Caracterização da função motora grossa e dos fatores ambientais decrianças e adolescentes com paralisia cerebral de um serviço universitário público de reabilitação fisioterapêutica

Abstract

Introduction: Children and adolescents with cerebral palsy (CP) may have deficiencies in body structures and functions such as motor, sensory and mental deficits, resulting in limitations in activities and restriction of social participation. Then, it is important to investigate the level of functionality of this population from the perspective of the biopsychosocial model and the factors that act as barriers and facilitators of functionality. Objective: To characterize the gross motor function and environmental factors of children and adolescents with CP inserted in a public university service of physiotherapeutic rehabilitation. Methodology: Thirteen children and adolescents with a medical diagnosis of CP aged between 6 and 16 years participated in this observational cross-sectional study. The characterization of the sample and information about environmental factors were obtained from a questionnaire developed by the researchers. The profile of functionality and disability was drawn from the classification systems that cover mobility and ambulation capacity (GMFCS) and manual skill (MACS). Gross motor function was assessed using the Gross Motor Function Measure (GMFM). Results: The functionality profile was lower than expected for age. Access to: orthotics (84.5%), wheelchairs (84.6%), health services (100%) and medication (53.8%) were identified as facilitators for functionality. The barriers were: presence of stairs at home (38.5%) and absence of ramps at home (76.9%). Conclusion: Even inserted in a public university service of physiotherapeutic rehabilitation, children and adolescents with CP between 6 and 16 years old presented functioning below the expected for their age. The results reinforce the need for children and adolescents with CP to be continuously assisted by health services. Keywords: Cerebral Palsy. Motor Activity. Motor Skill. CIF