Importância da detecção de patologias do desenvolvimento na anóxia neonatal e da intervenção fisioterápica  <span class="so-article-trans-title" dir="auto"> Translated title: Importance of development disorders detection in newborn anoxy and physiotherapy intervention </span>

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Abstract

O objetivo deste estudo foi verificar o desenvolvimento neuropsicomotor e a necessidade de estimulação nos 27 casos com recuperação parcial e diagnóstico de anóxia neonatal atendidos no ano de 1988 na UTI de Recém-Nascidos (RN) do Hospital Universitário de Santa Maria-RS. Foi relacionado o diagnóstico de patologia neurológica e a indicação fisioterápica no momento da alta hospitalar. Os RN foram avaliados segundo abordagem neuroevolutiva em visitas domiciliares a 10 casos. Os resultados revelaram a necessidade de intervenção fisioterápica nos casos de anóxia neonatal.

Translated abstract

The purpose of this study was to verify the neuropsychomotor development and the necessity of stimulation, correlating the neurological pathology diagnosis to the physioterapeutic indication at the moment of hospital discharging. Cases studied were 27 patients with partial recovery and newborn anoxy diagnosis assisted in 1988 at the Newborn Intensive Care Unit of the University Hospital in Santa Maria-RS. The newborns were evaluated according to neuroevolutive approach during domiciliary visits to 10 patients. The results showed the necessity of physiotherapeutic intervation on cases of newborn anoxy.

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Most cited references 20

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Uma base neurofisiológica para o tratamento da paralisia cerebral.

K Bobath, K BOBATH (1984)

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The relationship between perinatal hypoxia and newborn encephalopathy.

J. A. Low, R Galbraith, D W Muir … (1985)

Newborn encephalopathy was observed in 30% of 303 selected high-risk preterm and term newborn infants. The newborn encephalopathy was mild or moderate in 65 children and severe in 27. The predictive significance of newborn encephalopathy to motor and cognitive deficits at 1 year was evident from the incidence of deficits in the children with no encephalopathy (17%), in children with mild or moderate encephalopathy (25%), and in children with severe encephalopathy (55%). The biologic risk factors with a significant association with newborn encephalopathy included severe intrapartum fetal hypoxia, moderate and severe newborn respiratory complications, and major infections. Perinatal hypoxia was associated with, and may have contributed to, 26% of the cases of mild and moderate newborn encephalopathy and 66% of the cases of severe newborn encephalopathy. Fetal and newborn hypoxia occurred with equal frequencies in cases of mild and moderate encephalopathy; however, newborn hypoxia was twice as frequent as fetal hypoxia in cases of severe newborn encephalopathy.