gross motor activity and Etiologic factors associatEd with thE cErEbral palsy

Rudney da Silva, Giane Caon, Joyce Ribeiro, Carla Regiane Vargas
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Abstract

Introduction: The cerebral palsy presents different degrees and consequences, and its causes not very known. Thus, this article objectified to identify the etiology factors and evaluate the gross motor function of students with cerebral palsy of the municipal public of Florianopolis (Santa Catarina, Brazil) system education. Materials and Methods: This study was classified as descriptive, diagnostic and transversal. Twenty-two subjects with cerebral palsy that obeyed the inclusion approaches were selected. The instruments used were antecedent form and the Gross Motor Function Measure-88. Statistical analysis was based on the descriptive and inferencial statistics. Results: The average age was eight years, with 63.3% of the female gender and 36.7% male. The prevalent palsy was quadriplegia (35.7%). The preponderant etiologic factor was perinatal asphyxia (42.8%). The larger percents of gross motor function occurred in the measures A, B, E and D of the ataxic cases, and the less percents in the measures C, D and E of the choreoathetosis cases. Discussion: Multiple etiologic factors on prenatal, perinatal and postnatal periods were identified. Lowest scores in the Gross Motor Function occurred in the quadriplegia and choreoathetosis cases, in which the girls had a total score greater than the boys in the average value, however, this difference was not significant.
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与脑瘫相关的大运动活动和病因因素
脑瘫有不同的程度和后果,其病因尚不清楚。因此,本文旨在明确巴西弗洛里亚诺波利斯市(Santa Catarina, Brazil)市立系统教育中脑瘫学生的病因并评价其大肌肉运动功能。材料和方法:本研究分为描述性、诊断性和横向研究。选取符合纳入方法的脑瘫患者22例。使用的工具是先行表和大运动功能量表-88。统计分析采用描述性统计和推论统计。结果:平均年龄8岁,女性占63.3%,男性占36.7%。以四肢瘫痪为主(35.7%)。主要病因为围产期窒息(42.8%)。共济失调患者的A、B、E、D测量中粗大运动功能的比例较大,而舞蹈病患者的C、D、E测量中粗大运动功能的比例较小。讨论:确定了产前、围产期和产后的多种病因。粗大运动功能得分最低的是四肢瘫痪和动作关节病患者,其中女孩的总分高于男孩的平均值,但这种差异并不显著。
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