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Functional and socio-demographic profile of patients with cerebral palsy in rehabilitation at a reference center in Salvador


Journal of Neurology & Stroke
João Leandro Rocha Vieira,1 Janeusa Rita Leite Primo Chagas2

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Abstract

Objective: To evaluate the functional and social demographic profile of patients with Cerebral Palsy (CP) treated at Hospital Santo Antônio, CER IV, of Obras Sociais Irmã Dulce. Methods: During 11 months, patients with Cerebral Palsy were followed in study. All were evaluated according to sociodemographic, etiological, epidemiological, clinical and functional aspects as pre-established criteria for functional evaluation of the several systems and motor capacity. The data were stored in databases and processed by SPSS/ IBM, version 21. Results: Of the 59 patients, carriers of CP it was found presence of CP of Spastic type in 55/59 patients (93.2%), Dyskinetic in three/59 (5.1%) patients and ataxic type in 1/59 patient (1.7%). The etiology of CP corresponded in 6/59 (10.2%) to prenatal factors and in 18/59 (30.5%) to perinatal factors, with postnatal causes in 17/59 (28.8%). The age of the patients ranged from 1 to 16 years, with a mean of 6.7 years and a median of 6.6 years. There was a predominance of male patients (50.8%). Regarding the evolutionary aspect and functionality of the patients studied, the occurrence of more than one type of dysfunction per patient could be observed, with visual deficits standing out in the sensory aspect; in the higher functions, language and behavioral deficits with few reports of cognitive deficit. The motor aspect had expressiveness in its dysfunction where 67.7% of patients did not develop voluntary gait. Conclusion: In the 21st century, CP is still incapacitating for neurodevelopment despite the medical advances in diagnoses and pre and perinatal interventions for the preservation of the lives of newborns. Early diagnostic measures are important to improve therapeutic efficacy with consequent improvement in the quality of life of these patients.

Keywords

cerebral palsy, etiology, functionality

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