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Authors
Advisor(s)
Abstract(s)
Introdução: A mielomeningocele é o tipo mais grave de espinha bífida, caracterizada pela falha no fechamento do tubo neural durante o desenvolvimento embrionário, provocando sequelas, nomeadamente, ao nível motor e sensorial para o resto da vida, mesmo após intervenção cirúrgica. Objetivos: Analisar os efeitos do uso da passadeira elétrica no comportamento motor em crianças com mielomeningocele. Metodologia: Realizou-se uma revisão sistemática da literatura, de acordo com as recomendações PRISMA, nas bases de dados PEDro, Lilacs, Scielo, Pubmed, Embase e BVS, durante o período compreendido entre setembro a dezembro de 2021, recorrendo aos termos MeSH “mielomeningocele ou espinha bífida” E “locomoção” E “modalidades de fisioterapia” e seus correspondentes em inglês e espanhol. Foram excluídos os artigos que: a) não tinham como intervenção o uso da passadeira; b) artigos repetidos; c) editoriais, cartas, comentários, revisões ou dissertações. Resultados e Discussão: Através da análise dos artigos incluídos é possível identificar efeitos positivos no comportamento motor em crianças com mielomeningocele, observando-se então, melhorias ao nível da constituição óssea, da antropometria, nas competências do desenvolvimento, assim como na marcha, mesmo que auxiliada por dispositivo de ajuda. Conclusões: O treino progressivo com recurso à passadeira indicia a redução das sequelas derivadas da mielomeningocele, contribuindo para o desenvolvimento das competências motoras nas crianças e para a melhoria da sua qualidade de vida.
ABSTRACT - Introduction: Myelomeningocele is the most severe type of spina bifida, characterized by the failure to close the neural tube during embryonic development, and the child is left with motor and sensory sequelae for the rest of his/her life, even after surgical intervention. Objectives: To analyze the effects of treadmill use on motor behavior in children with myelomeningocele. Methods: A systematic review of the literature was conducted, according to PRISMA recommendations, in the PEDro, Lilacs, SciELO, PubMed, Embase, and BVS databases, during the period from September to December 2021, using the MeSH terms "myelomeningocele or spina bifida" AND "locomotion" AND "physical therapy modalities" and their corresponding terms in English and Spanish. Articles that: a) did not have the use of the treadmill as an intervention; b) repeated articles; c) editorials, letters, comments, reviews, or dissertations were excluded. Results and Discussion: Through the analysis of the included articles, it is possible to identify positive effects on the motor behavior of children with myelomeningocele, observing improvements in bone constitution, arthrometry, developmental skills, as well as gait, even with the aid of a walking aid. Conclusions: Progressive training using a treadmill seems to reduce the sequelae derived from myelomeningocele, contributing to the development of motor skills in children and to the improvement of their quality of life.
ABSTRACT - Introduction: Myelomeningocele is the most severe type of spina bifida, characterized by the failure to close the neural tube during embryonic development, and the child is left with motor and sensory sequelae for the rest of his/her life, even after surgical intervention. Objectives: To analyze the effects of treadmill use on motor behavior in children with myelomeningocele. Methods: A systematic review of the literature was conducted, according to PRISMA recommendations, in the PEDro, Lilacs, SciELO, PubMed, Embase, and BVS databases, during the period from September to December 2021, using the MeSH terms "myelomeningocele or spina bifida" AND "locomotion" AND "physical therapy modalities" and their corresponding terms in English and Spanish. Articles that: a) did not have the use of the treadmill as an intervention; b) repeated articles; c) editorials, letters, comments, reviews, or dissertations were excluded. Results and Discussion: Through the analysis of the included articles, it is possible to identify positive effects on the motor behavior of children with myelomeningocele, observing improvements in bone constitution, arthrometry, developmental skills, as well as gait, even with the aid of a walking aid. Conclusions: Progressive training using a treadmill seems to reduce the sequelae derived from myelomeningocele, contributing to the development of motor skills in children and to the improvement of their quality of life.
Description
Mestrado em Fisioterapia Neurológica
Keywords
Fisioterapia Medicina de reabilitação Mielomeningocele Locomoção Passadeira Criança Physiotherapy Rehabilitation Myelomeningocele Locomotion Treadmill Child
Citation
Lameiras DS. Os efeitos do uso da passadeira no comportamento motor em crianças com mielomeningocele: uma revisão sistemática da literatura [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2023.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa