Orientador: Celso Kraemer. / Dissertação (mestrado) - Universidade Regional de Blumenau, Centro de Ciências da Educação, Programa de Pós-Graduação em Educação.

Made available in DSpace on 2016-08-10T10:55:33Z (GMT). No. of bitstreams: 1 Luciana Martins Soares.pdf: 6149797 bytes, checksum: 7b62e95f2fb71974c5c913ff0947646d (MD5) Previous issue date: 2007-01-30 / The aim of this work was to evaluate the application of a protocol of ambulatorial intervention, based in the Bobath neuro-developmental concept, associate or not it domiciliary intervention and/or use of positive reinforcement in twelve children with cerebral palsy level I, III and IV of the GMFCS (System of classification of the gross motor function). They had been used, the GMFM (Measure of gross motor function) and the postural evaluation, for evaluation of the children. The study it occurred in a period of six weeks. The final result showed that had positive answer the application of the protocol of ambulatorial intervention it independently of the type of association. The association of the protocol with the domiciliary intervention showed was better. Already the results of the association of the positive reinforcement to the interventions had not been conclusive. / O objetivo desse trabalho foi avaliar a aplicação de um protocolo de intervenção ambulatorial, baseado no conceito neuroevolutivo Bobath, associado ou não a intervenção domiciliar e/ou uso de reforço positivo em doze crianças com paralisia cerebral nível I, III e IV do GMFCS (Sistema de classificação da função motora grossa). Foram utilizados, o GMFM (Medida de função motora grossa) e a avaliação postural, para avaliação das crianças. O estudo ocorreu num período de seis semanas. O resultado final mostrou que houve uma resposta positiva na aplicação do protocolo de intervenção ambulatorial independentemente do tipo de associação. A associação do protocolo com a intervenção domiciliar mostrou o melhor resultado. Já os resultados da associação do reforço positivo às intervenções não foram conclusivos.

Made available in DSpace on 2016-04-27T18:11:46Z (GMT). No. of bitstreams: 1 Jaqueline Pego.pdf: 963650 bytes, checksum: f9d63b7aa106bb3a199e37f495949d1a (MD5) Previous issue date: 2005-08-30 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / The purpose of this issue was to outline principles and techniques of the speech treatment of premature babies, since the moment of its hospital internment at the Pediatric Intensive Care Unit (PICU) until its discharge; along with the mother and the staff members who take care of the child. To achive that aim, the qualitative-clinical methodology was used. A case study of an under-weight premature new-born who had feeding difficulties and was in a high risk condition concerning development, feeding and the establishment of a mother-baby bound was also discussed. The research took place in the PICU, the nursery and at Pediatric Unit of the Hospital Governador Israel Pinheiro do Instituto da Previdência dos Servidores do Estado de Minas Gerais (IPSEMG), in the city of Belo Horizonte, Brazil. The theoretical-metodological bases of this study originated from the joint established among the foundations of the Neuro-science, the Winnicott psycho-analisys, Neuro-Developmental Treatment- Bobath Approach and Synactive Theory. All of them are very important for the understanding of the speech therapy work performed with the new-born in risk. The importance of the mother as the first environment a baby was also reinforced due to the baby s constituion as person . From the analisys of this case we can come to the conclusion that this type of speech therapy work demands that the professional be in connection with the baby, the mother and also members of the hospital staff. In this perspective, it is possible to receive the mother-child bound, humanize the PICU environment and provide the little patients with tools that allow them to achieve a healthy and satisfactory development in its first period of life / Este trabalho teve como objetivo delinear princípios e técnicas do atendimento fonoaudiológico a recém-nascidos pré-termos, desde o momento da sua internação no Centro de Terapia Intensiva Pediátrico (CTIP), até a alta hospitalar, incluindo especificidades do enquadre envolvendo a mãe e a equipe multiprofissional. Para tanto, foi utilizada a metodologia clínico-qualitativa e realizado um estudo de caso de um recém-nascido pré-termo muito baixo peso, com dificuldades alimentares e em uma condição de alto risco para problemas no desenvolvimento, na alimentação e na constituição do vínculo mãe/bebê. A pesquisa foi feita no CTIP, no Berçário e na Unidade Pediátrica do Hospital Governador Israel Pinheiro do Instituto da Previdência dos Servidores do Estado de Minas Gerais (IPSEMG), em Belo Horizonte. Os pressupostos teórico-metodológicos que embasaram este estudo advém das articulações estabelecidas entre fundamentos da Neurociência, da Psicanálise winnicottiana e também os advindos do Tratamento Neuroevolutivo- Conceito Bobath e da Teoria Síncrono-ativa, importantes para a compreensão do trabalho fonoaudiológico voltado ao recém-nascido de risco. Deu-se destaque à importância da mãe como primeiro ambiente de um bebê, fundamental, portanto, em sua constituição como pessoa. Pode-se concluir, a partir da análise do caso, que esse tipo de trabalho fonoaudiológico exige que o profissional esteja sintonizado com o bebê, com a mãe e também com a equipe hospitalar. Nesta perspectiva, é possível acolher a dupla mãe/bebê, humanizar o ambiente de UTIP e favorecer ao pequeno paciente que conquiste as aquisições deste período inicial da vida

Made available in DSpace on 2016-08-10T10:55:10Z (GMT). No. of bitstreams: 1 Cejane Oliveira M Prudente.pdf: 1213874 bytes, checksum: 2c4c367e2192e7c735823af5c3ab54fd (MD5) Previous issue date: 2006-06-09 / The purpose of this work was to evaluate and compare the march training in conveyor belt with partial weight suspension or Bobath Neuro-Developmental Concept associated or not to the tangible reinforcement in the motor behavior of children with Cerebral Palsy. Twelve children with Cerebral Palsy, all of them in level I of the GMFCS (Gross Motor Function Classification System), with ages between 3,18 to 10,16 years old (average of 6,1 years old), were divided in four groups of treatment. The first one was submitted to the conveyor belt training associated to the tangible reinforcement, the second was submitted to the conveyor belt training without the tangible reinforcement, the third was submitted to the Bobath Concept associated to the tangible reinforcement, and the fourth one was submitted to the Bobath Concept without the tangible reinforcement. All the participants were submitted, before and after the treatment, to the march analysis through digital video filming and video observation to get the speed, cadence and gross motor function improvement, related to the capacity to stand up, walk, run and jump, through the GMFM (Gross Motor Function Measure), D and E dimensions. The intervention consisted in 24 physiotherapy sessions, being two 40 - minute sessions per week. The results showed that both march training in conveyor belt with weight suspension and Bobath Concept had significant results in the gross motor function, having 8,78% and 6,43% respectively. However, there wasn t a statistic difference between them, when they were compared. Comparing the march parameters with the normal values, the conveyor belt training had improvement in the initial p cadence: 1,4886%, final p: 13,1626%; but it wasn t observed the same with the initial p march speed 0,0007%, final p: 0,0000%. In spite of not being meaningful, the Bobath Concept presented an improvement in the initial p cadence 0,004%, final p: 0,055% and in the initial march speed 0,009%, final p: 1,010%. The tangible reinforcement proportioned a superior result in the gross motor function compared to the groups that didn t use it, having 8,07% and 7,13% respectively, but there wasn t a significant statistic between them. / O objetivo deste trabalho foi de avaliar e comparar o treino de marcha em esteira elétrica com suspensão parcial de peso e o Conceito Neuroevolutivo Bobath, associado ou não ao reforço tangível, no comportamento motor de crianças com Paralisia Cerebral. Doze crianças com Paralisia Cerebral, todas nível I do GMFCS (Sistema de Classificação da Função Motora Grossa), com idades entre 3,18 a 10,16 anos (média de 6,1 anos), foram subdivididas em quatro grupos de tratamento. O primeiro foi submetido a treino na esteira associado ao reforço tangível, o segundo ao treino na esteira sem utilização de reforço tangível, o terceiro ao Conceito Bobath associado ao reforço tangível e o quarto ao Conceito Bobath sem utilização do reforço tangível. Todos os participantes foram submetidos, antes e após o tratamento, à análise da marcha por meio de filmagem digital e observação dos vídeos para obtenção da velocidade, cadência e também quanto à melhora na função motora grossa no que tange as capacidades de ficar em pé, andar, correr e pular, através do GMFM (Medição da Função Motora Grossa), dimensões D e E. A intervenção consistiu em 24 sessões de fisioterapia, sendo 2 sessões semanais de 40 minutos cada. Os resultados mostraram que tanto o treino de marcha em esteira com suspensão de peso, quanto o Conceito Bobath, obtiveram resultados significantes na função motora grossa, sendo de 8,78% e 6,43% respectivamente; entretanto, não houve diferença estatística entre eles, quando foram comparados. Com relação aos parâmetros da marcha, comparando-os com os valores de normalidade, o treino na esteira obteve melhora na cadência p inicial: 1,4886%, p final: 13,1626%; o mesmo não sendo observado com relação à velocidade da marcha p inicial 0,0007%, p final: 0,0000%. Apesar de não significativa, o Conceito Bobath apresentou melhora na cadência p inicial: 0,004%, p final: 0,055% e na velocidade da marcha p inicial: 0,009%, p final: 1,010%. Os grupos que receberam a aplicação do reforço tangível apresentaram resposta de maior magnitude na função motora grossa, se comparado aos grupos que não fizeram uso, de 8,07% e 7,13% respectivamente, entretanto sem significância estatística entre eles.

The purpose of this study was to explore how physiotherapists working in stroke care understand their role(s) in the context of clinical practice and how this is mediated by their post-licensure educational experiences. Specifically the study focused on their experiences with the Bobath Concept, a well-developed post-licensure neurology physiotherapy program. This study was oriented within sociocultural theory as a way to understand how the experiences and interactions of physiotherapists mediate their professional practice and their sense of professional identity in a way not previously studied in physiotherapy literature. In order to honour the voices of the participants, this study drew on hermeneutic phenomenology and used a principled data analysis tool to present an understanding of the interrelationships involved in stroke care from their perspectives. Four physiotherapists participated in this study by responding in writing and orally to a clinical case and participating in an in-depth interview regarding their professional roles and experiences. The findings suggest that these physiotherapists understand the Bobath Concept as a professional stance which informs their practice and contributes to an ethos of caring, which is reflected in the ways they understand their roles in clinical practice.

The purpose of this study was to explore how physiotherapists working in stroke care understand their role(s) in the context of clinical practice and how this is mediated by their post-licensure educational experiences. Specifically the study focused on their experiences with the Bobath Concept, a well-developed post-licensure neurology physiotherapy program. This study was oriented within sociocultural theory as a way to understand how the experiences and interactions of physiotherapists mediate their professional practice and their sense of professional identity in a way not previously studied in physiotherapy literature. In order to honour the voices of the participants, this study drew on hermeneutic phenomenology and used a principled data analysis tool to present an understanding of the interrelationships involved in stroke care from their perspectives. Four physiotherapists participated in this study by responding in writing and orally to a clinical case and participating in an in-depth interview regarding their professional roles and experiences. The findings suggest that these physiotherapists understand the Bobath Concept as a professional stance which informs their practice and contributes to an ethos of caring, which is reflected in the ways they understand their roles in clinical practice.

Physiotherapy and cycling training influence to patient’s independence and mobility in early stage after stroke That physical therapy is effective working with patients after cerebrovascular disease has for long been proved by research, but which methods works most effectively and should be widely applied are still in discussion. The research found that the traditional physical therapy is not sufficient quickly restore the balance and walk function. Scientists searching for new methods but not always the proposed methods are effective; there are some contradictory opinions in the literature. Actual problem for new methods searching how quicken balance and gait recovery and reduce rehabilitation period for patients after stroke still remains. We used combination of physical therapy program based on principles of Bobath and training with bicycle ergometer for patients in early period following stroke. This kind of cyclical training was chosen because it made a dynamic, bilateral action which has many similarities to walking, but is safer and can be performed when person is in early stage of motor recovery after the stroke. Also this method quickens compensatory mechanisms. We evaluated that complex physical therapy program based on Bobath method principles with cyclic training statistically significantly more influenced patients after brain infarction independence, balance and gait than the program based on Bobath method principles alone (p<0,05). Our research shows that... [to full text] / Kineziterapijos ir ciklinės treniruotės poveikis asmenų savarankiškumui ir mobilumui ankstyvuoju reabilitacijos periodu po galvos smegenų insulto Moksliniais tyrimais įrodyta, kad kineziterapija yra efektyvi reabilituojant pacientus po galvos smegenų kraujotakos sutrikimų. Atlikti įvairūs kineziterapijos efektyvumą analizuojantys tyrimai naudojant paprasčiausias kineziterapijos priemones bei sudėtingus aparatus įvairiais periodais pacientams po insulto. Tačiau ne visada siūlomi metodai buvo efektyvūs, nepakankamai nagrinėti metodai gerinantys pacientų pusiausvyros ir ėjimo funkcijas ankstyvuoju reabilitacijos periodu po insulto. Išlieka aktuali naujų metodikų paieškos problema, kaip pagreitinti pusiausvyros ir ėjimo funkcijų atsigavimą bei sutrumpinti pacientams po galvos smegenų insulto reabilitacijos periodą. Tyrimo metu taikytas Bobath‘o metodikos ir veloergometro treniruotės derinys pacientams po galvos smegenų insulto ankstyvuoju reabilitacijos periodu. Treniruotė veloergometru pasirinkta todėl, kad juo atliekamas dinaminis, bilateralinis veiksmas daug kuo panašus į ėjimą, tačiau yra saugesnis ir gali būti pradėtas taikyti ankstyvuoju periodu po insulto. Be to, šis metodas pagreitina kompensacinius mechanizmus. Įvertinta, kad kineziterapijos programa, kurios metu buvo taikoma Bobath‘o metodika ir ciklinė treniruotė, labiau veikė asmenų po galvos smegenų infarkto savarankiškumą, pusiausvyrą ir ėjimą negu programa, kurios metu buvo taikoma tik Bobath‘o metodika (p<0,05)... [toliau žr. visą tekstą]

Kineziterapijos ir ciklinės treniruotės poveikis asmenų savarankiškumui ir mobilumui ankstyvuoju reabilitacijos periodu po galvos smegenų insulto Moksliniais tyrimais įrodyta, kad kineziterapija yra efektyvi reabilituojant pacientus po galvos smegenų kraujotakos sutrikimų. Atlikti įvairūs kineziterapijos efektyvumą analizuojantys tyrimai naudojant paprasčiausias kineziterapijos priemones bei sudėtingus aparatus įvairiais periodais pacientams po insulto. Tačiau ne visada siūlomi metodai buvo efektyvūs, nepakankamai nagrinėti metodai gerinantys pacientų pusiausvyros ir ėjimo funkcijas ankstyvuoju reabilitacijos periodu po insulto. Išlieka aktuali naujų metodikų paieškos problema, kaip pagreitinti pusiausvyros ir ėjimo funkcijų atsigavimą bei sutrumpinti pacientams po galvos smegenų insulto reabilitacijos periodą. Tyrimo metu taikytas Bobath‘o metodikos ir veloergometro treniruotės derinys pacientams po galvos smegenų insulto ankstyvuoju reabilitacijos periodu. Treniruotė veloergometru pasirinkta todėl, kad juo atliekamas dinaminis, bilateralinis veiksmas daug kuo panašus į ėjimą, tačiau yra saugesnis ir gali būti pradėtas taikyti ankstyvuoju periodu po insulto. Be to, šis metodas pagreitina kompensacinius mechanizmus. Įvertinta, kad kineziterapijos programa, kurios metu buvo taikoma Bobath‘o metodika ir ciklinė treniruotė, labiau veikė asmenų po galvos smegenų infarkto savarankiškumą, pusiausvyrą ir ėjimą negu programa, kurios metu buvo taikoma tik Bobath‘o metodika (p<0,05)... [toliau žr. visą tekstą] / That physical therapy is effective working with patients after cerebrovascular disease has for long been proved by research, but which methods works most effectively and should be widely applied are still in discussion. The research found that the traditional physical therapy is not sufficient quickly restore the balance and walk function. Scientists searching for new methods but not always the proposed methods are effective; there are some contradictory opinions in the literature. Actual problem for new methods searching how quicken balance and gait recovery and reduce rehabilitation period for patients after stroke still remains. We used combination of physical therapy program based on principles of Bobath and training with bicycle ergometer for patients in early period following stroke. This kind of cyclical training was chosen because it made a dynamic, bilateral action which has many similarities to walking, but is safer and can be performed when person is in early stage of motor recovery after the stroke. Also this method quickens compensatory mechanisms. We evaluated that complex physical therapy program based on Bobath method principles with cyclic training statistically significantly more influenced patients after brain infarction independence, balance and gait than the program based on Bobath method principles alone (p<0,05). Our research shows that patient’s after stroke independence, balance and gait was influenced by patient’s age, gender, functional status and... [to full text]

The purpose of this study was to explore how physiotherapists working in stroke care understand their role(s) in the context of clinical practice and how this is mediated by their post-licensure educational experiences. Specifically the study focused on their experiences with the Bobath Concept, a well-developed post-licensure neurology physiotherapy program. This study was oriented within sociocultural theory as a way to understand how the experiences and interactions of physiotherapists mediate their professional practice and their sense of professional identity in a way not previously studied in physiotherapy literature. In order to honour the voices of the participants, this study drew on hermeneutic phenomenology and used a principled data analysis tool to present an understanding of the interrelationships involved in stroke care from their perspectives. Four physiotherapists participated in this study by responding in writing and orally to a clinical case and participating in an in-depth interview regarding their professional roles and experiences. The findings suggest that these physiotherapists understand the Bobath Concept as a professional stance which informs their practice and contributes to an ethos of caring, which is reflected in the ways they understand their roles in clinical practice.

The purpose of this study was to explore how physiotherapists working in stroke care understand their role(s) in the context of clinical practice and how this is mediated by their post-licensure educational experiences. Specifically the study focused on their experiences with the Bobath Concept, a well-developed post-licensure neurology physiotherapy program. This study was oriented within sociocultural theory as a way to understand how the experiences and interactions of physiotherapists mediate their professional practice and their sense of professional identity in a way not previously studied in physiotherapy literature. In order to honour the voices of the participants, this study drew on hermeneutic phenomenology and used a principled data analysis tool to present an understanding of the interrelationships involved in stroke care from their perspectives. Four physiotherapists participated in this study by responding in writing and orally to a clinical case and participating in an in-depth interview regarding their professional roles and experiences. The findings suggest that these physiotherapists understand the Bobath Concept as a professional stance which informs their practice and contributes to an ethos of caring, which is reflected in the ways they understand their roles in clinical practice.