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Spasticity is a motor condition present in 75 to 88% of children with Cerebral Palsy (CP). One form of treatment is called punctual mechanical oscillation (PO). The current study aimed to study different protocols for the application of PO and the magnitude of their effects. In total, 7children with medical diagnosis of CP and ICD (International Classification of Diseases) were included. The first intervention protocol (Int1) consisted of the application of PO to the spastic muscle tendon and the second intervention protocol (Int2) to the muscle belly ofthe spastic antagonist muscle. For evaluation, the Modified Ashworth Scale (MAS) was used, while simultaneously capturing the mechanomyography (MMG) signals. Data were collected pre-intervention and 1 (Post1), 15 (Post15), 30 (Post30), 45 (Post45), and60 (Post60) minutes after the interventions. The MAS values (median ± interquartile range) post intervention were statistically lower when compared to the pre values in the 2 protocols studied; in Int1between Pre (2 ± 0) andPost15 (0 ± 1.75), Post30 (0 ± 1), Post45 (1 ± 1),and Post60 (1 ± 1), and in Int2only between Pre (2 ± 1) and Post1 (0 ± 1).The values found in the MMG in both its temporal and spectral domains did not follow a pattern (p>0.05). The comparison between the protocols did not demonstrate statistical differences in any characteristics (MAS, MMGMF, and MMGRMS). However, PO was shown to be a therapeutic resource that modulated spasticity for up to 60 minutes after its application, and PO could contribute as a tool to aid the treatment of spasticity. Introdução: A espasticidade é uma condição motora presente em 75 a 88 % das crianças com Paralisia Cerebral (PC). Uma forma de tratamento é a chamada oscilação mecânica pontual (OP). Este trabalho teve por objetivo estudar diferentes protocolos de aplicação da OP e a magnitude de seus efeitos. Métodos: Foram incluídas 7 crianças com diagnóstico médico de PC e CID (Classificação Internacional de Doenças). O primeiro protocolo de intervenção (Int1) consistiu na aplicação de OP no tendão do músculo espástico e o segundo protocolo de intervenção (Int2) no ventre muscular do músculo antagonista espástico. Para avaliação, foi utilizada a Escala Modificada de Ashworth (EMA), capturando simultaneamente os sinais da mecanomiografia (MMG). Os dados foram coletados antes da intervenção e 1 (Pós1), 15 (Pós15), 30 (Pós30), 45 (Pós45) e 60 (Pós60) minutos após as intervenções. Resultados: Os valores do MAS (mediana ± intervalo interquartil) pós-intervenção foram estatisticamente menores quando comparados aos pré-valores nos 2 protocolos estudados; no Int1 entre Pré (2 ± 0) e Pós15 (0 ± 1,75), Pós30 (0 ± 1), Pós45 (1 ± 1) e Pós60 (1 ± 1) e no Int2 apenas entre Pré (2 ± 1) e Pós1 (0 ± 1). Os valores encontrados no MMG nos domínios temporal e espectral não seguiram um padrão (p> 0,05). Conclusão: A comparação entre os protocolos não demonstrou diferenças estatísticas em nenhuma característica (EMA, MMGMF, and MMGRMS). No entanto, a OP mostrou-se um recurso terapêutico que modulou a espasticidade por até 60 minutos após a sua aplicação, e a OP poderia contribuir como uma ferramenta para auxiliar o tratamento da espasticidade.

Introduction The aim of this study was to develop a specific mathematical model to estimate the body fat percentage (BF%) of children with cerebral palsy, based on a Brazilian population of patients with this condition. Method This is a descriptive cross-sectional study. The study included 63 Caucasian children with cerebral palsy, both males and females, aged between three and ten-years-old. Participants were assessed for functional motor impairment using the Gross Motor Function Classification System (GMFCS), dual energy x-ray absorptiometry (DXA) and skinfold thickness. Total body mass (TBM) and skinfolds thickness from: triceps (Tr), biceps (Bi), Suprailiac (Si), medium thigh (Th), abdominal (Ab), medial calf (Ca) and subscapular (Se) were collected. Fat mass (FM) was estimated by dual energy x-ray absorptiometry (gold standard). Results The model was built from multivariate linear regression; FM was set as a dependent variable and other anthropometric variables, age and sex, were set as independent variables. The final model was established as F%=((0.433xTBM + 0.063xTh + 0.167xSi - 6.768) ÷ TBM) × 100, the R2 value was 0.950, R2adjusted=0.948 and the standard error of estimate was 1.039 kg. Conclusion This method was shown to be valid to estimate body fat percentage of children with cerebral palsy. Also, the measurement of skinfolds on both sides of the body showed good results in this modelling.

Estudos científicos ainda questionam se a fisioterapia intensiva asso­ciada ao uso da roupa com elásticos (suit-órteses dinâmicas) produzem ou não desfechos benéficos para indivíduos com déficits neurológi­cos. Objetivo. Determinar os ganhos na função motora de tronco de crianças com diagnóstico de paralisia cerebral submetidas à cinco semanas de Terapia Neuromotora Intensiva (TNMI) com uso do traje do PediaSuit. Trata-se de um estudo observacional longitudinal de caráter quantitativo. Resultados. Foram avaliadas 22 crianças de 03 a 08 anos de idade, com déficitsneuromotores relacionados a parali­sia cerebral. Foram utilizados dois instrumentos de medida: A esca­la GMFM 88 e um sistema de eletrogoniometriawi-fi (com sensores sem fio) denominado Biofeed® (Biosmart®). Os resultados do GMFM mostraram diferença estatística (p

Nutritional changes are commonly related to children with cerebral palsy (CP), since these are problems as: dysphagia, vomiting and gastrointestinal reflux. For nutritional monitoring, body composition has become an important tool and has been present in this population assessments routine. In this sense, the aim of this study was to develop an equation for body composition estimate for children with cerebral palsy, aged between 5 and 6 years, using skinfolds, from the results of body composition obtained by Dual Energy X-rays Absormetry (DEXA). The study included 10 male children with cerebral palsy, aged between five and six-years-old, who participated in the physical therapy intensive program in Vitoria research center, Curitiba, Brazil. Participants were assessed by: the Gross Motor Function Classification System; DEXA; and skinfold thickness. The skinfolds that showed better correlation with the total fat percentage and segmental fat percentage were: biceps and abdominal. The results of the regression analysis obtained equations to estimate the fat percentage by skinfold thickness with R2: 1.000 and 0.971, to seven and two skinfold thickness, respectively. In this sense, it is recommended to use the equation that utilizes the biceps and abdominal skinfolds thickness to estimate fat percentage of children with cerebral palsy, as this presents good estimation indicators.