Efeitos de um tratamento apoiado na sequência ontogenética do desenvolvimento humano em hemiparéticos.

Abstract

Background: hemiparesis is described by many authors as one of the most common motor patterns in individual afected by an encephalic trauma. These subjects are greatly impaired in there motor funcionalitys after this tipe of injury. Objective: To investigate the effects of an exercise guided by an ontogenetic sequence program of human development in the process of motor recovery gait, balance and movement patterns in hemiparetic patients. Materials and Methods: This is a quantitative and qualitative study of exploratory observational exposed in a case study. The sample was composed of two hemiparetic patients with chronic brain damage, afected by Non Evolutional Chronic Infant Encephalopathy (ECNEI) and another for Vascular Accidents (CVA). We evaluated the movement patterns by an adaptation of the Functional Independence Measure (FIM). The individuals march and balance were assessed using the Berg Balance Scale (BBS) for a plantigram and the Time Up and Go Test (TUG), pre- and post-physical therapy intervention. Results: In both subjects, the movement patterns, semi-kneeling and crawling, were most observed. The patiant afflicted by a stroke decreased in 7,14% the risk of falling meanwhile the other subject stricken with ECNEI decreased in 1,78%. In plantigram and TUG, both showed more stable gaist and reduction in test performance time, thereby decreasing the risk of collapsing. Final considerations: Exercises supported the principles of ontogenetic sequence of human development provide improved gaits in balance and motor skills of hemiparetic individuals with brain injury.