Intensive neuromotor therapy improves body composition in cerebral palsy and amiotrophy

  • Daniel Alves Menegassi Especialista em Fisioterapia Neuromotora Intensiva
  • Alexandre de Aguiar Sabbag Especialista em Fisioterapia Neuromotora Intensiva
  • Ana Rita Casedei da Costa Nutricionista do Centro de Pesquisa Vitória, Curitiba-PR, Brasil
  • Luciana Maltauro Prefeitura Municipal de Campo Largo, Curitiba-PR, Brasil
  • Tainá Ribas Mélo Prefeitura Municipal de Paranaguá. Universidade Campos Andrade (UNIANDRADE), Curitiba-PR, Brasil. Instituto Brasileiro de Therapias e Ensino (IBRATE), Curitiba-PR, Brasil. Docente e tutora do Curso de Especialização em Gênero e Diversidade na Escola, Universidade Federal do Paraná (UFPR), Matinhos-PR, Brasil
  • Eduardo Borba Neves Universidade Tecnológica Federal do Paraná (UTFPR), Curitiba-PR, Brasill
Keywords: Cerebral palsy, Spinal muscular atrophy, Body composition, Physiotherapy

Abstract

Introduction. Cerebral palsy (CP) and Amiotrophy (AME) are conditions that may cause inactivity with repercussions on body composition, with risk of osteopenia and osteoporosis that may compromise the functionality. Goals. To verify the effect of intensive neuromotor therapy (INMT) on the body composition of boys and girls with CP and AME II submitted to INMT using the PediaSuit®. Methods. Twenty-six children, 14 boys and 12 girls, were analyzed between the ages of 3 and 9 years using DEXA, using a T-test for paired samples with p <0.05. Results. Significant post-intervention increases were observed when both genders were analyzed for total bone mass (p = 0.022) for males in total BMD (p = 0.048), total bone mass (p = 0.029), and total lean mass (p = 0.020), and only for the variable fat mass of girls with AME type II (p = 0.022). Conclusion. The INMT with PediaSuit® suit improved the body composition of boys and girls with CP and AME type II.

References

-Araújo, A.; Ramos, V. G.; Cabello, P. H. Dificuldades diagnósticas na atrofia muscular espinhal. Arq Neuropsiquiatr. Vol. 63. Num. 1. p. 145-149. 2005.

-Baioni, M. T.; Ambiel, C. R. Atrofia muscular espinhal: diagnóstico, tratamento e perspectivas futuras. J. Pediatr. Vol. 2. 2010.

-Barreto, I. A.; Chiarello, C. R.; Erthal, V.; Mélo, T. R. Terapia Neuromotora Intensiva favorece manutenção do controle de cabeça e tronco em crianças com Amiotrofia Espinhal: Série de casos. Revista Uniandrade. Vol. 17. Num. 3. p. 139-148. 2016.

-Bax, M.; Goldstein, M.; Rosenbaum, P.; Leviton, A.; Paneth, N.; Dan, B.; Jacobsson, B.; Damiano, D. Proposed definition and classification of cerebral palsy, April 2005. Developmental Medicine & Child Neurology. Vol. 47. Num. 8. p. 571-576. 2005.

-Cadore, E. L.; Brentano, M. A.; Kruel, L. F. M. Efeitos da atividade física na densidade mineral óssea e na remodelação do tecido ósseo. Revista brasileira de medicina do esporte. Vol. 11. Num. 6. p. 373-379. 2005.

-Campos, L. M.; Liphaus, B. L.; Silva, C. A.; Pereira, R. M. Osteoporose na infância e na adolescência. J Pediatr (Rio J). Vol. 79. Num. 6. p. 481-8. 2003.

-Caram, A. L. A.; Morcillo, A. M.; Da Costa Pinto, E. A. L. Estado nutricional de crianças com paralisia cerebral. Revista de Nutrição. 2010.

-Castilho-Weinert, L. V.; Neves, E. B. Use of dynamic clothes in cerebral palsy rehabilitation: systematic review. ConScientiae Saúde. Vol. 15. Num. 2. 2016.

-Chad, K.; Mckay, H.; Zello, G.; Bailey, D.; Faulkner, R.; Snyder, R. Body composition in nutritionally adequate ambulatory and non-ambulatory children with cerebral palsy and a healthyreference group. Developmental Medicine & Child Neurology. Vol. 42. Num. 5. p. 334-339. 2000.

-Chen, C.-L.; Ke, J.-Y.; Wang, C.-J.; Wu, K. P.; Wu, C.-Y.; Wong, A. M.-K. Factors associated with bone density in different skeletal regions in children withcerebral palsy of various motor severities. Developmental Medicine & Child Neurology. Vol. 53. Num. 2. p. 131-136. 2011.

-Costa, H. R.; Ribeiro, M. M.; Marques, S.; Castro, H.; Palhau, L. Osteoporose Pediátrica: revisão de aspectos diagnósticos e terapêuticos. Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação. Vol. 18. Num. 2. p. 33-39. 2009.

-D’amico, A.; Mercuri, E.; Tiziano, F. D.; Bertini, E. Spinalmuscular atrophy. Orphanet journal of rare diseases. Vol. 6. Num. 1. p. 1-10. 2011.

-Dodd, K. J.; Taylor, N. F.; Damiano, D. L. A systematic review of the effectiveness of strength-training programs for people with cerebral palsy. Archives of physical medicine and rehabilitation. Vol. 83. Num. 8. p. 1157-1164. 2002.

-Dodd, K. J.; Taylor, N. F.; Graham, H. K. A randomized clinical trial of strength training in young people with cerebral palsy. Developmental Medicine & Child Neurology. Vol. 45. Num. 10. p. 652-657. 2003.

-Farias, E. D. S.; Salvador, M. R. D. Antropometria, composição corporal e atividade física de escolares. Rev. bras. cineantropom. desempenho hum. Vol. 7. Num. 1. p. 21. 2005.

-Fehlings, D.; Switzer, L.; Agarwal, P.; Wong, C.; Sochett, E.; Stevenson, R.; Sonnenberg, L.; Smile, S.; Young, E.; Huber, J. Informing evidence‐based clinical practice guidelines for children with cerebral palsy at risk of osteoporosis: a systematic review. Developmental Medicine & Child Neurology. Vol. 54. Num. 2. p. 106-116. 2012.

-Finbråten, A.-K.; Martins, C.; Andersen, G. L.; Skranes, J.; Brannsether, B.; Júlíusson, P. B.; Syversen, U.; Stevenson, R. D.; Vik, T. Assessment of body composition in children with cerebral palsy: a cross-sectional study in Norway. Developmental Medicine & Child Neurology. 2015.

-IBGE. Censo 2010. Disponível em:<http://www.censo2010.ibge.gov.br/>.

-Junqueira, R.; Ribeiro, A.; Scianni, A. Efeitos do fortalecimento muscular e sua relação com a atividade funcional e a espasticidade em indivíduos hemiparéticos. Rev Bras Fisioter. Vol. 8. Num. 3. p. 247-252. 2004.

-Kilpinen-Loisa, P.; Paasio, T.; Soiva, M.; Ritanen, U.; Lautala, P.; Palmu, P.; Pihko, H.; Mäkitie, O. Low bone mass in patients with motor disability: prevalence and risk factors in 59 Finnish children. Developmental Medicine & Child Neurology. Vol. 52. Num. 3. p. 276-282. 2010.

-Mancini, M. C.; Fiuza, P. M.; Rebelo, J. M.; Magalhaes, L. C.; Coelho, Z. A.; Paixao, M. L.; Gontijo, A. P.; Fonseca, S. T. Comparison of functional activity performance in normally developing children and children with cerebral palsy. Arq Neuropsiquiatr. Vol. 60. Num. 2-B. p. 446-452. 2002. Disponível em: <http://www.ncbi.nlm.nih.gov/pubmed/12131948>.

-Mcburney, H.; Taylor, N. F.; Dodd, K. J.; Graham, H. K. A qualitative analysis of the benefits of strength training for young people with cerebral palsy. Developmental Medicine & Child Neurology. Vol. 45. Num. 10. p. 658-663. 2003.

-Mélo, T. R.; Yamaguchi, B.; Chiarello, C. R.; Costin, A. C. S.; Erthal, V.; Israel, V. L.; Neves, E. B. Intensive neuromotor therapy with suit improves motor gross function in cerebral palsy: a Brazilian study. Motricidade. Vol. 13. Num. 4. p. 54-61. 2017.

-Messina, S.; Pane, M.; De Rose, P.; Vasta, I.; Sorleti, D.; Aloysius, A.; Sciarra, F.; Mangiola, F.; Kinali, M.; Bertini, E. Feeding problems and malnutrition in spinal muscular atrophy type II. Neuromuscular Disorders. Vol. 18. Num. 5. p. 389-393. 2008.

-Morton, J. F.; Brownlee, M.; Mcfadyen, A. K. The effects of progressive resistance training for children with cerebral palsy. Clinical rehabilitation. Vol. 19. Num. 3. p. 283-289. 2005.

-Neves, E.; Krueger, E.; Rosário, B.; Oliveira, M.; Pol, S.; Ripka, W. Fat Percentage Equation for Children with Cerebral Palsy: A Novel Approach. XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013. 2014a. p. 121-124.

-Neves, E. B. Trends in neuropediatric physical therapy. Frontiers in public health. Vol. 1. 2013.

-Neves, E. B.; Krueger, E.; Dos Santos Cióla, M. C.; Costin, A. C. M. S.; Chiarello, C. R.; De Oliveira Rosário, M. Terapia Neuromotora Intensiva na Reabilitação da Atrofia Muscular Espinhal: Estudo de Caso. Revista de Neurociências. Vol. 22. Num. 1. p. 66-74. 2014b.

-Neves, E. B.; Krueger, E.; Stéphani De Pol, M. C.; De Oliveira, N.; Szinke, A. F.; De Oliveira Rosário, M. Benefícios da Terapia Neuromotora Intensiva (TNMI) para o Controle do Tronco de Crianças com Paralisia Cerebral. Rev Neurocienc. Vol. 21. p. 549-55. 2013.

-Neves, E. B.; Scheeren, E. M.; Chiarello, C. R.; Costin, A.; Mascarenhas, L. P. G. O PediaSuit™ na reabilitação da diplegia espástica: um estudo de caso. Lecturas, Educación Física y Deportes–Buenos Aires. Vol. 166. Num. 15. p. 1-9. 2012.

-Pereira, R.; Corrente, J.; Chahade, W.; Yoshinari, N. Evaluation by dual X-ray absorptiometry (DXA) of bone mineral density in children with juvenile chronic arthritis. Clinical and experimental rheumatology. Vol. 16. Num. 4. p. 495-501. 1997.

-Rosenbaum, P.; Paneth, N.; Leviton, A.; Goldstein, M.; Bax, M.; Damiano, D.; Dan, B.; Jacobsson, B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. Vol. 109. p. 8-14. 2007. Disponível em: <http://www.ncbi.nlm.nih.gov/pubmed/17370477>.

-Scheeren, E. M.; Mascarenhas, L. P. G.; Chiarello, C. R.; Costin, A. C. M. S.; Oliveira, L.; Neves, E. B. Descrição do Protocolo PediaSuitTM. Fisioter. mov. Vol. 25. Num. 3. p. 473-480. 2012.

-Sousa, R. C. M. D.; Dias, C. M.; Costa, S. O.; De Sá Ferreira, A.; De Souza, C. P. V.; Araújo, A. P. D. Q. C.; Mainenti, M. R. M. Composição Corporal E Expansão Torácica Em Indivíduos Que Vivem E Convivem Com Atrofia Muscular Espinhal Tipo II E III Body Composition And Chest Expansion Of Type II And III Spinal Muscular Atrophy Patients. Journal of Human Growth and Development. Vol. 23. Num. 2. p. 164-169. 2013.

-Souza, K. E. S. D.; Sankako, A.; Carvalho, S. M. D.; Braccialli, L. M. P. Classificação do grau de comprometimento motor e do índice de massa corpórea em crianças com paralisia cerebral. Revista brasileira de crescimento e desenvolvimento humano. p. 11-20. 2011.

-Unay, B.; Sarici, S.; Vurucu, S.; İnanç, N.; Akin, R.; Gokcay, E. Evaluation of bone mineral density in children with cerebral palsy. Turkish Journal of Pediatrics. Vol. 45. Num. 1. p. 11-14. 2003.

Published
2019-02-17
How to Cite
Menegassi, D. A., Sabbag, A. de A., da Costa, A. R. C., Maltauro, L., Mélo, T. R., & Neves, E. B. (2019). Intensive neuromotor therapy improves body composition in cerebral palsy and amiotrophy. Brazilian Journal of Obesity, Nutrition and Weight Loss, 13(78), 275-283. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/923
Issue
Vol. 13 No. 78 (2019)
Section
Scientific Articles - Original

Authors who publish in this journal agree to the following terms:

  • Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
  • Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
  • Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).