Intervenção motora com a tarefa direcionada na paralisia cerebral: relato de caso

• Main Authors: Laís Rodrigues Gerzson, Carla Skilhan de Almeida
• Format: Article
• Language: Portuguese
• Published: Universidade Nove de Julho 2014-01-01
• Series: ConScientiae Saúde
• Online Access: http://www.redalyc.org/articulo.oa?id=92935317016
• ISSN: 1677-1028; 1983-9324

AbstractObjectives:To check the performance of the fine motor skills after the motor in-tervention with a goal-directed task in an infant with hemiplegic cerebral palsy.Method:A 6-year-old boy with mild left hemiplegia performed the goal-directedtasks for 45 minutes during five weeks, totaling 15 physiotherapy sessions, and hewas evaluated according to the Manual Abilities Classification System (MACS),before and after the intervention, which evaluates from level I (including childrenwho handle objects easily and successfully) to level V (children unable to handleobjects and with severely limited ability to perform even the simplest actions).The program comprised the following goal-directed tasks: pick up oranges, findout the surprise, fill up a piggy bank, shoot a target and play bowling.Results:Inpicking up oranges and finding out the surprise, MACS remained in the level IIin the pre and post-intervention, but the infant improved movement quality andfunction. When shooting a target and playing bowling, MACS decreased one le-vel, i.e., the boy enhanced his score.Conclusion:There was a clear improvementin the infant’s fine motor skills in terms of quantity, quality and independence ofmovement. The infant reduced the amount of time needed to perform the tasks,with a clear progress in his functional ability.