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[Pediatric neurofunctional intervention in agenesis of the corpus callosum: a case report]
Sheila Cristina da Silva Pacheco1, Ana Paula Adriano Queiroz1, Nathália Tiepo Niza1
1Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brasil.
Insights
Neurofunctional intervention improved postural control and motor skills in a child with agenesis of the corpus callosum. This functional approach enhanced movement acquisition and selective motor behavior.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Rehabilitation Medicine
Background:
- Agenesis of the corpus callosum (ACC) is a congenital disorder affecting brain development.
- Individuals with ACC often exhibit motor, cognitive, and behavioral challenges.
- Early intervention is crucial for optimizing functional outcomes.
Observation:
- A preterm infant diagnosed with ACC and cerebellar hypoplasia presented with significant deficits.
- Initial assessment revealed absence of equilibrium reactions, impaired postural transfers, and poor trunk/manual control.
- The child initiated a functional neurofunctional intervention at two years of age.
Findings:
- Post-intervention, the child demonstrated improved postural control and body reactions.
- Enhanced acquisition of hand and limb movements was observed.
- Functional performance tests indicated significant improvements in motor skills.
Implications:
- Functional neurofunctional interventions can significantly benefit individuals with agenesis of the corpus callosum.
- A focus on postural control, muscle strengthening, and balance training promotes selective motor behavior.
- Family guidance for home-based care is vital for sustained progress in managing ACC.
Objective:
To describe a clinical report pre- and post-neurofunctional intervention in a case of agenesis of the corpus callosum.
Case Description:
Preterm infant with corpus callosum agenesis and hypoplasia of the cerebellum vermis and lateral ventricles, who, at the age of two years, started the proposed intervention. Functional performance tests were used such as the neurofunctional evaluation, the Gross Motor Function Measure and the Gross Motor Function Classification System. In the initial evaluation, absence of equilibrium reactions, postural transfers, deficits in manual and trunk control were observed. The intervention was conducted with a focus on function, prioritizing postural control and guidance of the family to continue care in the home environment. After the intervention, there was an improvement of body reactions, postural control and movement acquisition of hands and limbs. The intervention also showed improvement in functional performance.
Comments:
Postural control and transfers of positions were benefited by the neurofunction intervention in this case of agenesis of the corpus callosum. The approach based on function with activities that involve muscle strengthening and balance training reactions, influenced the acquisition of a more selective motor behavior.
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