Efeitos da intervenção utilizando a roupa biocinética no desempenho motor e funcional de crianças com paralisia cerebral

Abstract

The goal of this study was to analyze the effects of Biokinetic Clothing on motor and functional performance for children with cerebral palsy. To this end, two studies were performed. Study 1 presents systematic review research with meta-analysis to examine the effects of suit therapy programs on motor and functional performance in the treatment of children with cerebral palsy. For the selection of articles, three databases were used: Pubmed, PEDro, and Cochrane. The keywords were combined in the following manner: (cerebral palsy) and (occupational therapy); (cerebral palsy) and (physical therapy); (cerebral palsy) and (physical therapy modalities). The selected articles were submitted to methodological quality evaluation by means of the following scales: PEDro Scale, Jadad Scale and Study of Quality. Results: The search in electronic databases resulted in the collection of 3,751 articles. Of these, 1,922 were excluded for having been published prior to January of 2006, 1,593 were excluded for not being a clinical trial-type study, and 548 were excluded for not addressing suit therapy programs in intervention procedures. As such, only twelve articles were included in this review, however, due to redundancy of works in more than one electronic database, seven studies were excluded. In all, five articles were selected and used in this literary systematic review. Of the five articles included in this review, only two presented methodological homogeneity. The studies presented conflicting results and did not display evidence in favor of suit therapy. Study 2 shows the effects of biokinetic clothing over four and eight weeks. Twelve children with cerebral palsy from three to six years-old and GMFCS varying between III and V participated in the study. All of the participants were evaluated at the starting point and after four and eight weeks by means of the Gross Motor Function Measure (GMFM-66) and by the Pediatric Evaluation of Disability Inventory (PEDI). In the results of the GMFM evaluation the Krulkal Wallis and Wilcoxon tests were used. The PEDI evaluation data were analyzed by ANOVA, a criterion followed by the paired t-test for dependent samples and expressed in mean and standard deviation. A p <0.05 was considered significant. In the GMFM-66, a growth with significant difference was observed in comparisons of three instances of evaluation: Starting Point x Follow-up 1 from 10.92 to 11.25 (p= 0.0315), Starting Point x Follow-up 2 from 10.92 to 13.25 (p= 0.0232) and Follow-up 1 x Follow-up 2 from 11.25 to 13.25 (0.0178). In the PEDI, Part 1 - Functional Abilities, in the comparison between Starting Point x Follow-up 2, a growth of 34.25 to 42.70 was detected for the Dimension of Self-Care, which is a statistically meaningful difference (p= 0.0044) and for Mobility in the comparison between Follow-up 1 x Follow-up 2 (p= 0.0326) going from 23.00 to 26.40. Conclusion: the use of Biochemical Clothing was efficient in the motor and functional performance of children with cerebral palsy.