A segurança e eficácia da intervenção fisioterapêutica na assimetria craniana não sinostótica em lactentes
uma revisão sistemática
DOI:
https://doi.org/10.51723/hrj.v7i33.963Palavras-chave:
Plagiocefalia não sinostótica, Assimetria facial, Torcicolo, Fisioterapia, LactenteResumo
Objetivo: realizar uma síntese de evidências reunindo publicações relacionadas ao assunto a fim de investigar a eficácia das intervenções utilizadas no tratamento da assimetria craniana não sinostótica em lactentes. Métodos: revisão sistemática deli- neada conforme PRISMA P-2020, registrada no PROSPERO, o desenho do estudo foi feito de acordo com a estratégia PICOS, estruturada com estudos dos últimos 10 anos, das bases: Biblioteca Virtual em Saúde (BVS), PubMed®, COCHRANE, Scielo e PEDro. Resultados: foram identificados 5 estudos elegíveis, estes avaliaram 293 lactentes, de ambos os sexos. As variáveis analisadas foram: tipo de intervenção, avaliação de AC e DNPM e presença de torcicolo ou redução de ADM. Conclusão: desfecho favorável à intervenção fisioterapêutica com terapia manual, principalmente no ganho e simetria de ADM de rotação cervical e maior ganho do DNPM. A órtese craniana foi demonstrada com um método sem significativa diferença da conduta expectante de PP.
Referências
Smartt JM, Elliott RM, Reid RR, Bartlett SP. Analysis of differences in the cranial base and facial skeleton of patients with lambdoid synostosis and deformational plagiocephaly. Plast Reconstr Surg 2011 Jan;127(1):303-12. DOI: 10.1097/PRS.0b013e3181f95cd8. DOI: https://doi.org/10.1097/PRS.0b013e3181f95cd8
Van Wijk RM, Van Vlimmeren LA, Groothuis-Oudshoorn CGM, Van Der Ploeg CPB, Jzerman MJI, Boere- Boonekamp MM. Helmet therapy in infants with positional skull deformation: Randomised controlled trial. BMJ 2014;348:1-13. http://dx.doi.org/doi:10.1136/bmj.g2741 DOI: https://doi.org/10.1136/bmj.g2741
Margotto PR. Assistência Ao Recém-Nascido De Risco. 4ª edição. Brasília; 2021.
Meyer-Marcotty P, Böhm H, Linz C, Kochel J, Blecher C, Keil N et al. Spectrum of positional deformities – Is there a real difference between plagiocephaly and brachycephaly? J Cranio-Maxillofacial Surg 2014;42(6):1010-6. http://dx.doi.org/10.1016/j.jcms.2014.01.026 DOI: https://doi.org/10.1016/j.jcms.2014.01.026
Robinson S, Proctor M. Diagnosis and management of deformational plagiocephaly: A review. J Neurosurg Pediatr 2009;3(4):284-95. DOI: 10.3171/2009.1.PEDS08330. DOI: https://doi.org/10.3171/2009.1.PEDS08330
Nunes ML, Pinho APS, Aerts D, Sant´Anna A, Martins MP, Costa JC. Síndrome da morte súbita do lactente: aspectos clínicos de uma doença subdiagnosticada. J Pediatr 2001;77:29-34. https://doi.org/10.2223/JPED.106 DOI: https://doi.org/10.2223/JPED.106
American Academy of Pediatrics AAP Task Force on Infant Positioning and SIDS: Positioning and SIDS. Pediatrics [Internet]. 1992 [acesso em 27 nov 2023]. 90(2 Pt 1):264. Available from: https://pubmed.ncbi.nlm.nih.gov/1503575/
Kane AA, Mitchell LE, Craven KP, Marsh JL. Observations on a recent increase in plagiocephaly without synostosis. Pediatrics. 1996;97(6):877-85. doi:10.1542/peds.97.6.877. DOI: https://doi.org/10.1542/peds.97.6.877
Hutchison BL, Stewart AW, Mitchell EA. Characteristics, head shape measurements and developmental delay in 287 consecutive infants attending a plagiocephaly clinic. Acta Paediatr Int J Paediatr 2009;98(9):1494-9. DOI: 10.1111/j.1651-2227.2009.01356.x. DOI: https://doi.org/10.1111/j.1651-2227.2009.01356.x
Hutchison BL, Hutchison LAD, Thompson JMD, Mitchell EA. Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study. Pediatrics 2004;114(4):970-80. https://doi.org/10.1542/peds.2003-0668-F DOI: https://doi.org/10.1542/peds.2003-0668-F
Rogers GF, Oh AK, Mulliken JB. The role of congenital muscular torticollis in the development of deformational plagiocephaly. Plast Reconstr Surg 2009;123(2):643-52. DOI: 10.1097/PRS.0b013e318196b9be. DOI: https://doi.org/10.1097/PRS.0b013e318196b9be
Rogers GF. The significance of torticollis in deformational posterior plagiocephaly. Proceedings of the Tenth International Congress of the International Society of Craniofacial Surgery. 2003. p. 61.
Graham JM, Gomez M, Halberg A, Earl DL, Kreutzman JT, Cui J et al. Management of deformational plagiocephaly: Repositioning versus orthotic therapy. J Pediatr 2005; 146(2):258-62. DOI: 10.1016/j. jpeds.2004.10.016. DOI: https://doi.org/10.1016/j.jpeds.2004.10.016
Golden KA, Beals SP, Littlefield TR, Pomatto JK. Sternocleidomastoid imbalance versus congenital muscular torticollis: Their relationship to positional plagiocephaly. Cleft Palate Craniofac J. 1999; 36(3):256-61. https://doi.org/10.1597/1545-1569_1999_036_0256_sivcmt_2.3.c DOI: https://doi.org/10.1597/1545-1569(1999)036<0256:SIVCMT>2.3.CO;2
Pivar SJ, Scheuerle A. Variable co-diagnosis of plagiocephaly and torticollis in Texas health care facilities. J Craniofac Surg 2006;17(2):236-40. DOI: 10.1097/00001665-200603000-00006. DOI: https://doi.org/10.1097/00001665-200603000-00006
Flannery ABK, Looman WS, Kemper K. Evidence-Based Care of the Child With Deformational Plagiocephaly, Part II: Management. J Pediatr Heal Care 2012;26(5):320-31. https://doi.org/10.1016/j.pedhc.2011.10.002 DOI: https://doi.org/10.1016/j.pedhc.2011.10.002
Plank LH, Giavedoni B, Lombardo JR, Geil MD, Reisner A. Comparison of infant head shape changes in deformational plagiocephaly following treatment with a cranial remolding orthosis using a noninvasive laser shape digitizer. J Craniofac Surg. 2006 Nov;17(6):1084-91. DOI: 10.1097/01.scs.0000244920.07383.85. DOI: https://doi.org/10.1097/01.scs.0000244920.07383.85
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372. DOI: https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71
Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (Pico) as a search strategy tool on literature search quality: A systematic review. J Med Libr Assoc. 2018 Out;106(4):420-31. DOI: 10.5195/jmla.2018.345. DOI: https://doi.org/10.5195/jmla.2018.345
Cabrera-Martos I, Valenza MC, Valenza-Demet G, Benítez-Feliponi A, Robles-Vizcaíno C, Ruiz-Extremera A. Effects of manual therapy on treatment duration and motor development in infants with severe nonsynostotic plagiocephaly: a randomised controlled pilot study. Child’s Nerv Syst. 2016 Nov;32(11):2211-7. DOI: 10.1007/s00381-016-3200-5. DOI: https://doi.org/10.1007/s00381-016-3200-5
Lalauze-Pol R. Le crâne du nouveau-né [Internet]. Sauramps médical, Montpellier. 2004;(14), 33-34.
Pastor-Pons I, Hidalgo-García C, Lucha-López MO, Barrau-Lalmolda M, Rodes-Pastor I, Rodríguez-Fernández ÁL, Tricás-Moreno JM. Effectiveness of pediatric integrative manual therapy in cervical movement limitation in infants with positional plagiocephaly: a randomized controlled trial. Ital J Pediatr. 2021 Fev;47(41):1-12. DOI: 10.1186/s13052-021-00995-9. DOI: https://doi.org/10.1186/s13052-021-00995-9
Giammatteo S. Integrative Manual Therapy for Biomechanics: Application of Muscle Energy and “Beyond” Technique. Vol. 3, North Atlatinc Books, Berkeley California; 2003.
Pastor-Pons I, Lucha-López MO, Barrau-Lalmolda M, Rodes-Pastor I, Rodríguez-Fernández ÁL, Hidalgo- García C et al. Efficacy of pediatric integrative manual therapy in positional plagiocephaly: a randomized controlled trial. Ital J Pediatr. 2021 Jun;47(1):1-12. DOI: 10.1186/s13052-021-01079-4. DOI: https://doi.org/10.1186/s13052-021-01079-4
Upledger J, Vredevoogd J. Terapia craneosacra I. Editora Paidotribo, Barcelona; 2007.
Arbuckle BE. Ostéopathie crânienne pour le nouveau-né et l’enfant. Vannes: Sully; 2014.
Argenta L. Clinical Classification of Positional Plagiocephaly. J Craniofac Surg. 2004 Mai;15(3):368-72. DOI: 10.1097/00001665-200405000-00004. DOI: https://doi.org/10.1097/00001665-200405000-00004
Aarnivala H, Vuollo V, Harila V, Heikkinen T, Pirttiniemi P, Valkama AM. Preventing deformational plagiocephaly through parent guidance: a randomized, controlled trial. Eur J Pediatr. 2015 Set;174(9):1197-208. DOI: 10.1007/s00431-015-2520-x. DOI: https://doi.org/10.1007/s00431-015-2520-x
Loveday BPT, Chalain TB. Active counterpositioning or orthotic device to treat positional plagiocephaly? J Craniofac Surg. 2001;12(4):308-13. doi:10.1097/00001665-200107000-00003. DOI: https://doi.org/10.1097/00001665-200107000-00003
Cheng JCY, Wong MWN, Tang SP, Chen TMK, Shum SLF, Wong EMC. Clinical Determinants of the Outcome of Manual Stretching in the Treatment of Congenital Muscular Torticollis in Infants. J Bone Jt Surgery- American Vol. 2001 Mai;83(5):679-87. DOI: 10.2106/00004623-200105000-00006. DOI: https://doi.org/10.2106/00004623-200105000-00006
Piper MC, Darrah J. Motor assessment of the developing infant. Philadelphia: Saunders; 1994 [acesso em: 27 Out 2023]. Available from: https://scholar.google.com.br/scholar?hl=pt-BR&as_sdt =0%2C5&q=+Piper+MC%2C+Darrah+J%2C+Maguire+TO%2C+Redfern+L+%281994%29+Motor+assess%02ment+of+the+developing+infant.+Saunders%2C+Philadelphia&btnG=
Cabrera-Martos I, Ortigosa-Gómez SJ, López-López L, Ortiz-Rubio A, Torres-Sánchez I, Granados-Santiago M et al. Physical Therapist Interventions for Infants with Nonsynostotic Positional Head Deformities: A Systematic Review. Phys Ther. 2021 Ago;101(8):1.10. DOI: 10.1093/ptj/pzab106. DOI: https://doi.org/10.1093/ptj/pzab106
Milea G, Cecchi A, Levi D, Pescatore MC. Rehabilitation treatments compared in positional plagiocephaly: a non-randomized controlled study. Scienza Riabilitativa [Internet]. 2013 Oct 1. Available from: https://go.gale.com/ps/i.do?p=HRCA&sw=w&issn=18283942&v=2.1&it=r&id=GALE% 7CA352753288&sid=googleScholar&linkaccess=fulltext
Tamber MS, Nikas D, Beier A, Baird LC, Bauer DF, Durham S et al. Guidelines: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on the Role of Cranial Molding Orthosis (Helmet) Therapy for Patients with Positional Plagiocephaly. Neurosurgery. 2016 Nov;79(5):E632-3. DOI: 10.1227/ NEU.0000000000001430. DOI: https://doi.org/10.1227/NEU.0000000000001430
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