ANALYSIS OF THE EFFECTIVENESS OF GAIT TRAINING IN A PEDIATRIC PATIENT WITH MOTOR SEQUELAE FROM A STROKE AND A DIAGNOSIS OF DIGEORGE SYNDROME

• DOI: https://doi.org/10.22533/at.ed.15952225160514

• Palavras-chave: DiGeorge Syndrome, Stroke, Gait, Neuroplasticity

• Keywords: DiGeorge Syndrome, Stroke, Gait, Neuroplasticity

• Abstract:

  DiGeorge Syndrome (DSG) is a genetic alteration correlated to a multisystemic expression, with a wide clinical manifestation, including more than 180 signs. The etiology is related to losses in specific regions of the genome. Therefore, it is essential to know and identify it, and multidisciplinary intervention is necessary due to its complexity. Cerebrovascular accident (CVA) is a pathology in which blood flow to the brain is altered, causing permanent sequelae. It is classified into two types, ischemic stroke and hemorrhagic stroke, and can affect individuals under the age of 18 causing, among other changes, motor sequelae. The relevance of this study is to demonstrate the fundamental role of physiotherapy in improving and enhancing the walking ability, functionality and quality of life of affected individuals, since the neuroplasticity process in children is greater than in adults and the elderly. The aim of this study was to analyze the effectiveness of gait training in a pediatric patient with motor sequelae from a stroke and a diagnosis of DiGeorge Syndrome. The methodology of this research is a clinical case study with a qualitative approach, with a participant, male, black, living in Porciúncula-RJ, aged 9, who underwent weekly physiotherapy sessions lasting 50 minutes from March to October 2024. The following techniques were applied
   
  passive stretching, passive and active joint mobilization with emphasis on the lower limbs, assisted active, free active and resisted active kinesiotherapy, orthostatic training, sensory motor training and gait, as well as functional range exercises integrating physical and cognitive training. The results were satisfactory in terms of improving the patient's overall posture, trunk control, gaining overall muscle strength with an emphasis on the lower limbs, adjusting muscle tone, improving static and dynamic proprioception, improving gait and greater confidence and independence in walking, even though the patient still needed support to do so. It can therefore be concluded that there is an important correlation between muscle strength, proprioception and gait. According to the above, gait training has a positive impact on preventing and reducing the rate of falls, providing functional independence and greater safety and confidence for individuals in carrying out their ADLs.