Interventions of health education in mothers of children with cerebral palsy

Introduction: The functional performance of children with cerebral palsy is directly influenced by the therapeutic guidelines offered to caregivers. Objective: To evaluate the impact of educational health interventions in mothers of children with cerebral palsy about the guidelines of care. Methods: A qualitative interventional study developed in three stages between April and October of 2015 in the Núcleo de Tratamento e Estimulação Precoce of the Universidade Federal do Ceará, Brazil. The participants were six mothers of children with cerebral palsy. In the first stage we used the technique of individual semi-structured interviews, full  recorded and transcribed  for the apprehension and exploration of the speeches; In the second stage, taking into account the saturation and categorization of the speeches, a protocol was developed and applied by the researchers divided into eight interventions of health education in the group of mothers then  in the third stage the individual interviews were redone for new exploration and comparison of speeches. The analysis of the data of the speeches was made through content analysis according to the proposal of Bardin. Results: Satisfaction reports on receiving care, improvements in the handling of children, greater safety in the implementation of therapeutic guidelines, better perception about the development of the child with the treatment and higher concern with self-care. Conclusions: The educational  interventions promoted a better perception of mothers of children with cerebral palsy about the therapeutic orientations received from the health team, since they are based on the family-centered model offering conditions to the mothers for the confrontation and reduction of the physical overload, emotional and psychological; through self-care in health, and information about means and adaptations for the adequate continuity of child care

Intervenção psicomotora no desenvolvimento infantil: uma revisão integrativa

Objective: Understand the effects of psychomotor intervention in children with neuropsychomotor developmental delay. Methods: This study is an integrative review of the scientific literature. For the research, articles were searched in the following databases: PubMed, PEDro (Physiotherapy Evidence Database), VHL (Virtual Health Library). CAPES Journals Portal and Web of Science, from December 2018 to January 2019, and the Research gate were consulted in January 2019. Results: A total of 867 articles were found, of which 142 were excluded due to non-compliance with the inclusion criteria and 33 were read in full. The study consisted of 7 articles selected according to the criteria, which showed that psychomotricity contributes positively to child development. Conclusion: The contribution of structured psychomotor intervention, despite the heterogeneity of protocols adopted, has positive results in the neuropsychomotor development process in childhood, being a usable resource to recover or prevent delays in child development.Objetivo: Comprender los efectos de la intervención psicomotora frente el retraso del desarrollo neuropsicomotor de niños. Métodos: El presente estudio se trata de una revisión integrativa de la literatura científica. Para la realización de la investigación se buscó artículos en las bases de datos PubMed, PEDro (Physiotherapy Evidence Database), BVS (Biblioteca Virtual en Salud), Portal de Periódicos CAPES y Web of Science en el periodo entre diciembre de 2018 y enero de 2019 y la consulta en el Research gate en el mes de enero de 2019. Resultados: Se han encontrado 867 artículos de los cuales 142 han sido excluidos por el no cumplimiento de los criterios de inclusión. Se han leído 33 artículos completos de los cuales 7 han sido elegidos según los criterios de los cuales se ha observado que la psicomotricidad ha contribuido de manera positiva para el desarrollo del niño. Conclusión: Pese la heterogeneidad de los protocolos adoptados, la contribución de la intervención psicomotora estructurada presenta resultados positivos en el proceso del desarrollo neuropsicomotor en la infancia y es un recurso pasible de utilización para recuperar o prevenir los retrasos del desarrollo infantil.Objetivo: Compreender os efeitos da intervenção psicomotora frente ao atraso do desenvolvimento neuropsicomotor de crianças. Métodos: O presente estudo trata-se de uma revisão integrativa da literatura científica. Para a realização da pesquisa, artigos foram buscados nas seguintes bases de dados: PubMed, PEDro (Physiotherapy Evidence Database), BVS (Biblioteca Virtual em Saúde), Portal de Periódicos CAPES e Web of Science, no período de dezembro de 2018 a janeiro de 2019, e houve consulta ao Research gate no mês de janeiro de 2019. Resultados: Foram encontrados 867 artigos, dos quais se excluíram 142 devido à falta de conformidade aos critérios de inclusão e 33 foram lidos na íntegra, sendo o estudo composto de 7 artigos selecionados de acordo com os critérios, nos quais se observou que a psicomotricidade contribui positivamente para o desenvolvimento da criança. Conclusão: A contribuição da intervenção psicomotora estruturada, apesar da heterogeneidade de protocolos adotados, apresenta resultados positivos no processo de desenvolvimento neuropsicomotor na infância, sendo um recurso passível de utilização para recuperar ou prevenir atrasos no desenvolvimento infantil

Postural and Load Distribution Asymmetries in Preschoolers

The aim of the study was to investigate the postural and load distribution symmetries in preschool children. The sample consisted of 67 preschool children with a median age of 54.00 ± 5.06 months. Postural parameters such as the horizontal alignment of the head, the acromion and Antero Superior Iliac Spines (ASIS), the angles between the acromial and ASIS, frontal, Q, knee and ankle and horizontal asymmetry of the scapula in relation to T3 were evaluated by photogrammetry. The baropodometry was used to identify the distribution of plantar pressure, while the medial arch of the foot was analyzed by photographic image. The median, standard deviation and the symmetry ratio were calculated for each parameter considered symmetry values greater than 90%. The Pearson’s or Spearman’s correlation were used between the parameters analyzed. There was asymmetric for postural and load distribution parameters for both genders and a null correlation between the symmetry of the surface and foot morphology and negative weak correlation significant between of the load foot and the front angle of the lower limb symmetries. The presence of asymmetries, postural and/or of load distribution, observed in early childhood suggest the importance of monitoring the postural and foot load parameters in the long term, preventing future postural and biomechanical alterations

Postural and Load Distribution Asymmetries in Preschoolers

The aim of the study was to investigate the postural and load distribution symmetries in preschool children. The sample consisted of 67 preschool children with a median age of 54.00 ± 5.06 months. Postural parameters such as the horizontal alignment of the head, the acromion and Antero Superior Iliac Spines (ASIS), the angles between the acromial and ASIS, frontal, Q, knee and ankle and horizontal asymmetry of the scapula in relation to T3 were evaluated by photogrammetry. The baropodometry was used to identify the distribution of plantar pressure, while the medial arch of the foot was analyzed by photographic image. The median, standard deviation and the symmetry ratio were calculated for each parameter considered symmetry values greater than 90%. The Pearson’s or Spearman’s correlation were used between the parameters analyzed. There was asymmetric for postural and load distribution parameters for both genders and a null correlation between the symmetry of the surface and foot morphology and negative weak correlation significant between of the load foot and the front angle of the lower limb symmetries. The presence of asymmetries, postural and/or of load distribution, observed in early childhood suggest the importance of monitoring the postural and foot load parameters in the long term, preventing future postural and biomechanical alterations