A fisioterapia utiliza vários recursos e métodos para intervenções no tratamento da Encefalopatia Crônica Não Progressiva da Infância (ECNPI) entre eles a Kinesio Taping® (KT) e a Terapia Neuromotora Intensiva (TNMI). Estes métodos podem ser considerados relativamente novos, o que leva a necessidade do desenvolvimento de pesquisas para verificar seus efeitos em crianças com ECNPI. O presente estudo analisou os efeitos da KT® e da TNMI na postura sentada de crianças com ECNPI do tipo quadriparesia/quadriplegia espástica. Para isso, foram avaliadas 6 crianças, média de idade de 6,25, sendo que a menor idade é de 4 anos, a maior idade de 8 anos; desvio padrão 2,69. As avaliações aconteceram através do Software SAPO, onde os dados são obtidos em centímetros e a análise consiste na avaliação da vertical (eixo Y), comparando o lado esquerdo e direito, sendo assim possível à análise de maneira precisa das assimetrias. Os resultados mostraram alterações de todos os pontos anatômicos, tanto para simetria quanto para assimetria, devido ao estímulo proprioceptivo proporcionado pela KT®. No efeito agudo tivemos o efeito da KT® associado a um dia TNMI com resultados inconclusivos por variabilidade nas respostas, possivelmente pelos ajustes posturais. Já no efeito crônico, observaram-se maiores ganhos de simetria, o que nos indica que a KT® associada a um mês de TNMI traz resultados positivos para a postura sentada da criança com ECNPI. Podemos concluir que a KT®,como coadjuvante durante a TNMI, traz resultados positivos indicando maior simetria em alguns pontos.
The objective of this study is to analyze the scientific productions from 2012 to 2018 related to obstetric violence in Brazil and to present the main evidences found in the selected articles. It is an integrative review, with the purpose of answering the question "According to the latest studies, how is obstetric violence evident in Brazil?". The data were acquired through the selection of articles indexed in the Google Academic and Virtual Health Library (VHL) databases, from 2012 to 2018 by means of the descriptors: Labor of Delivery; Obstetric nursing; Humanized birth; Violence against women; Obstetric delivery. A total of 1934 articles were found, and 10 publications were selected according to the inclusion and exclusion criteria. A validated instrument (URSI, 2005) was used as an instrument for data collection and subsequent analysis. From the content analysis of the articles, three categories were proposed for the synthesis of these findings: justifications and perceptions of health professionals about knowledge and practices of obstetric violence; women's knowledge and experience of obstetric violence; transition from care to institutionalized childbirth to home birth and concepts, knowledge and practices of humanization of childbirth; factors associated with obstetric violence. It is concluded that currently obstetric practices in Brazil disrespect the rights of women, reflected in the lack of humanization and unnecessary interventions. There is a need for actions that focus on the humanization and mobilization of professionals, as well as prenatal care for women to know their rights.
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