Fisioterapia para Crianças e Adolescentes

folder-criancasRepresenta uma abordagem especial, preventiva ou interventiva, para o tratamento, reabilitação e manutenção das alterações do aparelho músculo esquelético e demais sistemas visando à integralidade da saúde da criança e do adolescente.

Utiliza critérios diferenciados de avaliação funcional considerando o que é esperado para cada idade ou situação em que a criança ou o adolescente se encontra, desta forma, detectam-se precocemente atrasos e desvios no desenvolvimento neuromotor e problemas de ordem postural, além de atuar agudamente sobre quadros álgicos e problemas da dinâmica respiratória.

É destinada a todos aqueles que necessitam de estimulação para o adequado desenvolvimento neuropsicomotor, reparação de lesões osteomusculares, fortalecimento muscular e controle álgico. Destacam-se populações especiais que contam com um abrangente arsenal terapêutico tendo em vista a complexidade das manifestações que se apresentam no decorrer do processo de crescimento:

- Pacientes com sobrepeso;

- Pacientes oncológicos;

- Pacientes com atraso do desenvolvimento motor e neurológico;

- Pacientes imunossuprimidos;

- Pacientes com doenças pulmonares.

A fisioterapia especializada atua em parceria contínua com o pediatra, família e educadores. Faz com que o tratamento seja lúdico e ao mesmo tempo eficiente. Considera as questões da dinâmica familiar e integra a todos como facilitadores de novos comportamentos. Aborda na escola,  aspectos ergonômicos e cognitivos importantes para a aplicação das dinâmicas aprendidas no consultório.


Represents a special, preventive or interventional approach to the treatment, rehabilitation and maintenance of changes in the skeletal muscle system and other systems aimed at children’s health and adolescent’s health.

Uses criterias which are differentiated for functional assessment considering what is expected for each age or situation where the child or adolescent is in, this way, it is detected early on, delays and deviations in neuromotor development and problems of postural order, and sharply act on pain conditions and problems of respiratory dynamic.

It is aimed at all those in need of stimulation for proper neurodevelopment, repair of musculoskeletal injuries, muscle strengthening and pain control. The ones that are most emphasized are special populations who have a broad therapeutic arsenal in view of the complexity of the manifestations that arise during the growth process:

- Patients who are overweight;

- Oncology patients;

- Patients with delayed motor and neurological development;

- Immunosuppressed patients;

- Patients with pulmonary diseases.

Specialized physiotherapy operates in continuous partnership with the pediatrician, family and educators. It makes the treatment playful and at the same time efficient. It considers the issues of family dynamics and integrates all as facilitators of new behaviors. It addresses in school, ergonomics and cognitive aspects that are important for the application of the dynamics learned in physiotherapy.


 Artigos Internacionais que respaldam o nosso trabalho:


Effects of a pulmonary rehabilitation program on physical capacity, peripheral muscle function and inflammatory markers in asthmatic children and adolescents: study protocol for a randomized controlled trial.

Reimberg MM, Castro RA, Selman JP, Meneses AS, Politti F, Mallozi MC, Wandalsen GF, Solé D, De Angelis K, Dal Corso S, Lanza FC.

Trials. 2015.


Manual hyperinflation in airway clearance in pediatric patients: a systematic review.

de Godoy VC, Zanetti NM, Johnston C.

Rev Bras Ter Intensiva. 2013.


Effects of swimming on spirometric parameters and bronchial hyperresponsiveness in children and adolescents with moderate persistent atopic asthma.

Wicher IB, Ribeiro MA, Marmo DB, Santos CI, Toro AA, Mendes RT, Cielo FM, Ribeiro JD.

J Pediatr (Rio J). 2010.


Evidence-based risk assessment and recommendations for physical activity clearance: respiratory disease.

Eves ND, Davidson WJ.

Appl Physiol Nutr Metab. 2011.


Effects of physical exercise on quality of life, exercise capacity and pulmonary function in children with asthma.

Basaran S, Guler-Uysal F, Ergen N, Seydaoglu G, Bingol-Karakoç G, Ufuk Altintas D.

J Rehabil Med. 2006.


Weight loss in children and adolescents.

Mühlig Y, Wabitsch M, Moss A, Hebebrand J.

Dtsch Arztebl Int. 2014.


Obesity – a risk factor or a disease: What can exercise do for obese children?

Saavedra JM.

Indian J Med Res. 2014.


Fit4Life: a weight loss intervention for children who have survived childhood leukemia.

Huang JS, Dillon L, Terrones L, Schubert L, Roberts W, Finklestein J, Swartz MC, Norman GJ, Patrick K.

Pediatr Blood Cancer. 2014.


Aerobic exercise but not resistance exercise reduces intrahepatic lipid content and visceral fat and improves insulin sensitivity in obese adolescent girls: a randomized controlled trial.

Lee S, Deldin AR, White D, Kim Y, Libman I, Rivera-Vega M, Kuk JL, Sandoval S, Boesch C, Arslanian S.

Am J Physiol Endocrinol Metab. 2013.


Influence of a program of physical activity in children and obese adolescents with sleep apnea; study protocol.

Aguilar Cordero MJ, Sánchez López AM, Mur Villar N, Sánchez Marenco A, Guisado Barrilao R.

Nutr Hosp. 2013.


Impact of strength training exercise on secondary prevention of childhood obesity; an intervention within the school system.

Vásquez F, Díaz E, Lera L, Meza J, Salas I, Rojas P, Atalah E, Burrows R.

Nutr Hosp. 2013


Associations of sedentary behaviour, physical activity, blood pressure and anthropometric measures with cardiorespiratory fitness in children with cerebral palsy.

Ryan JM, Hensey O, McLoughlin B, Lyons A, Gormley J.

PLoS One. 2015.


Application of advanced neuroimaging in motor rehabilitation.

Ochoa JF, Ascencio JL, Suárez JC.

Biomedica. 2014.


Cortical somatosensory reorganization in children with spastic cerebral palsy: a multimodal neuroimaging study.

Papadelis C, Ahtam B, Nazarova M, Nimec D, Snyder B, Grant PE, Okada Y.

Front Hum Neurosci. 2014.


Associations between Manual Abilities, Gross Motor Function, Epilepsy, and Mental Capacity in Children with Cerebral Palsy.

Gajewska E, Sobieska M, Samborski W.

Iran J Child Neurol. 2014.


Mouth breathing and forward head posture: effects on respiratory biomechanics and exercise capacity in children.

Okuro RT, Morcillo AM, Ribeiro MÂ, Sakano E, Conti PB, Ribeiro JD.

J Bras Pneumol. 2011.


Assessment of the body posture of mouth-breathing children and adolescents.

Conti PB, Sakano E, Ribeiro MA, Schivinski CI, Ribeiro JD.

J Pediatr (Rio J). 2011.


Postural alterations and pulmonary function of mouth-breathing children.

Silveira Wd, Mello FC, Guimarães FS, Menezes SL.

Braz J Otorhinolaryngol. 2010.


 

 

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