Avaliação fisioterapêutica em neonatos que apresentaram asfixia perinatal e que foram submetidos à hipotermia terapêutica

Abstract

ntroduction: Neonatal asphyxia is a condition that can contribute to the neuromotor develo pment changes. Case Report Description : we will report eight cases of newborns (NBs) who suffered neonatal asphyxia and who underwent therapeutic hypothermia protocol in the first 72 hours of life. Was performed Neuromotor Neonatal Screening (NNS) examination during hospitalization, and later, f ollowing clinic, with a year of life adjusted age, being applied to Alberta Infant Motor Scale (AIMS). Results: NNS was applied in 8 terms NBs, and 6 NBs had adequate tone and 2 showed tone alterations. In outpatient evaluation it was observed that four children had typical motor development at age, and three had atypical motor development in AIMS, one child did not attend the outpatient follow - up. Conclusion: The therapeutic hypothermia protocol seems to be a neuroprotective for newborns with neonatal as phyxia and that even the NBs who initially had scores within the normal range, may have delayed motor development during the first year of life. However there is need of further research with a larger number of participants to obtain more conclusive result s.