Intensive neuromotor therapy with suit improves motor gross function in cerebral palsy: a Brazilian study

Abstract

Cerebral palsy (CP) is the most common disability in children caused by central nervous system lesion. The aim of the present study was to verify the intensive neuromotor therapy effects in children with CP, in a reference Brazilian centre. In this study, three years of medical records from a Brazilian reference Centre of Intensive Neuromotor Therapy (INMT) which use the INMT protocol were analysed. The motor evaluation for each child was done by the Gross Motor Function Classification System (GMFCS) and GMFM-88 by an experienced professional, before and after each INMT module. A total of 53 children between the ages of 1 and 15 years (age at treatment initiation, initial evaluation), with a mean age of 5.94±3.38 years, participated in the study. Participants performed between 1 and 10 INMT modules. There was no strong correlation between age and overall performance on the GMFM scale, but it was observed a strong negative correlation between the percentage of GMFM gains and the number of modules (r=-0.709; R 2 = 0.50; p = 0.022, CI95%[0.014 -0.026]), suggesting that patients tend to present higher percentage gains in the first modules. Through an intra-module comparison, it was observed statistical difference in the total score in each of the modules.

Intensive Neuromotor Therapy improves motor skills of children with Cornelia de Lange Syndrome: case report

“…For children with neurological disorders, physical therapy with intensive protocols can be an alternative to increase results [14]. In this sense, the Intensive Neuromotor Therapy (INMT) [15,16] is a modular training composed of 2-3h/day of physical activities, 5 times a week, during 4 weeks, with rest or maintenance periods between modules.…”

“…The INMT can use orthotic garments or suit wear which offers movement resistance, and the therapy can be done in an Abiliy Unit of Exercise (AUE) using bungee cords to provide sensory stimulation, movement through resistance, standing posture and balance strategies [17] during the therapy. Most of the previous studies were performed with cerebral palsy children [14], but positive effects in gross motor skills were also showed in Down syndrome [18] and in spinal amyotrophy [19].…”

“…This could be explained by the use of the cage ("Monkey" or "Spider") with bungee cords promoting trunk stabilization, with consequent simplification of movements. At the same time, it stimulates the sensory afferents, which would act to stimulate neural connections and allow a better match of tone, body symmetry, would favor the acquisition of motor milestones, improve balance, muscle strength and motor coordination [14]. In addition, dimension C is the key to the acquisition of active environmental exploration [23].…”

Effectiveness of therapeutic suits and intensive suit trainings in individuals with cerebral palsy and other neurological disorders: a scoping review

“…Cerebral palsy (CP) is one of the most common causes of disability in children [1][2][3][4][5][6][7]. The incidence of CP is 2-2.5 per 1000 births [5,8,9].…”

Efeito Imediato, Agudo E Crônico Da Kinesio Taping® Associada À Terapia Neuromotora Intensiva Na Postura Sentada De Crianças Com Paralisia Cerebral

“…Entre as formas atuais de intervenção, com proposta diferenciada e intensiva, existe a Terapia Neuromotora Intensiva (TNMI), que consiste em um tratamento fisioterapêutico com protocolo de exercícios em rotinas de 3 horas diárias, 5 dias por semana durante 4 semanas (SCHEEREN et al, 2012;NEVES et al, 2013;MÉLO et al, 2018), que pode favorecer na reabilitação e na postura, principalmente em casos mais graves. O protocolo da TNMI consiste em exercícios que envolvem: (a) Aquecimento (massagem, alongamento, cinesioterapia com mobilização ativa); (b) Exercícios resistidos em membros inferiores (gaiola com cinesioterapia ativo resistido); (c) Exercícios resistidos com uso do PediaSuit® (gaiola com bandas elásticas, prancha de equilíbrio, bola, rolos, feijão, cama elástica); (d) Manobras de fisioterapia respiratória; (e) Treino de marcha (com uso do traje em terrenos irregulares, escada, rampa, esteira, grama, barras paralelas com e sem obstáculos) (SCHEEREN et al, 2012;NEVES et al, 2013).…”