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Abstract(s)
Introdução: O controlo postural é base do movimento humano, e pode ser estudado através das tarefas
como o levantar e o alcance. Nestas, observam-se frequentemente alterações neuromotoras em indivíduos
com défice cognitivo. Objetivo: descrever as alterações na relação entre os segmentos corporais na
sequência de movimento levantar-para-alcançar, em adolescentes com défice cognitivo, face à aplicação
de um programa de intervenção em fisioterapia baseado no Conceito de Bobath/ Tratamento do
Neurodesenvolvimento (TND). Métodos: antes e após a intervenção em fisioterapia, filmou-se as vistas
lateral e posterior da sequência de movimento de levantar-para-alcançar, a qual foi posteriormente
dividida em 5 fases, para a análise observacional e quantitativa. A análise quantitativa foi realizada
através da distância entre tragus-acrómio, crista ilíaca-acrómio, espinha ilíaca postero-superior
homolateral-T1, ângulos inferiores da omoplata e ângulo inferior da omoplata homolateral-T1,
recorrendo-se ao software de Avaliação Postural - SAPo. Face à avaliação inicial e evolução dos
participantes foram estabelecidos planos de intervenção, tendo em conta aspectos como o contexto, a
tarefa e a motivação. Resultados: no geral, foram detetadas alterações na relação entre os segmentos
corporais na análise observacional e quantitativa, após a intervenção. Conclusão: As alterações na
relação entre os segmentos corporais poderão indicar uma possível reorganização motora.
Introduction: The postural control is the basis of human movement, and it can be studied through such tasks as sit-to-stand and reach. In people with cognitive deficit these tasks often show neuromotor alterations. Objective: to describe the changes in the relation between body segments in the motion sequence of sit-to-stand-to-reach in adolescents with cognitive deficit, after an intervention program of physiotherapy based on the Bobath Concept/Neuro-Developmental Treatment (NDT). Methods: before and after the physiotherapy intervention it was filmed the lateral and posterior views of the motion sequence of sit-to-stand-to-reach, which was subsequently divided into five phases, for observational and quantitative analysis. Quantitative analysis consisted on the measurement of the distance between the tragus-acromion, iliac crest-acromion, homolateral posterior superior iliac spine -T1, inferior angles of the scapula and homolateral inferior angle of the scapula-T1, using the SAPo - Postural Analysis Software. Results: in general, after the intervention, it was detected changes in both the observational and quantitative analysis inthe relation between the body segments. Conclusion: The changes in the relation between the body segments may indicate a postural reorganization.
Introduction: The postural control is the basis of human movement, and it can be studied through such tasks as sit-to-stand and reach. In people with cognitive deficit these tasks often show neuromotor alterations. Objective: to describe the changes in the relation between body segments in the motion sequence of sit-to-stand-to-reach in adolescents with cognitive deficit, after an intervention program of physiotherapy based on the Bobath Concept/Neuro-Developmental Treatment (NDT). Methods: before and after the physiotherapy intervention it was filmed the lateral and posterior views of the motion sequence of sit-to-stand-to-reach, which was subsequently divided into five phases, for observational and quantitative analysis. Quantitative analysis consisted on the measurement of the distance between the tragus-acromion, iliac crest-acromion, homolateral posterior superior iliac spine -T1, inferior angles of the scapula and homolateral inferior angle of the scapula-T1, using the SAPo - Postural Analysis Software. Results: in general, after the intervention, it was detected changes in both the observational and quantitative analysis inthe relation between the body segments. Conclusion: The changes in the relation between the body segments may indicate a postural reorganization.
Description
Keywords
Controlo postural défice cognitivo intervenção Conceito de Bobath Postural control cognitive deficit intervention Bobath Concept