Efectos de la actividad física en las capacidades funcionales de personas con parálisis cerebraluna revisión sistemática

  1. Nerea Heras 1
  2. Raúl Reina 1
  3. Alba Roldán 1
  4. Aitor Iturricastillo 1
  5. Josune Rodríguez-Negro 1
  6. Javier Yanci 1
  1. 1 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

Revista:
Revista Española de Educación Física y Deportes: REEFD

ISSN: 1133-6366

Año de publicación: 2019

Número: 427

Páginas: 55-69

Tipo: Artículo

Otras publicaciones en: Revista Española de Educación Física y Deportes: REEFD

Resumen

El objetivo de esta revisión fue conocer los efectos de los programas de actividad física (AF) en la mejora de las capacidades funcionales y físicas de personas con parálisis cerebral (PC), especialmente de aquellas personas usuarias de silla de ruedas. Se realizó una revisión sistemática de diferentes programas de AF en cinco bases de datos (PubMed, Eric, Google Académico, Dialnet y Researchgate). Quince artículos cumplieron los criterios de inclusión. Se encontró evidencia de la mejora de las capacidades funcionales mediante distintos programas de AF, siendo los programas de capacidad aeróbica, fuerza y mixtos (capacidad aeróbica y fuerza) los más utilizados y analizados en la literatura. Los programas mixtos parecen ser los más idóneos, produciendo mayores mejoras de las capacidades funcionales en personas con PC. Para aquellas personas usuarias de silla de ruedas, los programas mixtos parecen tener además efectos positivos en la propulsión de la silla. Se precisa de mayor investigación en este campo dado los escasos trabajos aplicados exclusivamente en personas con PC usuarias de silla de ruedas.

Referencias bibliográficas

  • Andersson, C., Grooten, W., Hellsten, M., Kaping, K. & Mattsson, E. (2003). Adults with cerebral palsy: walking ability after progressive strenght training. Developmental Medicine and Child Neurology, 45(4), 220-228. https://doi.org/10.1017/S0012162203000446
  • Arellano, I. T., Viñals, C. P. & Arellano, M. E. (2007). GMFCS E & R; Clasificación de la función motora gruesa extendida y revisada. CanChild, 1(1), 1-5.
  • Argüelles, P. P. (2008). Parálisis cerebral infantil. Barcelona, España: Hospital Sant Joan de Dèu.
  • Bax, M., Goldstein, M., Rosenbaum, P., Leviton, A., Paneth, N., Dan, B., Jacobsson, B. & Damiano, D. (2005). Proposed definition and classification of cerebral palsy. Developmental Medicine and Child Neurology, 47(8), 571-576. https://doi.org/10.1017/S001216220500112X
  • Cano, A. F. & Medina, L. A. (2012). La hidroterapia y su importancia en la psicomotricidad de los jóvenes con parálisis cerebral: hemiplejia, que asisten a la miscina municipal nº3 – Casmul Loja periodo 2011-2012. Universidad Nacional de Loja, Ecuador.
  • Cans, C. (2000). Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Developmental Medicine and Child Neurology, 42(12), 816-824. https://doi. org/10.1111/j.1469-8749.2000.tb00695.x
  • Cardona, C., Alcocer, A., Lerma, S., Martínez, I. & Pérez, M. (2011). Ejercicio físico en niños con parálisis cerebral. Kronos. Actividad Física y Salud, 10(2), 13-24.
  • Damiano, D. L., Martellotta, T. L., Sullivan, D. J., Granata, K. P. & Abel, M. F. (2000). Muscle forcé production and functional performance in spastic cerebral palsy: Relationship of cocontraction. Archives of Physical Medicine and Rehabilitation, 81(7), 895-900. https://doi.org/10.1053/ apmr.2000.5579
  • Darrah, J., Wessel, J., Nearingburg, P. & O’Connor, M. (1999). Evaluation of a community fitness program for adolescents with cerebral palsy. Pediatric Physical Therapy, 11(1), 18-23. https://doi. org/10.1097/00001577-199901110-00004
  • George, C., Varghese, B. G. & Manoj, T. I. (2015). Effect of structured physical activity programme on gross motor function of adolescence with cerebral palsy. International Journal in Management and Social Science, 3(11), 50-56.
  • González-Carbonell, I., Brizuela, G. & Romero-Ávila, J. L. (2015). Pedaleo de brazos en personas con lesión medular, parálisis cerebral o ataxia cerebelosa: Parámetros fisiológicos. RICYDE: Revista Internacional de Ciencias del Deporte, 11(41), 226-244. http://dx.doi.org/10.5232/ricyde2016.04602
  • Himmelmann, K. & Uvebrant, P. (2011). Function and neuroimaging in cerebral palsy: a population-based study. Developmental Medicine and Child Neurology, 53(6), 516-521. https://doi.org/10.1111/ j.1469-8749.2011.03932.x
  • Hutzler, y., Chacham, A., Bergman, U. & Szeinbver, A. (1998). Effects of a movement and swimming program on vital capacity and wáter orientation skills of children with cerebral palsy. Developmental Medicine and Child Neurology, 40(3), 176-181. https://doi.org/10.1111/j.1469-8749.1998.tb15443.x
  • Latorre-García, J., Rodríguez, M. L., Baena, L., Sánchez, A. M. & Aguilar, M. J. (2017). Influencia de la fisioterapia acuática sobre las habilidades motoras gruesas de los niños afectados de parálisis cerebral: Revisión sistemática. Journal of Negative and No Positive Results, 2(5), 210-216. https:// doi.org/10.19230/JONNPR.1408
  • Lauruschkus, K., Hallström, I., Westbom, L. & Nordmark, E. (2015). Participation in physical activities for children with physical disabilities: feasibility and effectiveness of individualised physical activity referrals. Physiotherapy, 101(1), 1-12. https://doi.org/10.1016/j.physio.2015.03.1655
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G. & The, P. G. (2009). Preferred reporting ítems for systematic reviews and meta-analyses: the PRISMA statement. PLOS Medicine, 6(7), e100097. https://doi.org/10.1371/journal.pmed.1000097
  • Moreau, N. G., Li, L., Geaghan, J. P. & Damiano, D. L. (2009). Contributors to fatigue resistance of the hamstrings and quadriceps in cerebral palsy. Clinical Biomechanics, 24(4), 355-360. https://doi. org/10.1016/j.clinbiomech.2009.01.012
  • Moreau, N. G. & Gannotti, M. E. (2015). Addressing muscle performance impairements in cerebral palsy: Implications for upper extremity resistence training. Journal of Hand Therapy, 28(2), 91-100. https://doi.org/10.1016/j.jht.2014.08.003
  • O’Connel, D. G. & Barnhart, R. (1995). Improvement in wheelchair propulsión in pediatric wheelchair users through resistance training: A pilot study. Archives of Physical Medicine and Rehabilitation, 76(4), 368-372. https://doi.org/10.1016/S0003-9993(95)80663-6
  • O’Connel, D. G., Barnhart, R. & Parks, L. (1992). Muscular endurance and wheeñchair propulsion in children with cerebral palsy or myelomeningocele. Archives of Physical Medicine & Rehabilitation, 73(8), 709-711.
  • Olsen, J. E., Ross, S. A., Foreman, M. H. & Engsberg, J. R. (2013). Changes in muscle activation following ankle strenght training in children with spastic cerebral palsy: An electromyography feasibility case report. Physical & Occupational Therapy in Pediatrics, 33(2), 230-242. https://doi. org/10.3109/01942638.2012.723116
  • Pakula, A. T., Van Naarden, K. & Yeargin-Allsopp, M. (2009). Cerebral palsy: classification and epidemiology. Physical Medicine and Rehabilitation Clinics of North America, 20(3), 425-452. https:// doi.org/10.1016/j.pmr.2009.06.001
  • Palisano, R., Rosenbaum, P., Bartlett, D. & Livingston, M. H. (2008). Content validity of the expanded and revised Gross Motor Function Classification System. Developmental Medicine & Child Neurology, 50(10), 744-750. https://doi.org/10.1111/j.1469-8749.2008.03089.x
  • Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E. & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine & Child Neurology, 39(4), 214-223.
  • Pavão, S. L., dos Santos, A. N., Woollacott, M. H. & Rocha, N. A. C. F. (2013). Assessment of postural control in children with cerebral palsy: a review. Research in Developmental Disabilities, 34(5), 1367–1375. https://doi.org/10.1016/j.ridd.2013.01.034
  • Peungsuwan, P., Parasin, P., Siritaratiwat, W., Prasertnu, J. & yamauch,i J. (2017). Effects of Combined Exercise Training on Functional Performance in Children with Cerebral Palsy: A Randomized-Controlled Study. Paediatric Physical Therapy, 29(1), 39-46. https://doi.org/10.1097/ PEP.000000000000338
  • Ríos, M. (2007). Manual de educación física daptada al alumno con discapacidad. Barcelona, España: Paidotribo.
  • Rosenbaum, P., Palisano, R. J., Bartlett, D. J., Galuppi, B. E. & Russell, D. J. (2008). Development of the Gross Motor Function Classification System for cerebral palsy. Developmental Medicine & Child Neurology, 50(4), 249-253. https://doi.org/10.1111/j.1469-8749.2008.02045.x
  • Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., Bax, M., Damiano, D., Dan, B. & Jacobsson, B. (2007). A report: the definition and classification of cerebral palsy. Developmental Medicine and Child Neurology Supplement, 49(2), 1-44. https://doi.org/10.1111/j.1469-8749.2007.00201.x
  • Ryan, J. M., Cassidy, E. E., Noorduyn, S. G. & O’Connell, N. E. (2017). Exercise interventions for cerebral palsy. Cochrane Database of Systematic Reviews, 6(1), 1-199. https://doi.org/10.1002/14651858. CD011660.pub2
  • Satonaka, A. & Suzuki, N. (2018). Aerobic fitness and lifestyle with non-exercise physical activity in adults with cerebral palsy. The Journal of Physical Fitness and Sports Medicine, 7(1), 1–7. https:// doi.org/10.7600/jpfsm.7.1
  • SCPE. (2000). Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Developmental Medicine & Child Neurology, 42(12), 816-824. https://doi. org/10.1111/j.1469-8749.2000.tb00695.x
  • Suárez-Iglesias, D. (2017). Práctica de actividades físico-deportivas en adultos institucionalizados con grave discapacidad: influencia en la rehabilitación de parámetros de condición física en relación con la salud (Tesis doctoral). Universidad de Leon, España.
  • Taylor, N. F., Dodd, K. J. & Larkin, H. (2004). Adults with cerebral palsy benefit from participating in a strength training programme at a community gymnasium. Disability and Rehabilitation, 26(19), 1128–1134. https://doi.org/10.1080/09638280410001712387
  • Terada, K., Satonaka, A., Terada, y. & Suzuki, N. (2017). Training effects of wheelchair dance on aerobic fitness in bedridden individuals with severe athetospastic cerebral palsy rated to GMFCS
  • level V. European Journal of Physical and Rehabilitation Medicine, 53(5), 744–750. https://doi. org/10.23736/S1973-9087.17.04486-0
  • Theis, N., Korff, T. & Mohagheghi, A. A. (2015). Does long-term passive stretching alter muscle–tendon unit mechanics in children with spastic cerebral palsy? Clinical Biomechanics, 30(10), 1071– 1076. https://doi.org/10.1016/j.clinbiomech. 2015.09.004
  • Uzun, S. (2013). The effect of long-term training program on balance in children with cerebral palsy: Results of a pilot study for individually based functional exercises. Educational Research and Reviews, 8(11), 747–757. https://doi.org/10.5897/ERR2013.1454
  • Van den Berg-Emons, R. J., Van Baak, M. A., Speth, L. & Saris, W. H. (1998). Physical training of school children with spastic cerebral palsy: effects on daily activity, fat mass and fitness. International Journal of Rehabilitation Research, 21(2), 179-194.
  • Verschuren, O., Darrah, J., Novak, I., Ketelaar, M. & Wiart, L. (2014). Health-Enhancing Physical Activity in Children With Cerebral Palsy: More of the Same Is Not Enough. Physical Therapy, 94(2), 297–305. https://doi.org/10.2522/ptj.20130214
  • Verschuren, O., Zwinkels, M., Obeid, J., Kerkhof, N., Ketelaar, M. & Takken, T. (2013). Reliability and validity of short-term performance tests for wheelchair-using children and adolescents with cerebral palsy. Developmental Medicine and Child Neurology, 55(12), 1129–1135. https://doi. org/10.1111/dmcn.12214
  • Wiart, L., Darrah, J. & Kembhavi, G. (2008). Stretching with children with cerebral palsy: what do we know and where are we going? Paediatric Physical Therapy, 20(2), 173-178. https://doi. org/10.1097/PEP.0b013e3181728a8c
  • Wu, M., Kim, J., Arora, P., Gaebler-Spira, D. J. & Zhang, y. (2017). Effects of the Integration of Dynamic Weight Shifting Training into Treadmill Training on Walking Function of Children with Cerebral Palsy: A Randomized Controlled Study. American Journal of Physical Medicine and Rehabilitation, 96(11), 765–772. https://doi.org/10.1097/PHM.0000000000000776