ABORDAGEM FISIOTERAPÊUTICA PELO CONCEITO NEUROEVOLUTIVO BOBATH NA SÍNDROME CRI DU CHAT: ESTUDO DE CASO

Abstract

Cri du Chat Syndrome (CDCS) is a genetic disease that results from an extremely small deletion (5p15.2) or a deletion of the entire short arm of the chromosome (5p). It is a rare disease, with an incidence of 1/15000 to 1/50000 live births, with a higher prevalence in females. The clinical manifestations are characterized by typical crying, known as meowing of cat, inferior deviation of the extremities of the lips, rounded face, height and weight below the standards, wide nasal bridge, epicanthic folds, ears with low implantation, hypotonia, hypertelorism, microretrognatism and delayed psycho-motor development. The treatment is based on early rehabilitation, in which physiotherapy works to prevent complications and to correct deformities. Thus, the objective of this study was to verify the efficacy of the Bobath Concept contribution in the treatment of patients with CDCS. The case study was done with a 4-year-old female child with a confirmed diagnosis by genetic screening. The patient was submitted to the evaluation through the Denver Test and Pediatric Disability Assessment (PEDI) protocols. The intervention was performed in 20 sessions at the physical therapy clinic of ANPR in Maringá-PR, for 30 minutes, with repetitions of 2 times a week, totaling 2 months of treatment, through the Bobath Concept. Motor stimulation was performed in the patient according to their needs. The results show that the treatment through the physiotherapeutic approach, using the Bobath Concept can improve the child's motor development, promoting her independence.