Structured and specialized physical therapy: Does it make a difference for children with congenital Zika syndrome? A pilot randomized controlled trial.

IF 1.7
Developmental neurorehabilitation Pub Date : 2025-07-01 Epub Date: 2025-08-10 DOI:10.1080/17518423.2025.2541826
Gabriela Lopes Gama, Thayla Amorim Santino, Emanuela Dos Santos Barros, Janiele de Sales Tavares, Patrícia Juliana da Silva, Thamyris de Sales Regis, Jousilene de Sales Tavares, Adriana Melo
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Abstract

Interventions for improving motor function of children with congenital Zika syndrome (CZS) are still underexplored. This study aimed to evaluate the feasibility of a structured and specialized 12-week intervention based on the Bobath concept and Pediasuit protocol compared to no change in therapeutic routine on the motor function of children with CZS. This pilot randomized controlled trial was conducted in a support center for children with microcephaly in Brazil between February and May 2018. Sixteen children were included. Anthropometric variables and motor functions (GMFM-88) were assessed. The experimental group (EG) underwent a one-hour daily protocol (30 min of motor physiotherapy based on Bobath concept and 30 min using therapeutic clothing). The control group kept their therapeutic routine. GMFM-88 total scores showed statistically significant improvement between assessments only for EG (p < .001). A structured and specialized 12-week physical therapy protocol is feasible and may improve children with CZS motor function.

结构化和专业化物理治疗:对先天性寨卡综合征儿童有影响吗?一项随机对照试验。
改善先天性寨卡综合征(CZS)儿童运动功能的干预措施仍未得到充分探索。本研究旨在评估基于Bobath概念和Pediasuit方案的结构化和专业化12周干预对cz儿童运动功能的可行性,并与治疗常规不变进行比较。该试点随机对照试验于2018年2月至5月在巴西的一个小头症儿童支持中心进行。其中包括16名儿童。评估人体测量变量和运动功能(GMFM-88)。实验组(EG)每天进行1小时的治疗方案(30分钟基于Bobath概念的运动物理治疗和30分钟使用治疗服)。对照组维持治疗常规。GMFM-88总分仅在EG的评估之间有统计学上的显著改善(p
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