20 Likes, 5 Comments - Leticia Serra (@leticiaserra_fisiot_pediatrica) on Instagram: “#CuevasMedekExercises #CuevasMedek #CME #FisioterapiaPediatrica. Esto es muy importante, ya que las reacciones posturales en las valoraciones neurológicas infantiles pueden facilitar, rápidamente, una impresión reveladora. A Clínica de Fisioterapia da Universidade Guarulhos (UnG) está com as Ortopedia, neurologia adulto e infantil, cardiologia, pneumologia.


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Thirty percent of premature newborns that need special care and who undergo NICU are at risk of developing brain injuries. This study investigated the effects of fisioterapia neurologica infantil immediate intervention program compared to the effects of the same program applied at a later stage, in premature newborns with neuromotor dysfunctions due to hypoxic- ischemic fisioterapia neurologica infantil.

The Denver II scale provided the referential points for analysis of the neurodevelopment motor stage gains achieved with the ISME program.


Forty preterm babies presented signs of Central Nervous System fisioterapia neurologica infantil at the Dubowitz tests. The subjects were divided into two groups: Due to the many areas in the brain associated with motor function, a CNS lesion often interferes negatively in the motor performance of the individual.


In high-risk preterm babies it almost always interferes in their neuromotor development, causing the manifestation of the neuromotor dysfunctions. These negative repercussions are manifested through pathological reflexes fisioterapia neurologica infantil generate abnormal postural and movement patterns, which block the normal motor development stage acquisition 2,3, These factors contributed to the mortality decrease among this population, thus preserving life; however, it has also increasing the number of high-risk newborns that develop neuromotor dysfunctions.

Preterm newborns with low birth weight that needed NICU demanded special attention, with regards to their neuro-psycho-motor development, because of their systemic immaturity Nowadays the attention to those needs is commonly associated with the service programs offered at NICU, which are elaborated based on sensorial and kinetic stimulations, incubator positioning, environmental humanization, respiratory assistance and SLP interventions 5,21,25,26,29, Recently, a clinical study using the application of an Essential Sensory-Motor Intervention ISME Program starting immediately after birth, has presented more effective results as related to the motor development of premature newborns with neuromotor dysfunctions.

Fisioterapia neurologica infantil the facts hereby presented, this research was proposed with aim to giving support to a hole in a motor physical therapy in the NICU fisioterapia neurologica infantil the late start of therapy and the non-observance of the sensitive periods of the pre-term newborns.

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  • Fisioterapia Neurológica
  • File:Fisioterapia neurologica infantil clinica escola.jpg

Based on the various aspects of the developmental process, it is thought that the ISME Program, if applied before the newborn has experienced and learned the abnormal movements, can contribute as basic element to the formation of new and normal motor patterns. The ISME Program proposes to stimulate the acquisition of posture and movement patterns necessary to the normal motor development of preterms.

This study investigated the possibility of normal movement pattern development in premature newborns with neuromotor dysfunctions, by applying the ISME Program immediately after birth and comparing the results to the intervention started at a later stage.

The inclusion criteria adopted were: Participated in this study only the pre-term newborns that showed signs of CNS lesion during the neurobehavioral testing, such as: Newborns with the following signs did not participate in this study: Instruments and Procedure The diagnostic instruments used in this research for the I.

As for the selection regarding the fisioterapia neurologica infantil aspects, some topics of the Fisioterapia neurologica infantil Test protocol were used.

File:Fisioterapia neurologica infantil clinica - Wikimedia Commons

There was adopted two sessions a week, of 20 minutes duration, considering the general state of the newborn, monitoring the newborn according fisioterapia neurologica infantil the synactive model approach. The program was started with 3 weekly sessions of fisioterapia neurologica infantil 40 minutes each for 14 months.

During the application of the program, post-tests were placed according to the following criteria: G These evaluations were mainly directed to identify at which stage of the neurodevelopment the newborn was, using as reference the Denver II To assist in these evaluations, a Child Motor Evaluation Protocol was elaborated, which portrays the motor sequence necessary to acquire the neurodevelopmental stages, from head control until gait.

This Protocol consists of the following items: On the 4th month of corrected age: