Fatores que interferem no prognóstico de deambulação na paralisia cerebral

Souza, Angela Maria Costa De; Ferraretto, Ivan

doi:10.1590/s0004-282x1992000100014

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Para controlar o alimento na cavidade oral podem aparecer movimentos compensatórios, como por exemplo: protrusão de lábios e mandíbula, protrusão lingual, pressão lingual anterior acompanhada de abertura e protrusão labial. Para reforçar a estabilidade de cabeça e pescoço, principalmente na deglutição que é preciso estabilizar o hióide, ocorre elevação compensatória de ombro (Souza, 1998).…”

Section: 1-adaptação Compensação E Descompensação No Processo De Degl...unclassified

“…Conforme a criança com hipotonia e padrão extensor alterado tenta levantar e rodar a cabeça, ela terá a necessidade de fixar-se e para estabilizar-se, utiliza os extensores da cabeça e os músculos extrínsecos da língua, resultando na hiperextensão anormal de cabeça-pescoço e retração de língua (Souza, 1998).…”

Section: 2-unclassified

“…A criança em prono utiliza a HC e retração da língua para transferir peso para longe dos ombros e visualizar melhor o ambiente. Na posição sentada, a adução e extensão do úmero e a flexão torácica mantém o peso destas crianças tão longe que elas precisam de HC, do pescoço e da retração de língua para manter o seu peso posteriorizado (Souza, 1998).…”

Section: 2-unclassified

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Interferencia da hiperextensão cervical na deglutição de crianças com paralisia cerebral

Silva¹,

Capellini²

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The objective of this paper is to compare the airway protection mechanism during the swallowing in children with cerebral palsy (CP), in two standard postures. The videofluoroscopy evaluation of swallowing was carried out in 18 children from two to 13 years old, from both genders, carriers of specific cerebral palsy conditions: spastic tetraparetic CP, atetosic CP or mixed who are usually fed in cervical hyperextension position. They were offered 3 and 5ml of two opaque food textures: thin paste food and liquid, and also free swallowing in seated position at 90º and cervical hyperextension. The analyses of aspiration and penetration events were conducted following an 8 level-scale (Penetration-Aspiration Scale), according to Rosenbek et. al. (1996), defined by the deepness that the material reaches across the airway and whether the material that enters is expelled or not. The cervical hyperextension was not an efficient compensation and that the swallowing process in this position was as favorable to the traqueal aspiration, as the swallowing process with positioning at 90º. With positioning in cervical hyperextension the children swallowed the smaller volume (3ml), in the liquid texture, with more safety to the airway, compared to the 5ml swallowing and the free swallowing of the same texture and positioning. There were not statistically significant differences between the children swallowing seated at 90º position and in cervical hyperextension; the same occurred with the tested food textures. Ultimately, could be also observed that the children's age did not present correlation with the answers obtained with any of the remained variables.

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Section: 1-adaptação Compensação E Descompensação No Processo De Degl...unclassified

Section: 2-unclassified

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Interferencia da hiperextensão cervical na deglutição de crianças com paralisia cerebral

Silva¹,

Capellini²

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Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention

Bottos¹,

Gericke²

2003

Dev Med Child Neurol

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In conclusion, although the importance of encouraging the development of physical abilities remains, in certain cases we cannot simply wait for years to see whether a child will eventually become an effective walker as a result of physiotherapy or orthopaedic interventions. Powered mobility should be considered as a means of providing efficient, autonomous locomotion for children with severe motor disabilities, so enabling them to become more active participants in their own lives rather than remaining spectators. Children with moderate levels of motor impairment could be encouraged to see wheelchair use as beneficial in some circumstances and not an irreversible failure.

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Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention

Bottos

MSc

2003

Develop Med Child Neuro

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Fatores que interferem no prognóstico de deambulação na paralisia cerebral

Cited by 5 publications

References 7 publications

Interferencia da hiperextensão cervical na deglutição de crianças com paralisia cerebral

Interferencia da hiperextensão cervical na deglutição de crianças com paralisia cerebral

Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention

Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention

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