Effects of Physical Therapy on the Multisystems of Children With Cerebral Palsy: a Longitudinal Study

Cerebral Palsy (CP) refers to childhood movement and posture disorders, whose severity, patterns of motor involvement and associated impairments are very varied. It is the most prevalent type of physical disability in children. Any non-progressive central nervous system (CNS) lesion that occurs in the prenatal, perinatal and postnatal period up to 2 years of life is considered CP. Thus, the present work aims to evaluate, monitor and verify the effects of physical therapy interventions on gross motor function, spasticity, balance, muscle activation, fatigue, respiratory system, functionality and social participation in children with cerebral palsy. This work will use some evaluation scales such as the Gross Motor Function Measure (GMFM-66), the Modified Ashworth Scale (MAS), the Early Clinical Assessment of Balance (ECAB), electromyography, the Fatigue Severity Scale and the Pediatric Functional Status. Scale. In addition to questionnaires, which will be applied directly to parents/caregivers, such as the Young Children's Participation and Environment Measure (YC-PEM), the PEDI (Pediatric Evaluation Disability Inventory) and the Goal Attainment Scaling (GAS).

Inclusion Criteria:clinical diagnosis of Cerebral Palsyaged between 0-12 yearsclassified in all the levels of the GMFCSthose responsible agree to release the minor to participate in the study and sign the Free and Informed Consent Form (FICT)Exclusion Criteria:have had botulinum toxin applied 6 months before the interventionrecent surgeryother physical abnormalities, genetic or severe syndromes.