Nível de evidência das intervenções fisioterapêuticas para aumentar o equilíbrio de crianças e adolescentes com paralisia cerebral: revisão sistemática

Abstract

Introduction: The body balance consists of maintaining the center of gravity within the base of the foot support and can present as a static or dynamic balance. In order to obtain a satisfactory body balance, an anatomical and functional integrity of the systems responsible for its regulation is required. In children and adolescents with cerebral palsy, this capacity is reduced, since in this population there are several sensorimotor and postural changes. Objective: To determine the level of evidence on the efficacy of physiotherapeutic interventions in the balance of children and adolescents with cerebral palsy. Methods: This is a systematic review elaborated according to the guidelines for systematic reviews and meta-analyzes (PRISMA) It has followed GRADE recommendations (Grading of Recommendations, Assessment, Development and Evaluations). The electronic databases Medline (PubMed), Lilacs, Cochrane and Scielo were used for searches. The selection and selection of the articles was carried out by two independent evaluators, where a third party was consulted in case of doubts. Results: We identified 247 studies, of which 37 were analyzed and 10 were included in the systematic review tudy. A total of 280 participants were involved, with GMFCS between I-III, however two studies did not report this data. Interventions were BIOXEX training, AGT gait training and Virtual reality associated with conventional physiotherapy performed 2 or 3 times a week, with an average duration of 8 to 12 weeks. Conclusion: Our results show that virtual reality systems and other technologies, along with conventional physiotherapy, may be useful tools for balancing interventions in children and adolescents with cerebral palsy.