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Titre : | Effect of Intensive Physiotherapy Training for Children With Congenital Zika Syndrome: A Retrospective Cohort Study (2021) |
Auteurs : | Gabriela Lopes Gama ; Melania Maria Ramos de Amorim ; Renan Alves da Silva Júnior ; Agda Cristina de Sousa Santos ; Paula Lisiane Assunção ; Jousilene de Sales Tavares ; Thamyris de Sales Regis ; Janiele de Sales Tavares ; Adriana Melo |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 3, 2021) |
Article en page(s) : | p. 413-422 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.08.016 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activité motrice ; Réadaptation ; Troubles des habiletés motrices ; Virus Zika |
Résumé : |
Objective
To investigate the effect of intensive physiotherapy training on the motor function of children with congenital Zika syndrome (CZS). Design A retrospective cohort study. Setting A support center for children with microcephaly. Participants Children (N=7) aged 14 to 18 months old who were diagnosed with CZS and previously monitored more than 1 year. Interventions A 2-stage protocol repeated uninterruptedly for 1 year. In the first stage, the children were submitted to 1 hour of conventional physiotherapy and 1 hour of suit therapy 5 times a week for 4 weeks. The second stage consisted of 1 hour of suit therapy 3 times a week for 2 weeks. Main Outcome Measures Gross motor function measure (GMFM) and body weight. Results Six evaluations were conducted approximately 3 months apart. An increase in the overall GMFM score was observed between the first and second (P=.046), first and third (P=.018), first and fourth (P=.018), first and fifth (P=.043), and first and sixth evaluations (P=.018). Differences in the scores of the individual GMFM dimensions were found only for dimension A (lying and rolling) between the first and fourth evaluations (P=.027) and for dimension B (sitting) between the first and third (P=.018), first and fourth (P=.046), and first and sixth evaluations (P=.027). No difference was found in body weight between the first and sixth evaluations (P=.009). During follow-up, only 1 child required hospitalization, and another had increased irritability. Conclusions Children with CZS were able to perform 2 hours of motor physiotherapy daily with no serious complications, resulting in an increase or stabilization in GMFM scores. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399932030962X#! |