MONITORING THE NEUROPSYCHOMOTOR DEVELOPMENT OF A 9-YEAR-OLD CHILD DIAGNOSED WITH CONGENITAL MULTIPLE ARTHROGRYPOSIS.

• DOI: https://doi.org/10.22533/at.ed.5157211260108

• Palavras-chave: Congenital Multiple Arthrogryposis, Neuropsychomotor Development, Physical Therapy

• Keywords: Congenital Multiple Arthrogryposis, Neuropsychomotor Development, Physical Therapy

• Abstract:

  Congenital Multiple Arthrogryposis (CMA) is characterized by multiple congenital joint contractures, resulting in functional limitations, reduced joint mobility, and impaired neuropsychomotor development. The aim of this study was to monitor the neuropsychomotor development of a child diagnosed with Congenital Multiple Arthrogryposis through pediatric physical therapy intervention. This is a descriptive case study conducted with a 9-year-old male pediatric patient diagnosed with CMAM (ICD-10 Q74.3). Motor function was assessed using the Gross Motor Function Measure (GMFM-88), showing an improvement from 27.95% in the initial assessment to 77.80% in the final reassessment. The physical therapy intervention was based on an individualized motor rehabilitation program, including joint mobilizations, muscle stretching, muscle strengthening, orthostatic balance training, functional training, pelvic dissociation, and gait training. Significant improvements were observed in postural control, balance, mobility, functionality, and gait performance, as well as progress in motor control during orthostatic and locomotor activities. It is concluded that pediatric physical therapy contributed positively to the functional progress of the patient with AMC, highlighting the importance of early, continuous, and individualized intervention in promoting functional independence and quality of life. Furthermore, the study may contribute to encouraging new research on Congenital Multiple Arthrogryposis, raising awareness about the importance of early diagnosis, including during the prenatal period, with the aim of improving functional prognoses.