicas; 2011:19-21.
Carvalho RL, Santos CE. Efeito da imersão associada à cinesioterapia na artrogripose: Revista Científica do UNIFAE. 2008:2(1):10-4
Russell D, Rosenbaum P, Growland C, Hardy S, M. L, Plews N, et al. Administration and scoring. In: University M, editor. Gross Motor Function Mesuare Manual. 2 ed. Toronto;1993:1-125.
CIF-CJ: Classificação Internacional de funcionalidade, incapacidade e saúde:versão crianças e jovens. 1ª ed. São Paulo: Edusp; 2011.
Shepherd RB. Fisioterapia em Pediatria. 3ed. São Paulo:Santos,1996.
Caromano FA, Themudo MRFF, Candeloro JM. Efeito Fisiológico da Imersão e do Exercício na Água. Fisioterapia Brasil. 2003;4(1):60-5.
Marins RS. Síndrome de Down e terapia aquática: possibilidades da infância dos efeitos físicos da água na musculatura estriada esquelética e na postura. Reabilitar. 2001;10(1):12-20.
Carregaro RL, Toledo AM. Efeitos fisiológicos e evidências científicas da eficácia da fisioterapia aquática. Rev Movimenta. 2008;1(1):23-7.
Costa FAS. Recreação aquática: o lúdico do brincar e psicomotricidade na água. http://www.efdeportes.com/ Revista Digital – 2010; 15 – (146).
Downloads
Published
How to Cite
Issue
Section
License
Copyright
The submission of originals to Scientia Medica implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Scientia Medica as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.