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PROGRAMA DEL TRAJE TERAPUTICO Presentado por : Patricia Obando Fisioterapeuta entrenada en el Mtodo Therasuit-EU 2006

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EL TRAJE CABINA DE EJERCICIOS UEU PROGRAMA INTENSIVO NDT, Feldenkrais, Movilizacin de tejidos, K-tape, fortalecimiento en funcin, entre otros.

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3 Aos 70 en Rusia, Dra. Ksenija Alexandrovna Semenova Neurofisiloga Polaca, diseo primer traje teraputico.* Semenova 1996, 1997; Semenova & Antonova, 1998.

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4 En 1990 usado en Polonia en nios con desordenes neuromusculares. En 1997 se aplica en EE.UU, koscielny & koscielny,2004.* En 2002 se registra en FDA. 2,000 terapeutas certificados en 171 centros en el mundo. 2007 en Colombia. *Therasuit LLC. Intensive Suit Therapy for Cerebral Palsy. Keego Harbor, MI: Cerebral Palsy Pediatric Fitness Center; 2004. Available at: http://www.suittherapy.com/.http://www.suittherapy.com/

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EL TRAJE TERAPEUTICO

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Alineamiento Informacin propioceptiva* Estabilidad proximal * ANTES DESPUES *Semenova 1996,1997;Datorre 2004; Easter Seals DuPage 2005.

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DESORGANIZACIN POSTURAL, ALTERACIONES SENSORIALES Y DE APRENDIZAJE PC LESION MEDULAR ECV POBLACION BENEFICIADA

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CONTRAINDICACIONES Subluxacin de cadera Escoliosis severas Contracturas articulares fijas

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PRECAUCIONES Condiciones medicas inestables Convulsiones no controladas Osteoporosis severa Problemas del sistema cardiovascular Diabetes Disfunciones renales HTA

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ACTIVIDADES EN FUNCION

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CABINA DE EJERCICIOS-UEU SISTEMA DE SUSPENSION Y POLEAS

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Elongacin muscular pasiva-activa especifica Disminucin del hipertono Disminucin de retracciones musculares Aumento del AMA Contraresta osteroporosis

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Reeducacin muscular CG-SG. Autoinicio del Movimiento de msculos no activos CG. Fortalecimiento de tronco, pelvis, miembros inferiores y superiores.* Control sobre los grupos musculares recin fortalecidos previo a la funcin.* *Koscielny 2010; Blundell 2003; Morton 2005; Damiano 1998, 2001, 2008.

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CABINA DE EJERCICIOS SPIDER-LA ARAA ESTIMULACION MIULTISENSORIAL

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PROGRAMA INTENSIVO 4 sesiones por da: 3 FT, 1 TO 5 das a la semana 4 semanas.

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Beneficios Cambios adaptativos en SN, esqueltico, endocrino, cardiopulmonar. * Reduccin de co-activacin de antagonistas, mayor en sinergistas. * Mejora estabilidad y control del tronco. * Aumenta el tono muscular postural. *Malouin 2002; Blundell et al.,2003; Datorre 2004;Morton et al., 2005; Braswell et al., 2006; Carr et al., 2006; Tranberg 2008.

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Beneficios * Malouin 2002; Blundell et al.,2003; Datorre 2004;Morton et al., 2005; Braswell et al., 2006; Carr et al., 2006; Tranberg 2008. Aumento del rango de movilidad. Disminucin de espasticidad. Previene contracturas y deformidades. Mejora el equilibrio, la coordinacin y control de movimiento. * Menor gasto energtico, mayor resistencia. *

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CASO 1 :PC ANTES DESPUES

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20 ANTES DESPUES

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21 ANTES DESPUES

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CASO 2 : Hemipleja ANTES DESPUES

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Referencias 28 Bailes A, Greve K, Schmitt L,. Changes in Two Children with Cerebral Palsy After Intensive Suit Therapy : A Case Report. Pediatric Physical Therapy. February 2010. volume 22, numero1, Page 76-85. Blundell SW, RB Shepherd, Functional strength training in cerebral palsy. Faculty of Health Sciences, University of Sydney and BM Cahill Spastic Centre of NSW, Sydney, Australia. Clinical Rehabilitation 2003; page 4857. Datorre E, C S, PT, DPT, MSPT, ATC.Intensive Therapy Combined with Strengthening Exercises Using the Thera Suit in a Child with CP: A Case Report.2004. Damiano DL, Kelly LE, Vaughn CL, et al. Effects of Quadriceps Femoris Muscle Strengthening on Crouch Gait in Children with Spastic Diplegia. Physical Therapy. 1995; 75: 658-671. Damiano DJ, Abel MF. Functional Outcomes of Strength Training in Spastic Cerebral Palsy. Archives of Physical Medicine and Rehabilitation. 1998; 79: 119-125. Damiano Diane L., PhD PT. Strength training in cerebral palsy. University of Virginia.1995 -2008. Damiano DL,Activity, activity, activity: rethinking our physical therapy approach to cerebral palsy. Physical Therapy; 2006. 86(11):1534-40. Deister D. New Therapies for CP and Brain Injured Individuals. HBOT and TheraSuit Method for Adults with CP; Case Study. Cerebral Palsy Magazine-December 2004. Page 48-52. Eek MN, Tranberg R, Muscle strength training to improve gait function in children with cerebral palsy. Dev Med Child Neurol. 2008;50:759-764. Fowler EG, Ho TW, Nwigwe AI, et al. The Effect of Quadriceps Femoris Muscle Strengthening Exercises on Spasticity in Children with Cerebral Palsy. Physical Therapy. 2001; 81: 1215- 1223.

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29 Jan F Morton. The effects of progressive resistance training for children with cerebral palsy. Clinical Rehabilitation 2005;19: page 283-289. Koscienly I. Effectiveness of Therasuit Method and the Therasuit-Pilot Study. MI-USA. Cerebral Palsy Magazine,vol 1 June 2004. Page 12-13. Koscielny. R., Strength Training and CP Cerebral Palsy Magazine, Vol 2, No 1, 2004, page 12-14 Koscielny R. The Importance of Strengthening. January 2010. Rehab Management. Moreau NG, Li L, Geaghan JP, Damiano DL. Muscle fatigue in cerebral palsy and the relationship to functional mobility. Archives of Physical Medicine and Rehabilitation.2008. Sak N.N. Kadyrova L.A., Sak A.E., Muscular spirals in the Post-isometric Muscle Relaxation Technique, Manual Medicine. Thesis of scientific and practical conference of neurologist in Stavropol. Kislovodsk, 1990, pp.49-51. Semenova KA,. The validation of a method of dynamic propioceptive correction for the rehabilitative treatment of patients with the residual stage of infantile cerebral palsy. Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952). 1996;96(3):47-50. Semenova KA. Basis for a method of dynamic proprioceptive correction in the restorative treatment of patients with residual-stage infantile cerebral palsy. Neurosci Behav Physiol. 1997;27(6):639-643. Semenova KA, Antonova LV. The influence of the LK-92 'Adeli' treatment loading suit on electro-neuro- myographic characteristics in patients with infantile cerebral paralysis. Zh Nevrol Psikhiatr Im S S Korsakova. 1998;98(9):22-25. Semenova K.A., Recovery Treatment of the Cerebral Palsy Residual Stage, Moskow: Antidor,1999,p.384. Trahan J, Malouin F. Intermittent Intensive Physiotherapy in Children with Cerebral Palsy: A Pilot Study. Developmental Medicine & Child Neurology. 2002; 44: 233-239.

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30 GRACIASGRACIAS