Analysis Of The Physiotherapeutic Treatment For Cerebral Palsy Based On The Bobath Neurodevelopmental Treatment Through The Gmfm

Abstract

INTRODUCTION: Cerebral palsy (CP) is characterized by postural, functional and tonus dysfunctions due to lesions in the Central Nervous System in the maturation phase. Physiotherapy inserts itself in the treatment of CP aiming to normalize dysfunctions, providing higher quality of life and autonomy. One of the most used methods for the treatment of these patients is the Bobath Neurodevelopmental Treatment (NDT). The prognosis and efficacy of treatment can be measured through instruments such as GMFM. OBJECTIVES: To evaluate the physiotherapeutic treatment based on NDT through the GMFM-88 scale in children with CP before and after intervention, quantitatively observing the evolution. METHODOLOGY: 8 patients were submitted to the GMFM scale before and after physiotherapeutic treatment. The treatment was carried out in the discipline of Pediatrics of a Community University. Quantitative data were tabulated and analyzed using simple descriptive statistics and GMAE-2 Software. RESULTS: A general evolution was observed in the neuropsychomotor development of patients or the maintenance of their condition. CONCLUSION: The results demonstrate that the physiotherapeutic treatment based on the Bobath Neurodevelopmental Treatment is effective for the evolution or maintenance of the gross motor function of the patients and that the GMFM instrument is effective in showing these results quantitatively.
 KEYWORDS: motor activity, cerebral palsy, proprioception, physiotherapy.

Physical therapy in children with cerebral palsy in Brazil: a scoping review

“…Table 1 reports the main characteristics of the studies included in this scoping review (see also Table S3, online supporting information). Between 1996 and 2020, the 94 studies 37–130 were published in 46 different journals, 67% of them without an impact factor and 33% with an impact factor from 1.0 to 4.4. The studies included a total of 1138 children and adolescents with CP, aged from 1 to 18 years, with bilateral (51.3%) or unilateral (31.9%) spastic, dyskinetic (4.4%), and ataxic (2.7%) CP subtypes, classified in GMFCS levels I (21.5%), II (26.0%), III (18.1%), IV (9.0%), and V (7.9%).…”

Fisioterapia em crianças com paralisia cerebral no Brasil: uma revisão de escopo

“…A Tabela 1 relata as principais características dos estudos incluídos nesta revisão de escopo (consulte também a Tabela S3, informações de apoio online). Entre 1996 e 2020, os 94 estudos 37–130 foram publicados em 46 periódicos diferentes, 67% deles sem fator de impacto e 33% com fator de impacto variando de 1,0 a 4,4. Os estudos incluíram um total de 1138 crianças e adolescentes com PC, de 1 a 18 anos, com subtipos de PC espástico bilateral (51,3%) ou unilateral (31,9%), discinético (4,4%) e atáxico (2,7%), classificados em GMFCS níveis I (21,5%), II (26,0%), III (18,1%), IV (9,0%) e V (7,9%).…”